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"Wr 717 <br /> HOST ON PREMISE <br /> AVIRONMENTAL HEAL <br /> r <br /> PERMIT N0. <br /> ''¢ SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> February 10, 413it De[>`ater 31 , 1993 ENVIRONMENTAL HEALTH DIVISION <br /> Permit Issued to: 1601 E.HAZELTON AVE. • PHONE 468-3420 <br /> P.O. BOX 2009 • STOCKTON, CA 95201 <br /> LO-E)I MEMORIAL I~ill;:PITAi_ <br /> 8 S. FAIRhONT OPERATING PERMIT FOR UNDERGROUND <br /> iII ' A ' STORAGE TANK FACILITY <br /> =Status: 01 Its Nr�: Lj-I 7 <br /> TANK OWNER �.�_ <br /> TIM SLAI'y LWIL I�€EMOMAL HOS.P1-T <br /> CALL BOX 3004 <br /> 975 S. FAIRMONT <br /> LODT CA 95241 LOOT CA 9.5240` <br /> NUMBER OF TANKS <br /> 02 <br /> Tai* GoscriPtiott Product Capacity 1-011 Status <br /> Wt31 TANK1,3 Mot-vr Vehicle .Fuel 1,000 ltj ? <br /> 0i is <br /> 00C.0 `CAWS Motor Vehicle :Fuel 5,OW 2E, r,l <br /> CONDITIONS <br /> 1. This permit expires on December 31, of the current year. Inspection fee will be billed annually. <br /> 2. This permit is granted to the tank owner who accepts responsibility for operating and monitoring the tank <br /> system according to state underground storage tank laws and regulations and conditions set by the county. <br /> 3. Tank operators, if different than the owner, shall operate and monitor the tank system according to the <br /> written operating agreement required under Section 25293, Chapter 6.7, Division 20, California Health and <br /> Safety Code. <br /> 4. Tank owner shall notify the Environmental Health Division of any proposed change in operator or ownership <br /> of tank system. <br /> 5. Upon a significant change in design or operation of this facility, permit will be reviewed by the <br /> Environmental Health Division. <br /> 6. This permit cannot be considered as permission to violate existing laws, ordinances, regulations or statutes <br /> of other governmental agencies. <br /> Jogi Khanna, M.D., MPH Ron Va' i, RENS, Director <br /> Health Officer NON-TRANSFERRABLE Envirormtal Health Division <br /> THIS PERMIT MAY BE SUSPENDED OR REVOKED FOR CAUSE <br />