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4 �' s E 4 '.� * r �.: i�*•„ ate,F,..r + �i. � `�'-�:s 1 <br /> d t r <br /> i <br /> SAN JOAQUIi, LINTY ENVIRONMENTAL HEAL _ EPARTMENT <br /> 600,E.Main St. • Stockton,CA 95202-3029 • Phone(209)468-3420 ' >f r ,`1 'l rr s 7 <br /> ry I Donna Heran,R.E.H.S.,Director <br /> F ' ` ENVIRONMENTAL HEALTHm ryftr <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY b `� f,z ti '•; <br /> PERMIT TO OPERATE <br /> Program Permit <br /> s<' <br /> Record ID Number Program Code and Description �W Permit rf3 six a y> <br /> y s. s Valid' R <br /> PRO514210 PT0010413 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2010 To 12/31/2010 <br /> Hazardous Waste Generator Program: <br /> 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 /> '< Sec.25100 et seq,_and Title 22,California Code of Regulations,Chap_20. r' <br /> ------- ------ ------ ------ ----- <br /> r, PR0232494 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2010 To 12/31/2010'. z <br /> Underground Storage Tank Program: ,ti <br /> California Health and Safety Code,Div.20,Chap.6.7 and Title 23,California Code of Regulations Chap_ 16 <br /> -------- ------ <br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection <br /> ^o <br /> t DIESEL /able DOUBLE WALLED Continuous Interstitial Monitoring <br /> 90002324940249401 PT0004562 12,000 Di Active bil <br /> ,!0-Vndergrotmd Storage Tank Permit Conditions <br /> i) The Permit to Operate will become void if Annual Pennit Fees and Service Fees are not paid and/or the UST system(s)fails to remain in compliance with these Permit Conditions. <br /> Ip order to tnamtain 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 /> ,established by San Joaquin County. a ; <br /> 3 j 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. 7111 <br /> 4) Written Monitoring Procedures and an Emergency Response Plan must be approved by the FRylrovInegtal Health Deparhnent(EHD)and aze considererd UST Permit Conditions. The approved ' <br /> ' monitoring,response,and plot plans shall be maintained onsite with the penmt _i,."- W4u <br /> 5) The Pennittee shall comply with the monitoring procedures referenced in this permit. '�� <br /> 6) 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: x <br /> c Y <br /> provide documentation of such servicing to this office. <br /> a 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 /> 8) Written records of all monitoring performed shall be maintained on-site by the operator and be available for inspection fora period of at least three,years from the hate thg monitorimg was. <br /> performed. 4,A, <br /> 9) The EHD shall be notified of any change in ownership or operation of the UST system within 30 days of such change <br /> ,40) 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,modificatipr}pl <br /> revocation. �t ' <br /> 11) Construction,repair and/or removal permits are required from the EHD prior to any change,repair or removal of UST System equipment. Et 4z <br /> 12) The Permittee shall submit an annual report docwnenting compliance with the UST Permit Conditions within 30 days of the date of the issuance of this permit �n f hr* r io `;;ic <br /> 13) This Permit to Operate shall not be considered permission to violate any laws,ordinances or statutes of any other Federal,State or Local <br /> 14),;A"Conditional"Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated, � it's A:t f " r'tIT '.'V <br /> rps i'.."-''y <br /> PERMITS TO OPERATE are NOT TRANSFERABLE e f <br /> and may be SUSPENDED or REVOKED for cause >, <br /> .; <br /> Viz" <br /> PERMIT(s)Valid only for: KAISER PERMANENTE <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> r <br /> RegulateFA0002602 <br /> d Facility: KAISER PERMANENTE o r i Facility ID <br /> 7373 WEST LN Account ID AR0004672 � <br /> ` STOCKTON CA 95210 ` 4 v ' t r <br /> Issued 2/10/2010 � s z <br /> Billing Address: ATTN , : «`--;EVS L. rk �{XP� <br /> f I t f <br /> KAISPERMANENTS <br /> 7373 N WEST LN <br /> STOCKTON CA 95210 <br /> t Y`,' <br /> - <br /> 4 <br />