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<br /> t i SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT °' i� 4
<br /> 600 E. Main St. • Stockton, CA 95202-3029 • Phone (209)468-3420r++� ''
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<br /> Donna Heran,R.E.H.S., Director , K V �
<br /> ENVIRONMENTAL HEALTH
<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY �� ' ° ° " °•
<br /> ty PERMIT TO OPERATE
<br /> r+ Program Permit Permit
<br /> Record ID Number Program Code and Description %+,.t 2' >
<br /> >t a, fr Valid
<br /> PRO513620 PT0009815 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1!2011 To 12/3112011
<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 /> ,Sec_25100 et seq, and Title 22,California Code of Regulations,Chap._20. ___ ________ __
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<br /> `.PR0231002 2300 UNDERGROUND STORAGE TANK FACILITY ✓ 111/2011 To 12/31/2011 r
<br /> Tlrtderground Storage Tank Program r
<br /> California Health and Safety Code, Div.20,Chap._6 7-and Title 23, California Code of Re ulations,Cha 16
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<br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection
<br /> 2362 3 390002310020100203 PT0005224 6,000 DIESEL Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 1..QE IQ#;,...44W4482
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<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. f�'
<br /> ,h`. 2) In order to maintain the operating permit,the owner and operator shall comply with Ute 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 /> a established by San Joaquin County. fp ri
<br /> P '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 /> I ° 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
<br /> monitoring,response,and plot plans shall be maintained onsite with the permit.
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<br /> 5) The Pennittee shall comply with the monitoring procedures referenced in this permit.
<br /> s 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 /> x provide documentation of such servicing to this office.
<br /> 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
<br /> 9) The EHD shall be no',tied of any change in ownership or operation of the USI'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 y=�
<br /> revocation. ,
<br /> I I Construction,repair and/or removal permits are required from the EHD prior to an change,repair or removal of UST system equipment.
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<br /> 12) The Pennittee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the date of the issuance of this penmit
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<br /> 13) This Permit to Operate shall not be considered permission to violate any laws,ordinances or statutes of any other Federal,State or Local agency. a s dr�s
<br /> 14) A"Conditional"Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated.
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<br /> PRO526379 PT0021214 2832-ABOVEGROUND PETROLEUM STORAGE FACILITY 1/1/2011 To 12/31!2011
<br /> Aboveground Petroleum Storage Program:
<br /> California Health and Safety Code, Division 20 Chapter 6.67 andTitle 40 of the_ Code of Federal RegugulaUons.
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<br /> Aboveground Storage Tank Permit Conditions > w s.w> r
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<br /> i 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 seq,
<br /> and Part 112(commencing with Section 112.1)of Title 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 /> DBA: DAMERON HOSPITAL ASSN
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES U
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<br /> DAMERON HOSPITAL " Facility ID
<br /> 1 Regulated Facility: , r �+�,` t p
<br /> y FA0002864 a
<br /> 525 W ACACIA ST Account ID y} .
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<br /> AR 45
<br /> STOCKTON CA 95203 a, ' Issued 2/4/2011 "i-,
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