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SAN JOAQ''I COUNTY PUBLIC HEALTH SF ''ICES <br /> P O Box 388 • Sino KToN, CA 95201-0358 • PHOW (M9) 468-3420 <br /> ERNEST M. FUJIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA RERAN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENVMONMENTAL HEALTH <br /> lfM-TIW6 PE,R"IT FOR LNDERGROL44D STCRACE TAS' Few-!LITY <br /> Tank. Tank Permit Annual Permit Fee Valid <br /> PtE Number Record ID Number Capacity Contents Permit Status From To <br /> 2 003 TA103603 004627 20,000 iJnleaded 01 Active Permit 01/01!97 12/31/97 <br /> PERMIT C:OND I T I ONS i <br /> 1) The PERMIT TO OPERATE will beccgife void if ANNUAL PERPTT Fees and SERVICE Fees are not paid and/or the VST system(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> 2) The PERMIT TO OPERATE is granted to the TANK, 'INNER who accepts responsibility for operating and monitoring the V3T system <br /> according to State underground storage tan&: laws and regulations as well as any conditions established by San Joaquin County. <br /> 3) The TOK OPERATOR(S), if different from the tank Oner, shall operate and monitor the UST system according to the WRITTEN <br /> 13PERATING AGREEMENT required under Section 25293. Chapter 6.7, Division 20, California Health and Safety Code, <br /> 4) The TANK AMR shall notify the Environmental Health Division Of any proposed change in operation or Ownership of the kST <br /> system. <br /> 5) Upon any change in equipment design or, operation of this facility, the PERMIT TO OPERATE will to reviewed by the <br /> Environmental Health Division. <br /> 61 A construction or removal permit is required from: the Environmental Health Division prior to any removal or <br /> change of VST system equipment. <br /> 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, c;T JOSEPHS MEDICAL CENTER CORP <br /> 1300 N CALIFORNIA ST <br /> STOC:KTON, CAP 9504 <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED fc-r cause . <br /> T"IS FCllA4Ml "JST BE DI'SPt APED COWSPICAJWSL ° ON THE RISES <br /> 4 a W 1, v 4 a <br /> REGIJLATED FACILITY: '-;T 3EPH:' HOSP i T AL Account ID' 0003340 <br /> Z W N CALIFORNIA ST Facility ID: 00376, <br /> �1Ck::TON, GA '3SO4 Permit Printed: +)3!2$!97 <br /> BILLINu ADORESS: ST JOSEPHS HOSPITAL <br /> ATTN ; ACCOUNTS PAYABLE <br /> 1800 N CALIFORNIA cT <br /> STOCk::TON, CA 95204 <br /> r! <br />