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SAN JOAQUJNI OUNTY ENV i+ V%kNTAL HEALTHId&PARTMENT 1868 E. Hazelton Ave. a Stockton, CA 952056232 a Phone (209) 468-3420 Donna Heran, RE.H.S., Director ENVIRONMENTAL HEALTH SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY PERMIT TO OPERATE Code and Description Per„”' Valid To 12131 11�ariWM21a Generator Ptoi=m: ty Code, DN. 20, Chap. 6.5, Art 2.13, In order to maintain the permit to operate, Hazardous Waste Generators shall comply with California Health and. Safe Sec.-25100 et--- -and Title 22,.Califomia Code of Regulations: Chap_.-. --------------------------------------------------- -----------"'-"1/112014 To 1213112014 PR0231002 2300 - UNDERGROUND STORAGE TANK FACILITY ride nal 51grage Tank Program: California Health end Safety Code, DN. 20, Chgp. 6.7 end Title 23 _Califomia Coda of Regulations, Chap_ 16.-.----"-------------""...-.-...---..----.._."...---"...."... ..._ ...". .. "..."_".." --- .,...I Ask Detection BOE-'.ID#:44024482 Underground Storage Tank Permit Conditions 1) The Permit m Operate will become void if Around Permit Fees and Service Fees are not paid andlor the UST system(s) fail, to remain in compliance with Nese Permit Conditions 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 soy conditions established by San Joaquin Cowry. 3) If the Tank Operator(s) is different from the Tank Owner, or if the Permit in Operate is issued to a person other that the owner or operator of the tank, the Permittee shall ensure that both the Tank Owner and tank Operator receive a copy of the permit. 4) Written Monitoring Procedures and an Emergency Response Plan most be approved by the Environmental Health Department (EHD) and arc considemrd UST Permit Conditions. The approved monitoring, response, and plot plans shall be maintained onsite with the permit. 5) The Perminee shall comply with the monitoring procedures referenced in this permit. 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 provide documentation of such servicing to this office. 7) In the event of a spill, leak, or other unauthorized release, the Pernimc shall comply with the requirements of Title 23 CCR, Chap. 16, Art. 5, and the approved Emergency Response Plan. g) 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 performed. 9) The EHD shall be notified of any change in ownership or operation of the UST system within 30 days of such change. 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 revocation. 11) Construction, repair and/or removal permits are required from the EHD prior to any change, repair or removal of UST system equipment. 12) This Permit to Operate shall not be considered permission to violate any laws, ordinances or statures of any other Federal, Some or Local agency. 13) A "Conditional" Permit may be revoked if corrections specified on the inspection report arc not completed by the dms(s) indicated. .."""."_......... _.._"". ............._____ .............."..............""........""........"".""....."""""""..............""................"""."-------."".....- PR0526379 PT0021214 2832 - ABOVEGROUND PETROLEUM STORAGE FACILITY 1/112014 To 1 213112 01 4 Aboveground Petroleum Storage Proaram California Health and Safety Code, Division 20, Chapter 6,67 and Title 40 of the Code of Federal Reaugulations----------------------------------------- _---------- _. Aboveground Storage Tank Permit Conditions 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 at seq. and Part 112 (commencing with Section 112.1) of Title 40 of the Code of Federal Regulations. PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause. ' PERMIT(s) Valid only for: DAMERON HOSPITAL THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES DAMERON HOSPITAL FacilitylD FA0002864 Regulated Facility: 525 W ACACIA ST Account ID AR0004533 STOCKTON CA 95203 issued 311812014 Billing Address: ATTN : RISK MANAGEMENT DEPARTMENT DAMERON HOSPITAL 525 W ACACIA ST STOCKTON CA 95203 7023rpt