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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH"D '
<br /> 304 E.Weber Ave.,Third Floor Stockton,CA 95202-270,8 Phaiiie(209 .468320
<br /> Donna Reran,&F-H.S.,Director '
<br /> .N
<br /> ON -1,, HEALTH,," 41
<br /> SANJOA QUII�ZO.UNTY CERTIFIED UNIFIED PROGRAM"AGENCY
<br /> '
<br /> PERMIT TO OPERATE
<br /> Program Peritiit
<br /> Record ID 4.Number Program Code and Description Valid
<br /> 711,�I�WI�I�b1
<br /> PRO513620 PT0009815 2220-SMALL QUANTITY HAZARDO.S-WASTE GENEU'M_'FACIL 1/l/ 0t1 ,.hD 12/31/2006
<br /> Hazardous Waste Generator Program:
<br /> In-order to maintain the permit to operate, Hazardous Waste Generators shall comply vIth G�K0rnI8 klesktt•aiid Safety Qcitte,Div, 20„.Gfiap.6:6,Art.2
<br /> : Sec 25100 et seq_and Title 22,California Code of Regulations Chap.,20
<br /> ---------- --- -- ;
<br /> PR0231002 42$00-UNDERGROUND STORAGE TANK FACILITY fM/2Qg6.To 12/31/2006
<br /> Underground Storatie`1 ank Pro-tram:
<br /> California Health and Safety Code, Div.20 Chap 6.7_and Title 23 California Code of Regulations_Chap__18
<br /> . .
<br /> PIE,:Tank#. Tank Record ID' Permit# Capacity Contetlts a; Perm Status System Type Le tection
<br /> AMWr
<br /> ”3.-..
<br /> 39000 100203 PT0005224 6,000 DIES Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> =1fn&i9r0"d
<br /> Skorage Tank Permit Conditions
<br /> 1), The Permit to Operate will become void if Annual Permit Fees and Service Fees are not paid artd[or the USTsystem(s)fatli.to remain in coinplienee wit)i these Permit Conditions.
<br /> 2)" In order to maintain the operating permit,the owner and operator shall complj w th'the H&S Code,Div,20,Chap.6:I and 6*'W CCR,Title 23;C1 t6 andrl8:as,wetl 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 othefthan the•owner or operatbrof thatank,the Permittee shall ensure that both
<br /> the Tank Owner and tank Operator receive a copy of the permit.
<br /> r Y4), Written Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental:Health Department(EHD)and are oonsidemd UST N1n 7Conditions. The approved
<br /> monitoring,response,and plot plans shall be maintained onsite with the permit.
<br /> 5•) The Pe'mrittee'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 IipmeOtapnuaHX,oriomvftowtiy ifsptCifiglby the:equipment manufacturer,and
<br /> provide documentation of such servicing to this office.
<br /> 2)' 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'4f all monitoring performed shall be maintained on-site by the operator and be available for inspection fora period of at least three from the date the monitoring was,
<br /> performed
<br /> 9) " The EHD shall be notifiedbf anq change m gwnership or operation of the UST system within30 days of such change:
<br /> kl)-'Upon any change,in equipment,design or operation of the UST system(including change in tank contents,or usa&e Ilie PenWtto Operate wdl be subject to review,modification or
<br /> tevocation.
<br /> 11)..Construction,repair and/or-removal permits are required from the EHD prior to any change,repair or remova[of UST system equipment. "7 -
<br /> 12) The Permittee shall submit an annual report documenting compliance with the UST.Permit Conditions within 30 days of the date of the issuaneo ofilais�permt..
<br /> 13) 'fpts gemtit ciOrierate shall not be considered permission to violate laws;ordinances or statutes of any other Federal,State or Local agent .` >
<br /> 14}•A"Gtgtdr6onaI"Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated. , r
<br /> PERM '..T- OPERATE are NOT'TIliA 3gI RA$L E"
<br /> artd mai ps:SUSPENDED or REVOODIf as tse
<br /> r
<br /> PER A. (9)�FBfIi3 only for: DAMERON HOSPITAL
<br /> DBA: DAMERON HOSPITAL•ASSN
<br /> THIS.FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES,
<br /> Regulated Facility: DAMERON HOSPITAL °FA0002864
<br /> 525 W ACACIA"St AR0004533
<br /> a Account
<br /> STOCKTON CA.::95203. lssusd 2/3/2006 z
<br /> E3iUfng Address:: - ,
<br /> DAMERON' H08PITAL
<br /> 525 W ACACIA ST �>
<br /> sTOCKTON CA - 45203
<br /> 7oQSrpt �.
<br />�i -" - .-..... .'•1.:-_- - - Y -_ .. - _. ...�. .. ..i...4{L'Smh,f:WSah'8n. `E: ,w- ,. .
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