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�. SAN JO4jkJIN COUNTY PUBLIC HEALRVICES <br /> P O Box 388 WF STOCKTON, CA 95201-0388 • PHON (209) 468-3420 <br /> ERNEST M. FUJIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA HERRN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> OFMATING PERMIT FOR t44DERBRCMt.ND STORAGE TAW FACILITY <br /> Tank Tank Permit Annual Permit Fee Valid <br /> PIE Number Record ID Number Capac i ty Contents Permit Status From To <br /> 2380 003 T4133103 005118 5,000 Unleaded 01 Active Permit 01/01196 12/31/'% <br /> 1 <br /> PERMIT GOND I T I ONS: <br /> 1) The PERMIT TO OPERATE will become void if ANNUAL PERMIT tees and SERVICE Fees are not paid and/ear the UST system(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> 2) The PERMIT TO OPERATE is granted to the TAW 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 Sar, Joaquin County. <br /> 3) Ni TANK OPERATOR(S), if different from the tank owner, shall operate and monitor the UST system according to the WRITTEN 9 <br /> OPERATING AGREEMENT required under Section 25293, Chapter 6.7, Division 20, California Health and Safety Cry. <br /> I) The TANK NO 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 /> chance 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 /> P federal, state or local agencies. <br /> k <br /> t <br /> t <br /> E <br /> r <br /> PERMIT TO OPERATE an UST FACILITY issued to; LOD I MEMORIAL HOSPITAL <br /> 97S S FA I RMONT <br /> P Ls SDI , CA 94,•40 <br />'r <br /> PERMITS TO OPERATE and ANNUAL PERMIT EEE PAYMENTS are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> I T BE DISPLAYED CONSPICWJSLY ON THE :IS ES <br /> REGULATED FACILITY; LOD I MEMORIAL HOSPITAL Account ID; 0000S12 <br /> 975 S> FA I RMONT Facility TO: 000513 i <br /> LODI , CA 94240 Permit Printed; 05/02/96 <br /> BILLING ADDRESS; <br /> LOD I MEMORIAL HOSPITAL <br /> ATTR; FACILITY MANAGEMENT <br /> PO BOX 300 <br /> LOD I , CA 95241 <br />