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SAN J04JIM COUNTY PUBLIC HEALTH&IRVICES <br /> P O Box 388 MW STocHToN, CA 95201-0388 • PHOr209) 468-3420 <br /> ERNEST M. FUJIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA HERAN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> STING SIT FOR VNDERQWM STS TAW FACILITY <br /> Tank Tank . Permit Annual Permit Fee valid <br /> WENumber Record 10 lir LeLacity Contents Permit Status From To <br /> 3 TA100203 005224 6,000 Unleaded 02 Conditional Permit 01/01/Sb 12/31/96 i <br /> RMIT CONDITIONSi ' <br /> } The PERMIT TO OPERATE will become void.if ANMAL PERMIT Fees and SERVICE Fees are not paid and/or the UST system(s) fails <br /> to remain in compliance Witt► the PERMIT C ITIN. <br /> 2) The PERMIT TO WERATE is granted to the TAW 00 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 San Joaquin County. <br /> * 'TAW PERATOR(S), if different from the tank owner, shall operate and monitor the UST system according to the WRITTEN <br /> ; ; <br /> WING required under Section 25293, Chapter 6.7, Division 20, California HeaI and Safety Cede. <br /> 0 R shall notify the Environmental Health Division of any proposed change in operation or ownership of the UST <br /> A <br /> chine in equipment, design or operation of this facility, the PERMIT TO TERATE will be reviewed by the <br /> i Health Division. <br /> 4ruc"tion or resovail permit is required from the Environmental Health Division prior to any removal or <br /> �f <br /> of tf-T system equipment. { <br /> ?�VENIT to 0P€IIATE shall not be considered permission to violate any existing laws, ordinances or statutes of other <br /> 1, stag or local agencies. ; <br /> x <br /> � t l Pftit" may be revoked if corrections are not completed by the date(s) specified on inspection. { <br /> r T TO WERATE an UST FACILITY issued to; DAMERON HOSPITAL <br /> 526 W ACACIA <br /> STOC KTON, CA 9S203 � <br /> NIITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> X64` ` and may to SUSPENDED 4r REVOKED for cause. <br /> THIS FUM HUST BE DISP AYM CONSPIGUO4ISLY'. Obi THE F ISES <br /> ItAULATED FACILITY; DAMERON HOSPITAL Acc&nt ID, 000453 <br /> S2S W ACACIA Facility IN 002864 <br /> k TOCKTON, CA 9S203 Permit Printed; OS/02/96 <br /> ,BILLN ADDRESS- <br /> DAMERON HOSPITAL <br /> gym' ATTN: DAMERON HOSPITAL- <br /> 61-41S <br /> OSPITAL <br /> 51S W ACACIA <br /> STOCKTON., CA 9S203 <br /> i <br /> N <br />