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Jasjit Kang, REHS, Director <br />Environmental Health Department <br />SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br />PERMIT TO OPERATE <br /> This permit is valid for Permit Status identified as "IN COMPLIANCE" <br />Program <br />Record ID Program Code and Description <br />2300 - UNDERGROUND STORAGE TANK FACILITYPR0231002 <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 />P/E Tank #CERS Tank ID Permit #Capacity Contents Permit Status System Type Leak Detection Permit Valid <br />2360 3 PT0005224 IN COMPLIANCE DOUBLE-WALL 6,000 1/1/2022 To 12/31/2022Continuous MonitoringDIESEL10181003-001 <br />CDTFA (BOE) ID#: 44024482 <br />Underground Storage Tank Permit Conditions <br />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 />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 />The Permittee shall comply with the monitoring procedures referenced in this permit. <br />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 />provide documentation of such servicing to this office. <br />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 />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 />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 />Construction, repair and/or removal permits are required from the EHD prior to any change, repair or removal of UST system equipment. <br />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. <br />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 />A "Conditional" Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated. <br /> 2) <br /> 3) <br /> 4) <br /> 5) <br /> 6) <br /> 7) <br /> 8) <br /> 9) <br />10) <br />11) <br />12) <br />13) <br />The EHD shall be notified of any change in ownership or operation of the UST system within 30 days of such change. <br />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. 1) <br />PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s) Valid only for: DAMERON HOSPITAL <br />Regulated Facility: <br />525 W ACACIA ST <br />STOCKTON CA 95203 <br />Facility ID <br />Account ID <br />Issued <br />AR0004533 <br />12/6/2021 <br />DAMERON HOSPITAL <br />CERS ID 10181003 <br />FA0002864 <br />Billing Address: DAMERON HOSPITAL <br />ALESHA LONG <br />525 W ACACIA ST <br />STOCKTON CA 95203 <br />7124.rpt <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209-468-3420 | F 209 464-0138 | www.sjgov.org/EHD