|
� W
<br /> SAN JOA Tu COUNTY ENVIRON
<br /> Q MENTAL HEALDEPARTMENT
<br /> 00 E. Main St. • Stockton,CA 95202-3029 • Phone(209)468-3420
<br /> Donna Heran, R.E.H.S., Director
<br /> ENVIRONMENTAL HEALTH
<br /> ' SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> t PERMIT TO OPERATE
<br /> Program Permit Permit
<br /> Record ID Number Program Code and Description Valid
<br /> i PRO514210 PT0010413 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2012 To 12/31/2012
<br /> Hazardous Waste Generator Program'
<br />; y In order to maintain the permit to operate,Hazardous Waste Generators shall comply with California Health and Safety Code,Div.20,Chap.6.5,Art.2-13,
<br /> tb Sec. 25100 et seq,and Title 22,California Code of Reulations,Chap.20:
<br /> ------------------------------------------ ----- --- -------- ---------- ------- ------- --- - ---
<br /> PR0232494 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2012 To 12/31/2012
<br /> Underground Storage Tank Program:
<br /> California Health and Safety Code,Div.20,Chap.6.7 and Title 23,California Code of Regulations,Chap16
<br /> ----- - - - ------------------------------------------ --------
<br /> - -----------
<br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection
<br /> 2362 1 1 390002324940249401 PT0004562 12,000 DIESEL Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> UN
<br /> Eu;,
<br /> t T7ndergr6und Storage Tank Permit Conditions � ;�R� �c ,;? ,ma y 7 r , 4;A y
<br /> p, 1) The Permit to Operate will become void if Annual Permit Fees and Service Fees are not paid and/or the UST system(s)fails to remain in compliance with these Permit Conditions.
<br /> 2) In order to maintain the operating permit,the owner and operator shall comply with the H&S Code,Div.20,Chap.6.7 and 6.75;and CCR,Title 23,Chap.16 and 18,as well as any conditions
<br /> a established by San Joaquin County.
<br /> If the Tank Operator(s)is different from the Tank Owner,or if the Permit to Operate is issued to a person other than the owner or operator of the tank,the Permittee shall ensure that both
<br /> the Tank Owner and tank Operator receive a copy of the permit.
<br /> 4) Written Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Department(EHD)and are considererd UST Permit Conditions. The approved
<br /> monitoring,response,and plot plans shall be maintained onsite with the permit.
<br /> t5) The Permittee shall comply with the monitoring procedures referenced in this penmrt '* r
<br /> 'b) The Permittee shall perform testing and preventive maintenance on all leak detection monitoring equipment annually,or more frequently if specified by the equipment manufacturer,and
<br /> provide documentation of such servicing to this office.
<br /> I' ;7) In the event of a spill,leak,or other unauthorized release,the Permitee shall comply with the requirements of Title 23 CCR,Chap. 16,Art.5,and the approved Emergency Response Plan.
<br /> Written records of all monitoring performed shall be maintained on-site by the operator and be available for inspection for a period of at least three years from the date the monitoring was
<br /> performed
<br /> i 9) The EHD shall be notified of any change in ownership or operation of the UST system within 30 days of such change
<br /> 10) Upon any change in equipment,design or operation of the UST system(including change in tank contents or usage),the Permit to Operate will be subject to review,modification or
<br /> „ revocation.
<br /> 1 1) Construction,repair and/or removal permits are required from the EHD prior to any change,repair or removal of UST system equipment.
<br /> 12) This Permit to Operate shall not be considered permission to violate any laws,ordinances or statutes of any other Federal,State or Local agencyD. pi t
<br /> , 13) A"Conditional"Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated
<br /> —i --
<br /> 'r_� a^'t +AF
<br /> ra,�, �`e ,�'
<br /> Aq
<br /> ..,+5r
<br /> F,�j^?F i�°Fi;�8c,} ;5�f„,^^.�`A+{Tt�r�"�.'�.,.j'r�k,5 s aj4.��s"•n`,+s;r:^':_:pYa1r�f-?�`.«mdS'�F"kr',r�y'Y�`f�l4 aaWA i�.:�-a th kSYk,�'5Vv�q F=1a�,'.t'_1'�-��Y s�zR'�{y':.YY.__:,Y^r"q§)�.a 4 .ar-:}�,;.-+.,:_r�,uFis*�k-f�§.t�'�YkA.r;^-„5sy+�. r,��t�f;�M'T�s,,3'W�'.t`�a'7rfS h3�-'1 ,•"s�x'J"�P,°,y'T °'90V
<br /> y, I' t7`,v,Xn`,'gr•4+o'rt�ry r,..',kAti•i(fAi.FFS3a,'.fx'„�'P„ -':`'+,+i-`��',iy-
<br /> nNa.
<br /> }
<br /> tt 'r
<br /> ti:... f'7i' a t'.r✓^� i,:'."' .' q�}.^.a.:�t" x�x '��t.` w
<br /> PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause.
<br /> PERMIT(s)Valid only for: KAISER PERMANENTE
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> KAISER PERMANENTE 3h � � ��a � Im'` � ti
<br /> Facility ID
<br /> : Regulated Facility: +w + 3 �r�t� r a � y FA0002602
<br /> 7373 WEST LN � � account ID
<br /> klir �r u b ,� aYa .oxt MX�+u a^t+�a£F°` br�.,�` e "++"'��Y•�3"t o-xe s'g Y�; +#�t�r6 f�
<br /> Issued
<br /> 2/10/2012STOCKTON CA 95210AR0004672
<br /> 2
<br /> x
<br /> ttr=> � r, f�� 'trz'yM ri �" fr s rkzr,t ,
<br /> Billing Address: ATTNEVS
<br /> KAISER PERMANENTE sus stn., Kik g a1. p
<br /> 7373 N WEST LN a ^^
<br /> STOCKTON CA 95210
<br /> k >tI+` � ��. is
<br /> r
<br /> V,
<br /> ^
<br /> - Are”
<br /> ; w 0j' �'
<br /> t,. ,,.s ''�'� t .•.` a4`F <i �J -+4.4,yT. 4'c ,, gY" k A" ,N 'e,. 'r(�tl- -"� T Jl
<br /> s,�,�. �`N'Y'
<br /> 4 .Fs:- �' t.�^ Y��gw 4, ? p i„r�}' .P- t ' �kkyy},may �r .µ 0�1:�?`��' :�,a' s. "i �.c�.''tY ,':y+•f'-A. k. 'a
<br /> Y-� i :3'...
<br />
|