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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! <br />