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SAN J04W COUNTY PUBLIC HEALTHMVICES <br /> P O Box 388 • STocxroN, CA 952014M • PnoNE )468-3420 <br /> ERNEST M. FUJIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA HERAN,, R..EH.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> L \ TIONAlENTAL HEALTH <br /> OWURATING PERMIT FOR L44DERGSINAND STM. AGE SAW. FACILITY <br /> Tank Tank Permit Annual Permit Fee Valid <br /> P/E Number Record 10 Number Capacity Contents Permit Status From To <br /> 23: 1 1002 TA144602 1x04154 550 Diesel 01 Active Permit 01/01/96 12/31196 <br /> PERMIT CONDITION'S0 <br /> 1) The PERMIT TO OPERATE will became void if MWAL PERMIT Fees and 'SERVICE Fees are not paid and/or the UST syste9m(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <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 lnaquin Coursty. <br /> 3) The TAW FERATOR(S). if different from the tank owner, shall operate and monitor the UST system according to the WRITTEN <br /> OPERATING AGREEMENT required under Section 25293, Chapter 6.7, Division 20, California Wealth and Safety Code. <br /> 4) The TAN{( OAR shall notify the Environmental lealM Division of any proposed change in operation or ownership of the UST <br /> system. <br /> 5) '�on 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 rerm.val permit is required from the Environmentai Health Division prior to any removal or <br /> change of UST system equipment.. <br /> 'r) 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 /> PERMIT TO OPERATE an UST FACILITY issued to, MANTECA HOSPITAL ITAL OF <br /> 1205 E NORTH '.T <br /> MANTECA, CA 95336• <br /> PERMITS TO OPERATE and AMWAL PERMIT FEE PAYMENT'S are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause . <br /> THIS ii C04 PUST BE DISPLAYED (X 'P'I0)M#SLY GN THE P'F&AISES <br /> P # # <br /> REGILATED FACILITY; INIMECA HO'SP'ITAL. � Account ID; 0000851 <br /> rr , Facility ID; 0 00 S:3 <br /> D5336 Permit Printed; C0.5/i02/"- <br /> BILLING ADDRESS. <br /> MANTECA HOSPITAL <br /> ATTN ; MANTECA HOSPITAL <br /> Pis BOX 191 <br /> MANTECA, CA 95336 <br />