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SAN JOAN COUNTY PUBLIC HEALTH SVICES <br /> -- 304 E.WEBER AVE., L FLooR • STomTON,CA 95202 • P (209)468-3420 <br /> KAREN FuRsT,M.D.,M.P.H.,HEALTH OFFICER <br /> DONNA HERRN,R.E.H.S..,DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> MSRATING P'ER"IT FOR M-AM STMME TAW FACILITY <br /> Tank Tall : Permit Annual Permit Fee Valid <br /> P/E Number Record IO Number Capacity Contents Permit Status From To <br /> fyx" TA505419 007988 100Diesel 01 Active Permit 01/01/99- 12/31/99 <br /> PERMIT CONDITIONS! <br /> 1) The PERMIT TO OPERATE will become void if AW ffi PERi14IT Fees and SERVICE Fees are not paid and/or the LIST system(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS. j <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 Sar: Jn-w4uin County. <br /> 3) The TAW. OPERATOR(S), if different from the tank owner. shall operate and monitor tte UST system according to the MITTEN <br /> BERATING AGREEMENT required under Section 25293, Chapter 6.7, Division 20, California Health and Safety Code. <br /> 4} The TANK 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 re-quired from the Environmental Health Division prior to any removal or <br /> change 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 /> federal, state or local agencies. <br /> I <br /> PERMIT TO OPERATE an UST FACILITY issued to; <br /> I <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS; are NOT TRANSFERABLE <br /> and rfiay be SUSPENDED or REVOKED f _r cause . <br /> THIS FIRM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> RE6►.LATE0 FACILITY; SJ GENERAL HOSPITAL* Account 10: 00MS <br /> 500 W HOSPITAL RD Facility IN OOO <br /> FRENCH CAMP, CA 95231 Permit Printed; 04/26/99 <br /> BILLING ADDRESS: SU GENERAL HOSP I TAL+ <br /> ATTN; Si CO HEALTH CARE SERVICES <br /> PCt BOX 1020 <br /> S:TOC KTON, CA 95201 <br /> 5 <br />