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								     				SAN JOAQUIN CVJNTY 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															Pertnil
<br /> 	Record ID	Number       	a and Description
<br /> 																			Valid
<br />       PRO513620    PT00098    2   	LL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 			1/1/2013 To 12/31/2013
<br />       Hazardous    s     n
<br />      In order to maintain the pe  it 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  								-
<br />	------"—													.------ '---------- --------------------I-------   ----
<br />      PR0231002  		2300-UNDERGROUND STORAGE TANK FACILITY       					111/2013 To 1 213112 01 3
<br />      Underaround Storage Tank Prooram
<br />      California Health and Safely Code,Div.20, Chap.6.7 and Title 23,California Code of Regulations,Chap:16.   _   					-
<br />	......     ....... ...........   	.._______--   	. ..... .   __   .-			__.-
<br />	P/E  Tari 4       Tai Record ED	Permit#    Capacity  	Contents   	permitsbatus	System Type   	Leaktecnon
<br />      2362      3     3900023.10020100203   PT0005224   6,000    	DIESEL 	Active, billable       DOUBLE-WALL       Continuous lnteratitml 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 systems)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 19,as well as my conditions
<br />   	established by Sm 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 Pennine 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 Environmental Health Department(EHD)and are eonsidererd 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 specked by the equipment manufacturer,and
<br />   	provide documentation ofsuch servicing to this office   	_
<br />      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 />       S)  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 ERD shall be notified of my change in ownership or operation of the UST system within 30 days of such change.
<br />      10)  Upon my 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 />      1 1)  Construction.repair and/or removal permits me required from the EHD prior to my change,repair or removal of UST system equipment.
<br />      12)  This Permit to Operate shel l not be considered permission to violate my laws,ordinances or statutes of any other Federal,State or Local agency.
<br />  		'w�=Pew-`ma�ifwrrecdons specified on the inspection report are not completed by the date(s) indicated-
<br />       -------------
<br /> \r      	. 								. _.______._...._______________________________._._._.    		...___..___
<br />  	526379    PT0021214  2832-ABOVEGROUND PETROLEUM STORAGE FACILITY   				1/1/2013 To 1 2131/2 01 3
<br />     Above 	etroleum Storage Prooram
<br />      California Health and Sae	,  ___  	apter 6 67 and Title 40 of the Code of Federal Re u utations.
<br />		___.._._.._  _ _    				_________________________________•.._--.-.___B_g___...........-------------------.-------------------- .._._._.
<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,Sa 25270 at seq,'
<br />   	and Pm 112(commencing with Section 112.1)of Tide 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 />	Regulated Facility:   DAMERON HOSPITAL 									Facility ID  FA0002864
<br />    			525 W ACACIA ST     									Account ID AR0004533
<br />    			STOCKTON CA 95203   									Issued  2/19/2013
<br /> 	Billing Address:
<br />    			DAMERON HOSPITAL      						_
<br />    			525 W ACACIA   ST
<br />   			STOCKTON   CA   95203
<br />     7m2arp!
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