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<br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT �?r _ {
<br /> 600E Main St. • Stockton, CA 95202-3029 • Phone(209)468-3420
<br /> w Donna Heran,R.E.H.S.,Director
<br /> ENVIRONMENTAL HEALTH
<br /> V f�
<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE
<br /> Program Permit Permit
<br /> Record ID Number Program Code and Description Valid
<br /> PRO513620 PT0009815 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2012 To 12/31/2012
<br /> Hazardous Waste Generator Program: r'» � k ,: s t z;4V`s }# A h
<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 seg,and Title 22 California Code of Regulations,Chap.20.
<br /> µ
<br /> Underground Storage Tank Program:
<br /> PR0231002 2300-UNDERGROUND STORAGE TANK FACILITY y U1/2012 To 12/$1/2012
<br /> California Health and-Safety Code,Div.20,Chap. and Title 23,California Code of Regulations Chap: 16_
<br /> --- y------yp ------ ------------------------
<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 DOLIBLE WALLED Continuous Interstitial Monitoring
<br /> to a •: � i � ��� '����,�a,t`��r����, � :I
<br /> Underground Storage Tank Permit Conditions
<br /> I) 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 f'
<br /> established by San Joaquin County, y-
<br /> y,- 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
<br /> monitoring,response,and plot plans shall be maintained onsite with the permit.
<br /> r S) The Permittee shall comply with the monitoring procedures referenced in this permit trit� y �P�
<br /> ..
<br /> r, 6) The Permittee shall perform testing and preventive maintenance on all leak detection monitoring egiripnrent annually,or more frequently if specified bythe equipment manufacturer,and
<br /> 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 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 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
<br /> to review,'modrfication or
<br /> revocation. r?r ,-
<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. ? re
<br /> - ----- --- -- - ----- ------ ---------- --- ----- - ------ ------
<br /> - - ,.'.xfi4�
<br /> PRO526379 PT0021214 2832-ABOVEGROUND PETROLEUM STORAGE FACILITY 111/2012 To 12/31!2012"x
<br /> Aboveground Petroleum Storage Program' {^.
<br /> California Health and Safety Code,Division 20,Chapter 6.67 and Title 40 of the Code of Federal Regugulations + ;
<br /> ----- ------- ----- -- - --- -
<br /> .�
<br /> Aboveground Storage Tank Permit Conditions + 7n xRn
<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.667,Sec 25270
<br /> and Part 112(commencing with Section 112:1)of Title 40 of the Code of Federal Regulations. v
<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 /> . DAMERON HOSPITAL2 ', Facility 1D FA0002864
<br /> Regulated Facthty. 'aN a s fh
<br /> 525 W ACACIA ST i fig r Account 1D AR0004533. m +"?
<br /> i
<br /> r a STOCKTON CA 952032/10/2012
<br /> t a Issued
<br /> x`.:� tk`m4'A"'
<br /> -Billing Address: r ` ` ,x .� y,�
<br /> •d 4 : � t ��* +y � �A �? �� �
<br /> DAMERON HOSPITAL + x�rown-s'
<br /> 525 W ACACIA ST
<br /> �$,TOCKTON CA 95203 '
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