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<br /> SAN JOAQU_, OUNTY ENVIRONMENTAL HEALREPARTMENT
<br /> r 600 E. Main St. • Stockton,CA 95202-3029 • Phone(209)468-3420A,r
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<br /> xDonna Heran,R.E.H.S., Director * ix
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<br /> r ENVIRONMENTAL HEALTH ti
<br /> n SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
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<br /> ' PERMIT TO OPERATE r
<br /> Program Permtt,i Permit
<br /> Record ID Number Program Code and Description
<br /> Valid
<br /> PR0513620 PT0009815 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2008 To 12/31/2008
<br /> Hazardous Waste Generator Program: xY
<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, <t }"
<br /> +` Sec.25100 et se , and Title 22,Callfornla Code of Regulations,Chap.20 �'
<br /> --------------------
<br /> < 20231002 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2008 To 12/31/2008
<br /> Underground Storage Tank Program: p -
<br /> California Health and Safety Cocle, Div.20,Chap.6.7 and Title 23 California Code of Regulations Chap_ 16 ,
<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 DOUBLE WALLED Continuous Intgrstitial Monitoring
<br /> aE1, ;:44-024482, `+ w"r*w u I r'+ mfr r
<br /> Underground Storage Tank Permit Conditionsf rf T , r` vet
<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 i
<br /> y 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 ' ?
<br /> established by San Joaquin County. Y
<br /> S)„ 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 Enviromnental Health Department(EHD)and are considererd UST Permit Conditions. The approved
<br /> monitor ng,response,and plot plans shall be maintained onsite with the permit.
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<br /> 5) The Pennittee 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 equipment annually,or more frequently if specified by the equipment manufacturer,and h <
<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 wasp '
<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 to review,modification
<br /> revocation. c
<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) The Permittee sliall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the date of the issuance 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. s ;1,n'; ._
<br /> 14) A"Conditional Permit may be revoked if conections specified on the inspection report are not completed by the date(s) indicated.
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<br /> PERMITS TO OPERATE are NOT TRANSFERABLE .. -
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<br /> and may be SUSPENDED or REVOKED for cause. '. ,
<br /> ,,-,PERMIT(s)Valid only for: DAMERON HOSPITAL
<br /> DBA: DAMERON HOSPITAL ASSN
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES r?
<br /> RegulFcility: DAMERON HOSPITAL � � Facility Il FA0002864 � �
<br /> 525 W ACACIA STz= � x= Account ID q 3
<br /> K ti R000453 . ,
<br /> STOCKTON CA 95203 ° ' r Issued 2/8/2008
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<br /> Billing Address:
<br /> t "t e •_ ° � fix: ' 1 �` � � a �£`' ��
<br /> DAMERON HOSPITAL u.�r ��4x
<br /> ' 525 W ACACIA ST , h t �•
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<br /> STOCKTON CA
<br /> 7023 rpt 9
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