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SAN JOIN COUNTY PUBLIC HEALTH VICES <br /> 304 E.WEBER AVE., IRD FLOOR • STOCKTON,CA 95202 • OE(209) 468-3420 <br /> KAREN FURST,M.D., M.P.H.,HEALTH OFFICER <br /> DONNA HERAN,R.E.H.S.,DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> @pEg4TI PEk-,"IT FCJR L*LUkGROUND STORAGE TANS: FACILITY <br /> Tank Tank Permit Annual Permit Fee Valid <br /> P!E Number Record ID Nuvuter Capacity Contents Permit Status From To <br /> 231S 002 1A144602 004154 554 Diesel GI Active Permit r?I!O1i99 12131!33 <br /> PERMIT CONDITION'S! <br /> 1 j The PERMIT TO OPERATE will become void if ANNUAL PERMIT Fees and SERVICE Fees are not paid and/or the UST system(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> 2) The PERMIT TO OPERATE is granted to the TALI( OWNER who accepts responsibility for operating and monitoring the UST system <br /> according to State underground storage tank laws and regulations as well as any conditions established by San Joaquin County. <br /> 3) The TALI( OPERATOR(S), if different from the tank owner, shall cWate and monitor the UST system according to the WRITTEN <br /> OPERATING AGREEMENT required :order Section 25293, Chapter 6.1, Division 20, California Health and Safety Code. <br /> 4) The TANK. OWNER shall notify the Environmental Health Division of any proposed change in operation or ownership of the UST <br /> system. <br /> 5) Upon any change in equipment, design or operation of this facility, the PERMIT TO OPERATE will be reviewed by the <br /> Environmental Health Division. <br /> 6) A construction or removal permit is required from the Environmental Health Division prior to any removal or <br /> change of UST system equipment. <br /> 1) This PERMIT TO OPERATE shall not be considered permission to violate any existing laws, ordinances or statutes of otter <br /> federal, state or local agencies. <br /> PERMIT TO OPERATE an UST FACILITY issued to; DOCTOR: HOSPITAL iF MANTECA <br /> 1205 E NORTH ST <br /> MANTECA, CA 95350 <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRAN=SFERABLE <br /> and may be SUSPENDED or REVOKED for cause . <br /> 'pH15* F&M OWT BE DISC' r' YED Ct043'ICuL— -V' aN THE FIRENISES <br /> REGULATED FACILITY; DOCTOR_. HOSPITAL_ OF MANTECA Account ID:Facility ID; 0000851 <br /> 105 E NORTH <br /> MANTECA, CA 95331 Permit Printed; 44/26/99 <br /> BILLING ADDRESS; DOCTORS HOSPITAL OF MANTECA <br /> ATTN ; DRS HOSP OF MANTECA/ACCTS PAY <br /> 1400 FLORIDA AVE STE 21'04 <br /> Mi IDESTO, CA 953SO <br />