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SAN JOA(WN COUN'T'Y PUBLIC HEALTH SOVICES <br /> P O BOX 388 STocKwN, CA 95201-0388 • PHONE 09) 465-3420 <br /> ERNEST M. FUJIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA HERAN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> EWHIO- NME- NT.�AL HEALTH T T4 <br /> ri CN1SIII. M F"�:fl1,iF.d. 4 R-CAf3 .#ERGY3.Le+.."4� T��..T.Sstl� T�'.`-}1:++. w — L1 ! ■ <br /> Tank Tan=; Permit Annual Permit Fee Valid <br /> HE Number Retor`a iO Number rapacity Contents Permit Status From To <br /> 2;15 of TA144602 VJ4154 550 Diesel 01 Active Permit 01/01197 12/31/97 <br /> PERMIT CONDITIONS! <br /> 1) Tne PERMIT, TO WERATE will become void if ANMIAL PERMIT Fees and SERVICE Fees are net paid and/or the UST system(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS. II <br /> 2) The PERMIT TO OVERATE is grantzed to the TANK WR who accepts responsibility for operating and monitoring the UST system <br /> pit <br /> according to State underground storage tank laws and regulations as well as any conditions established by Ftin Joaquin County. <br /> 3) The TANK 09ATOR(S), if different from the tank owner, shall operate and monitor the UST system according t-? the WRITTEN <br /> OPERATING AGREEMENT required under 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 orownership of the UST <br /> system. <br /> 5) Upon any change in equipment, design or operation of this facility, the PERiIT TO OPERATE will be reviewed by the <br /> Environmental Hearth Division. <br /> 6) A construction or removal permit is re-Wired from thtz Environmental Health Division prier to any reractval of <br /> change of UST system equipment. <br /> i) This PERMIT TO OPERATE stall rot be considered permission to violate any eb:isting laws, ordinances or statutes of other <br /> federal, state or local agencies. <br /> PERMIT TO OPERATE an UST FACILITY issued tot MANTECA HOSPITAL OF <br /> i 2175 E NORTH '�T <br /> MANTECA, CA '=r5:=36 <br /> PERMIT_; TO OPERATE and ANNUAL PERMIT FEE P'AYMENT'S arn� NOT TRANSFERABLE <br /> and may be '=SUSPENDED or REVOKED -for cause . <br /> t '0 s# is # 4 <br /> TIT;; FW" WIST BE DISPLAYED OWSPTJCLJWSLY ON TW— PRFMISES <br /> REGVLATED FACILITY: MANTECA HC� F•TTAt_ Account ID; OOW51 <br /> 1:L,C15 E NORTH Facility ID! 000853 <br /> MANTECA , CA 9 S3r Permit Printed; 0312,8/97 <br /> BILLING ADDRESS: MANTECA HOSPITAL- <br /> PO <br /> OSPITALPO BOX 1 D 1 <br /> MANTECA, CA 95336 <br />