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SAN JOAUIN COUNTY PUBLIC HEALTHVICES <br /> 304 E.WEBER AVE., HIRD FLOOR • STOCKTON,CA 95202 • oNE(209)468-3420 <br /> KAREN FURST,M.D., M.EH.,HEALTH OFFICER <br /> DONNA HERAN,R.E.H.S,DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> C ;ATI PER'.MIT FOR Lt HERGR- D ST(FAC.—F Tom' FACILITY <br /> Tank Tara: Permit Annual Permit Fee Valid <br /> P/E Number Record ID Number capacity Contents Permit Status From To <br /> 2315 402 TA144602 404154 55{I Diesel 41 Active Permit 01/01198 12!3168 <br /> PERMIT CONDITIONS; <br /> 1) The PERMIT TO OPERATE will become void if ANNUAL PERMIT Fees and SERVICE tees are not paid and/or the LIST system(s) fails <br /> to remain in compliance with the PERMIT CONDITIIONS. <br /> 2) The PERMIT TO OPERATE is granted to the TANK 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 Cc"I, <br /> 3l The TANK OPERATOR(S), if different from the tank coiner, shall operate and monitor the UST system according to the WRITTEN <br /> OPERATING AGREEMENT required under Section 25293, Chapter 6.7, 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 /> 5i 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 frcgj the Environmental Health Division prior to any removal or <br /> change of UST System equipment <br /> 7) This PERMIT TO OPERATE shall not be considered permission to 'violate any existing laws, ordinances or statutes of other <br /> federal, state or local agencies. <br /> + K <br /> PERMIT TO OPERATE an UST FACILITY issued to; DOCTORS HO,: CIF MANTECA <br /> 1' OS E NORTH ST <br /> MANTECA, CA 953-50 <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS* are NOT TRAM-FERABLE <br /> and may be SUSPENDED oy, REVOKED for cat-Ise . <br /> THIS FTT �E III E11fEH Iii!"LN)�_Y G�+B T6iE PFiENISES <br /> RE&ILATED FACILITY% DOCTORS HOSPITAL OF MANTECA Account. ID: 0044851 <br /> 120S E NORTH Facility ID: 040853 <br /> MANTECA, CCA 9S:3:31-, Permit Printed: 03/02l4�d <br /> BILLING ADDRESS: DOCTORS HCI 'PI TAL OF MANTECA <br /> A.TTN : DRS HOOP OF MANTECA/ACCTS PAY <br /> 1400 FLORIDA AVE _.TE 204 <br /> MODESTY�, CC 9S3SO <br /> wren- <br />