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Jasjit Kang, REHS, Director Environmental Health Department SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY PERMIT TO OPERATE This permit is valid for Permit Status identified as "IN COMPLIANCE" Program Record ID Program Code and Description 2300 - UNDERGROUND STORAGE TANK FACILITYPR0231036 Underground Storage Tank Program: California Health and Safety Code, Div. 20, Chap. 6.7 and Title 23, California Code of Regulations, Chap. 16. P/E Tank #CERS Tank ID Permit #Capacity Contents Permit Status System Type Leak Detection Permit Valid 2360 3 PT0004627 IN COMPLIANCE DOUBLE-WALL 20,000 1/1/2024 To 12/31/2024Continuous MonitoringDIESEL10181391-001 CDTFA (BOE) ID#: 44052429 Underground Storage Tank Permit Conditions In order to maintain the operating permit, the owner and operator shall comply with the California Code of Regulations (CCR) Title 23, sections 2610-2717.7; and California Health & Safety Code, sections 25280-25296 and 25298-25299.6. 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. The Permittee shall comply with the monitoring procedures referenced in this permit. 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 provide documentation of such servicing to this office. 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 thirty-six (36) months from the date the monitoring was performed. 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 the Tank Owner and tank Operator receive a copy of the permit. 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 monitoring, response, and plot plans shall be maintained onsite with the permit. Construction, repair and/or removal permits are required from the EHD prior to any change, repair or removal of UST system equipment. 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 revocation. This Permit to Operate shall not be considered permission to violate any laws, ordinances or statutes of any other Federal, State or Local agency. 2) 3) 4) 5) 6) 7) 8) 9) 10) 11) 12) 13) The EHD shall be notified of any change in ownership or operation of the UST system within 30 days of such change. 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. 1) The UST owner or operator shall notify the EHD at least 30 days before changing the substance currently stored in the underground storage tank. PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause. PERMIT(s) Valid only for: PORT CITY LLC DBA ST. JOESEPH'S MEDICAL CENTER DBA: ST. JOSEPH'S MEDICAL CTR DIGNITY HEALTH FORMERLY CATHOLIC HEALTH CARE WEST DBA ST. JOSEPH'S MEDICAL CNTR.Tank Owner: Regulated Facility: 1800 N CALIFORNIA ST STOCKTON CA 95204 Facility ID Account ID Issued AR0003340 9/9/2024 ST JOSEPHS HOSPITAL CERS ID 10181391 FA0003761 Billing Address: CATHY GRAHAM ST. JOSEPHS HOSPITAL 3400 DATA DR RANCHO CORDOVA CA 95670 7124.rpt 1868 E. Hazelton Avenue | Stockton, California 95205 | T 209-468-3420 | F 209 464-0138 | www.sjgov.org/EHD