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-
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<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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