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COMPLIANCE INFO_1985-2005
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231614
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COMPLIANCE INFO_1985-2005
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Last modified
5/19/2021 12:53:34 PM
Creation date
6/3/2020 9:50:48 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1985-2005
RECORD_ID
PR0231614
PE
2361
FACILITY_ID
FA0000086
FACILITY_NAME
San Joaquin General Hospital
STREET_NUMBER
500
Direction
W
STREET_NAME
HOSPITAL
STREET_TYPE
Rd
City
French Camp
Zip
95231
CURRENT_STATUS
01
SITE_LOCATION
500 W Hospital Rd
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231614_500 W HOSPITAL_1985-2005.tif
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EHD - Public
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- SAN J04MPCOUNTY PUBLIC HEAL VICES <br /> P O Box 388 i"STocicroN, CA 95201-0388 • PHONE 09) 468-3420 <br /> ERNEST M. FUJIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> I DONNA RERAN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> OPERATING PERMIT FOR LNDERGROkM STMAGE TAW FACILITY <br /> Tank. Tank Permit Annual Permit Fee Valid <br /> P/E number Record 10 Number Capacity Contents Permit Status From To <br /> 2380 W. TA505419 007988 10,OW Nesel T1 Active Permit 01/01/97 12/31/97 <br /> PERMIT CONDITIONS: <br /> 1) The PERMIT TO OPERATE will become void if ANNUAL PERMIT Fees and SERVICE Fees are not paid and/or the t1ST system(s) fails <br /> to remain in compliance with the PERMIT CITIONS. <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 tark laws and regulations as well as any conditions established by San Joaquin County. ` <br /> 3) The TAW OPERATOR(S), if different from the tank. owner, shall operate and monitor th.e UST system according to the WRITTEN <br /> 0rjEMTIN6 AGREEMENT requir;J under Section 25293, Chapter 6.7, Division 20, California Health arri Safet= Code. <br /> 4) Tte TAW OWNER 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 /> change of (IST system equipment. <br /> 7) 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: <br /> PERMITS -TO OPERATE and ANNUAL PERMIT FEE PAYMENTS. are NOT TRANSFERABLE <br /> }+' <br /> r r <br /> and ota<y be SUSPENDED or REVOKED ,f or cause . <br /> THIS FORM MUST BE DISPLAYED CONSP I Cl OUSLY ON THE PREMISES <br /> REGULATED FACILITY. SJ GENERAL HOSPITAL* Account IDS twiAs <br /> s <br /> HOSPITAL Rid Facility ID: N100-+ <br /> F NCH CAMP, CA SS2SI' Permit Printed: 03/231197 <br /> BILLING ADDRESS: Si GENERAL HC+S I i AL 1 <br /> ATTN: 'S_j CO HEALTH CARE SERVICES <br /> PO BOX 1020 <br /> STOCKTON, CA 95201 <br /> r <br />
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