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SAN JOAQU*OUNTY PUBLIC HEALTH SERX*S <br /> 304 E.WEBER AVE.,THIRD FLOOR • STOCKTON,CA 95202 • PHONE (209)468-3420 <br /> KAREN FURST, M.D., M.P.H., HEALTH OFFICER <br /> DONNA HERRN, R.E.H.S.,DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> rogram ermtt Permit <br /> Record ID Number Program Code and Description Valid <br /> PRO51362 PT0009815 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/00 To 12/31/00 <br /> Hazardous Waste Generator Program: <br /> California Health and Safety Code Div.20,Chap.6.5,Art.2-13 Sec.25100 et seq,and Title 22 California Code of Regulations,Chap.20. <br /> PRON697 - --------- ------------ ---- ---- - -- ------ <br /> PR050697 PT0009152 2234-HAZARDOUS WASTE CESW FACILITY - -- - - - - --- <br /> 1/1/00 To 12/31/00 <br /> Tiered Permit On-Site Hazardous Waste Treatment Program <br /> California Health and Safety Code Div.20,Chap.6.5,Art.9,and Title 22 California Code of Regulations,Chap.20. <br /> - - - ---- - - ------------------ -------- <br /> - - - - 31 - <br /> PR023100 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/00 To 12/31!00 <br /> Underground Storage Tank Program: <br /> California Health and Safety Code Div.20,Chap.6.7 and Title 23 California Code of Regulations Chap. 16. <br /> - -- - ----- - -- ------- ---------------- <br /> --- <br /> -- - <br /> Fit I <br /> anK 4 TanKecor ermr Capacity Contents PermitStatus <br /> 2360 ;3 390002310020100203 P10005224 6,000 UNLEADED on i lona <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 <br /> these Permit Conditions. <br /> 2) In order to maintain the operating permit,the permit holder shall comply with the H&S Code,Div.20,Chap.6.7 and 6.75;and CCR,Title 23,Chap. 16 and <br /> 18,as well as any conditions established by San Joaquin County. <br /> 3) If the Tank Operator(s)is different from the Tank Owner,or if the Penn it to Operate is issued to a person other than the owner or operator of the tank,the <br /> Permittee shall ensure that both 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 Division(PHS/EHD)and are considererd <br /> UST Permit Conditions. Copies of the Procedures and Emergency Response Plan must be attached to this permit or be available for review and/or inspection <br /> 5) t,$UST site. <br /> e ermrttee shall comply with the monitoring procedures referrenced in this permit. <br /> 6) The Permittee shall perform testing and preventive maintenance on all leak detection monitoring equipment annually,or more frequently ifspecified by the <br /> equipment manufacturer,and provide documentation of such 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 <br /> 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 <br /> from the date the monitoring was performed. <br /> 9) The PHS/EHD shall be notified of any change in ownership or operation of the UST 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 <br /> I review,modification or revocation. <br /> I 1 l) Construction,repair and/or removal permits are required from the PHS/EHD prior to any change,repair or removal of UST system equipment. <br /> f 12) The Permittee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the anniversary date of the issuance <br /> of this permit. <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. <br /> 14) A"Conditional"Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated. <br />' r <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and 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 9/28/2000 <br /> Billing Address: ATTN : ACCTS PAYABLE-MARGIE <br /> DAMERON HOSPITAL <br /> 525 W ACACIA <br /> STOCKTON, CA 95203 <br /> 7023.rpt <br />