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BILLING 1986-2003
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231446
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BILLING 1986-2003
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Entry Properties
Last modified
2/13/2021 10:13:51 PM
Creation date
11/5/2018 9:59:43 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
1986-2003
RECORD_ID
PR0231446
PE
2361
FACILITY_ID
FA0000853
FACILITY_NAME
DOCTORS HOSPITAL OF MANTECA
STREET_NUMBER
1205
Direction
E
STREET_NAME
NORTH
STREET_TYPE
ST
City
MANTECA
Zip
95336-4932
APN
20826001
CURRENT_STATUS
02
SITE_LOCATION
1205 E NORTH ST
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\N\NORTH\1205\PR0231446\BILLING 1986-2003.PDF
QuestysFileName
BILLING 1986-2003
QuestysRecordDate
9/5/2017 6:53:37 PM
QuestysRecordID
3623773
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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SAN Ja�QUIN COUNTY PUBLIC HEAL'I` RVICES <br /> P 0 Box 3 WocKTON, CA 95201-0388 • POO (209) 468-3420 <br /> ERNEST M. FUJIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA RERAN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> OPERATILXG PERH I T tF"OR kL-E RGA W 9 =_•-i ORAGiE TANW FAQ:ILLaN <br /> Tarn Tann Pero" Annual Permit ree Valid <br /> bet Record ID mim'r Capacity Contents Permit Stats FroTo <br /> i 002 TAI4 ► +�1 � rrFe el 01 Active Per91it W/0166 12/3165 <br /> PERMIT CONDITIONS: <br /> 1) The- PERMIT TO OPERATE will beim-ie void if "NUAL PERMIT Fees and SERVICE sees are not ?paid andlor ttie 0",. sYste�€�sl fails. <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> 4� The- PERMIT TO OPERATE is granted to the TAW. OW0 who accepts responsibility for operating and monitoring the UST systeret <br /> accarding to State underground storage tank laws and regulations as well as arty conditions established by San Joaquin County <br /> 3) The TANk: OPERATOR(,-,), if different from the tank owner, shall op¢rate ar�d I��nitOr tste «ST systel� according t� tt?e :IIIcN <br /> OPERATIM AGREEMENT required under Section 2S2193, Chapter 6.7, Division ?D, California Health and Safety Code, <br /> 4) The TAW WR shall notify the Environmental Health Division of any proposed change in Operation Or ownx-rship of !V* lnT <br /> system. <br /> 5) Urn any chzinge in equipment, design or Operation of tms facility, the PERMIT TO BERATE will to reviewed by the <br /> Environmental Health Division. <br /> o) A construction car removal permit is required from the Environmental #�alth Civisir_3r� prior %o any r?t�{c;�?l Or <br /> change of LIST system equipment. <br /> 7) This PERMIT TO CRATE shall not be considered permissicin to violate any o fisting laws, ordinances or statutes of other <br /> federal, state or local agencies. <br /> # <br /> PMRT T1 OPERATE an UST FACILITY issued to; MANTECA 6-00:-:1*P'I'TA' OF <br /> MANTECA, C:A <br /> PERMITS TO OPERATE and ANNUAL PERMIT EEE P'AYMENT'S are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> THf!S FC&" MF BE: DI PLAYED ' IC`UOU-SLY CON THE E'HE ISE-S <br /> REGULATED FACILITY; �IANTECA Hl--'_z;PITAL. A*Count- 1D: 0 4 <br /> I":_:'C?S E N!D'RTH Facility ID, 0008S:I; <br /> MANTECA , CA 95: Permit Printed; 08/11 <br /> BILLNG ADDRESS; <br /> MANTECA HOC.-P°I TAL <br /> ATT# , MANTECA HCS P I TAL <br /> r 1ANTECA . CA 9-5:336 <br /> 'I <br />
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