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Facility Info

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Facility ID 313

Facility Name Providence St. Mary Medical Center

Physical Address 18300 Highway 18
Apple Valley,CA92307

Contact Info Phone:760-946-8167
Fax:N/A

Company 32 -St. Joseph Health

Facility Note N/A

Address Region N/A
Latitude 34.54174
Longitude -117.26563

Near a School (within 1000ft) No
Number of Employees 0
Size (in acres) 0

Number of Hours in a Day this Facility is in Operation 24
Number of Days in a Week this Facility is in Operation 7
Number of Weeks in a Year this Facility is in Operation 52

Principal Product N/A
NAICS 622110
SIC Code 8062
UTM 485E/3817N
Level 2 Inspection No
Expiration Month 09

Zone ID Zone 8 - District Office Area East, round trip 1 hour, intrazone 0.5 hours

Auto Schedule Yes
Paper Work Time 1
Inspection Time 1.5
Inspection Status C
Active Active

AB2588 Industry Wide Facility No
Facility is in the FONA Yes
NSR Major For N/A
Title V Facility No
Title V Major For N/A
Title V Synthetic Minor No
Creation Date 12/31/1969
Last Modified 03/15/2021

Facility Permits - Showing1 to10 of10 Permits

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Permit Number	Permit Description	Equipment Description	Issue Date	Expiration Date	Action
B000302	BOILER #1 (Old Facility)	a Superior Boiler, model G200D, serial number 69...	09/30/2024	09/30/2025	Download Permit Print Permit
B000303	BOILER #2 (Old Facility)	a 200 boiler hp Kewanee Boiler, Model H2S-200-GO...	09/30/2024	09/30/2025	Download Permit Print Permit
B004800	BOILER #3 (Basement)	a 200 boiler hp Kewanee Boiler, model MDS7810, s...	09/30/2024	09/30/2025	Download Permit Print Permit
E003019	DIESEL IC ENGINE, EMERGENCY GENERATOR #1 (Old Fa...	An uncertified engine, manufactured in TBD (ins...	09/22/2020	09/30/2021	Download Permit Print Permit
E004799	DIESEL IC ENGINE, EMERGENCY GENERATOR# 2 (New Fa...	An uncertified engine, manufactured in TBD (ins...	09/22/2020	09/30/2021	Download Permit Print Permit
E011565	DIESEL IC ENGINE, EMERGENCY GENERATOR#3 (IT)	A certified tier 3 engine, USEPA Family CCEXL06....	09/30/2024	09/30/2025	Download Permit Print Permit
E012106	DIESEL IC ENGINE, EMERGENCY GENERATOR#4 (OPSP)	An uncertified engine, manufactured in 1989 with...	09/30/2024	09/30/2025	Download Permit Print Permit
E013067	DIESEL IC ENGINE, EMERGENCY GENERATOR # 1	EPA Engine Family = KCPXL32.ONZS; deemed equival...	09/30/2024	09/30/2025	Download Permit Print Permit
E013068	DIESEL IC ENGINE, EMERGENCY GENERATOR # 2	EPA Engine Family = KCPXL32.ONZS, deemed equival...	09/30/2024	09/30/2025	Download Permit Print Permit
E013069	DIESEL IC ENGINE, EMERGENCY GENERATOR # 3	EPA Engine Family = KCPXL32.ONZS, deemed equival...	09/30/2024	09/30/2025	Download Permit Print Permit