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<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
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<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'
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<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
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<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
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<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 >,
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<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
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