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SAN JOAP"IIN COUNTY PUBLIC HEALTH S' 'VICES <br /> 304 E.WEBER AVE.,WIRD FLOOR • STOCKTON,CA 95202 • PH"o(E(209)468-3420 <br /> KAREN FORST,M.D., M.P.H.,HEALTH OFFICER <br /> DONNA HERAN, R.E.H.S.,DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> s[+PERATI)l G E` ;",IT FOR LfflOERGF03kW STORAGE TANK FACILITY <br /> Tank Tank Permit Annual Permit Fee Valid <br /> P?E Number Record ID Number Capacity Contents Permit S'ta'tus From To <br /> 2360 003 TA103603 tN627 20,000 Unleaded 01 Active Permit 01101138 12/31(93 <br /> PERMIT CONDITIONS: <br /> 1) The PERMIT TO OPERATE will become void if ANNUAL PERMIT Fees and SERVICE Fees are IPA paid and/or the LIST system(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> 2) The PERMIT TO OPERATE is °ranted 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 San Joaquin County. <br /> 3) The TANK OPERATOR(S), if different from the tank owner, shall operate and monitor the UST system according to the WRITTEN <br /> OPERATING AGREEMENT required under Section 25293, Chapter 6.7, Division 20, California Health and Safety Cove. <br /> 4) The TAS{ OWNER shall notify the Environmental Health Division of any proposed change in operation or ownership of the LAST <br /> Sy5tem. <br /> 5) Upon any change in ecIuipment., 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 LIST 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 ST JCc_:EFH'=; MEDICAL CENTER CORP <br /> 1800 N CALIFORNIA ST <br /> STOCKTON, CA 9.504 <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> grid roar be SUSPENDED or REVOKED fc,r cause . <br /> 4 <br /> THIS% FORM M'MWT 13E DISPLAYED C Ia Y ON THE PREMISES <br /> REGULATED FACILITY: ST jOSEPHS HO'=�PITAL Account ID: 0003340 <br /> 1 =00 N CALIFORNIA ST Facility IN 003761 <br /> STOCKTON , CA Permit Printed: 03/02/?d <br /> BILLING ADDRESS: ST :TO=�EPHS HOSPITAL <br /> ATTN : ACCOUNTS=; PAYABLE <br /> i :0 / N CALIFORNIA ST <br /> STOCKTON . CA 95204 <br /> '✓ �y <br />