SAN JOAQUIlilseOUNTY ENVIRONMENTAL HEALTHVEPARTMENT 5�
<br /> 1868 E.Hazelton Ave. • Stockton,CA 95205-6232 • Phone(209)468-3420
<br /> Donna Heran,R.E.H.S.,Director
<br /> ENVIRONMENTAL HEALTH
<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE
<br /> Program Permit Permit
<br /> Record ID Number Program Code and Description Valid
<br /> PROS13620 PT0009816 2247-RCRA HAZARDOUS WASTE GENERATOR FACILITY 111/2014 To 12/31/2014
<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 at seq,-and Title 22,California Code of Regulations,Chap,20.-------_._-_-_----------------------_-_-___-___-__----_------_-------.,--_-,-,----------_
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<br /> PR0231002 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2014 To 12/31/2014
<br /> Undemmund Storage Tank Program:
<br /> California Health and Safety Code,Div_20:Chap.6.7 and Title 23,California Code of Regulations,Chap_16. ..........................................................
<br /> -- ------------- - . . '
<br /> P ank# TankRecord Permit# Capacity Contents Permit Status System Type Leak Detection
<br /> 2352 3 390002310020100203 PT0005224 6,000 DIESEL ACTIVE,BILLABLE DOUBLE-WALL continuous Monitoring
<br /> BOE ID#: 44024482"
<br /> Underground Storage Tank Permit Conditions
<br /> 1) The Permit to Operate will become void if Annual Permit Fees and Service Fees are not paid and/or we 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 /> established by San Joaquin County.
<br /> 3) 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 lank,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 most be approved by the Environmental Health Department(EHD)and arc considemrd UST Permit Conditions. The approved
<br /> monitoring,response,and plot plans shall be maintained onsite with the permit.
<br /> 5) The Permittee 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
<br /> provide documentation of such servicing to this office.
<br /> 7) In the event of a spill,leak,or other unauthorized release,the Permute shall comply with the requirements of Title 23 CCR,Chap.16,An.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 for a period of at least three years from the date the monitoring was
<br /> performed.
<br /> 9). The EUD shall be notified of my 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 /> 11) Construction,repair andror removal permits are required from the E D prior to my change,repair or removal of UST system equipment.
<br /> 12) This Permit w Operate shall not be considered permission to violate any laws,ordinances or statutes of any other Federal.State or local agency.
<br /> 13) A"Conditional"Permit may be revoked if corrections specified on the inspection report we not completed by the date(s) indicated
<br /> =d
<br /> R�y6626379 -70021214 2832-ABO1(�GROUND PETROLEUM STORAGE FACILITY - 111/2014 To 1213112014
<br /> Abhve a..,andPetroleum torage Program• �
<br /> California Health and Safety Code, Division 20,Chapter 6.67 and Title 40 of the Code of Federal Regugulations.
<br /> ............................ .. ...... ...................
<br /> Aboveground Storage Tank Permit Conditions
<br /> 1) In order to maintain the permit to operate,Aboveground Petroleum Storage owners and openton shall comply with California Health and Safety Code,Division 20,Clap.6.67,See 25270 U
<br /> seq,and Pan 112(commencing with Section 112.1)of Title 40 of the Code of Federal Regulations.
<br /> PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause.
<br /> PERMIT(s)Valid only for: DAMERON HOSPITAL
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> DAMERON HOSPITAL Facility ID FA0002864
<br /> Regulated Facility: 525 W ACACIA ST Account ID AR0004533
<br /> STOCKTON CA 95203 Issued $11812014
<br /> Billing Address: ATTN : RISK MANAGEMENT DEPARTMENT
<br /> DAMERON HOSPITAL
<br /> 525 W ACACIA ST
<br /> STOCKTON CA 95203
<br /> 7023 rpt
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