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<br /> JOAQV�. UTNTY ENVIItONMENTAL HEALTAM-
<br /> 1868
<br /> 'ARTMENT
<br /> E.Hazelton Ave. • Stockton,CA 95205-6232 • Phone (209) 468-3420 ?r=
<br /> p.i
<br /> Donna Heran,R.E.H.S.,Director
<br /> ENVIRONMENTAL HEALTH
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<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY 1
<br /> PERMIT TO OPERATE `
<br /> Program Permit Permit )
<br /> Record ID Number Program Code and Description Valid
<br /> PRO513620 PT0009815 2247-RCRA HAZARDOUS WASTE GENERATOR FACILITY 1/1/2014 To 12/31/2014
<br /> Hazardous Waste Generator Proaram 6,
<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 /> y Sec.25100 et 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 /> Utnderaround Storage Tank-F-soaram:
<br /> 4 California Health and Safety Code,Div.20,Chap.6.7 and Title 23,California Code of_Regulations,Chap:16.
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<br /> P/E Tank# Tank Record ID Permit Capacity Contents ermit Status System Type Leak Detection
<br /> l 2362 3 390002310020100203 PT0005224 6,000 DIESEL ACTIVE,BILLABLE DOUBLE-WALL Continuous Monitoring
<br /> BOE 244821�`�
<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 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 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 Environmental Health Department(EHD)and are considererd UST Permit Conditions. The approved a
<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 J
<br /> provide documentation of such servicing to this office. 3:F
<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 /> 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. N "
<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 /> I 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. t .
<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 Permit to 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 are not completed by the date(s) indicated. r.
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<br /> PR0526379 PT0021214 2832-ABOVEGROUND PETROLEUM STORAGE FACILITY 1/1/2014 To 12/3112014
<br /> Aboveground Petroleum Storage Program: HI
<br />' California Health and Safety Code, Division 20,Chapter 6.67 and Title 40 of the Code of Federal Regugulations: r a •:•x�. gyt
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<br /> Aboveground Storage Tank Permit Conditions A
<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 et ^
<br /> seq,and Part 112(commencing with Section 112.1)of Title 40 of the Code of Federal Regulations.
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<br />�.; PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause.
<br /> F;
<br /> PERMIT(s)Valid only for: DAMERON HOSPITAL
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES t
<br /> I F
<br /> DAMERON HOSPITAL J Facility ID FA0002864 E ,
<br /> Regulated Facility:
<br /> g 525 W ACACIA ST Account ID AR0004533 $. i
<br /> STOCKTON CA 95203 Issued 3118/2014 "
<br />€ Billing Address: ATTN RISK MANAGEMENT DEPARTMENT
<br />! DAMERON HOSPITAL 3 s
<br /> 525 W ACACIA ST
<br /> STOCKTON CA 9520311
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