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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<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 * * * D U P L I C A T E * * * Valid
<br /> PRO513620 PT0009815 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 11112013 To 12131/2013 _
<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 /> See.25100 et Be .and and Title 22,California Code of Regulafions,_Chap.20:.........................................................................................................
<br /> PR0231002 2300-UNDERGROUND STORAGE TANK FACILITY 11112013 To 1 213112 01 3.
<br /> Underground Storage Tank Prooram�
<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 /> -- ----. ---. ----- ----. ---- .............- - -
<br /> PIE Tank 4 Tank Record Permit 4 Capacity Contents Permit Status System Type LeU uetechon
<br /> 2362 3 390002310020100203 PT0005224 6,000 DIESEL Active,billable DOABLE-WALL Continuous Interstitial 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 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 CCA,Title 23,Chap.16 and 18,as well as arty 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 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 Enviro arental 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 /> 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 Permium shall comply with the requirements of Title 23 CCR,Chap.16,Art.5,and the approved Emergency Response Plan.
<br /> 9) 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 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 /> 11) 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 Pe perate s a e considered permission to violate any Igws,ordinances or statutes of any other Federal,State or Local agency. -
<br /> 13 rfibnar.Permit may be coked if corrections specified on the inspection report are not completed by the dates) indicated.
<br /> R0526379 PT002 2832-ABOVEGROUND PETROLEUM STORAGE FACILITY 111/2013 To 1 213112 01 3
<br /> California Health and Safety Code,Division 20,Chapter 6.67 and Title 40 of the Code of Federal Realatl
<br /> uguons______ ______
<br /> Aboveground Storage Tank Permit Conditions
<br /> 1) In order to maintain the permit to operate,Aboveground Petroleum Storage owners and operators shall comply with California Health and Safety Code,Division 20,Chap.6.67,Sec 25270 at seq,
<br /> and Part 112(commencing with Section 112.1)of Title 40 ofthe 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 MAST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> DAMERON HOSPITAL FacilltylD FA0002864
<br /> Regulated Faciliy. 525 W ACACIA ST Account ID AR0004533
<br /> STOCKTON CA 95203 Issued 10/9/2013
<br /> Billing Address-
<br /> DAMERON HOSPITAL
<br /> 525 W ACACIA ST
<br /> STOCKTON CA 95203
<br /> 7o2arpl
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