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SAN JOAC -VN COUNTY PUBLIC HEALTH S VICES <br /> P O Box 388 d�STOCsron, CA 95201-0388 • PnoNE -k-Ag) 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 /> ENVMONWWAL HEALTH <br /> OPERATING PE941T FOR M]ERGTOAM STORAIGE TAW FACILITY <br /> Tank Tar* Permit Annual Permit Fee 'valid <br /> P?E NtAber Recerd ID Number Capacity Contents Perwit Status _ Frc To <br /> 23W 003 TA10%03 004677 20,000 Unleaded 01 Active Permit 01/01/% 92/31/96 <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 E1ST system(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> L) The PERMIT TO OPERATE is granted to the TAM( 3WINER who accepts responsibility for operating and monitoring the UST system <br /> according to State underground storage tank la-is and regulati3ns 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 :janitor the VST system according to the WRITTEN <br /> OPERATING AGREEMENT required under Section 25293, Chapter 6.7, Division 2O, California Health and Safety Code. <br /> 4) The TAW OCR shall notify the Environmental Health Division of any proposed charge in operation or ownership of the UST <br /> system. <br /> 5) Won any change in egxpment, design or operation of this facility, the PERMIT TO OPERATE will to reviewed by the <br /> Environmental Health Division. <br /> 6) A construction or removal permit is required from the Erviroywental Health Division prior to any removal or <br /> change of UST system equipment. <br /> 7t This PERMIT TO OPERATE shall not. be considered permission to violate any existipg laws, ordinances or statutes of other <br /> federal, state or lova`.. agencies <br /> PERI!IT TO OPERATE an 1.5T FACILITY issued to: ST JO=.EPHS ME:DiCAL. CENTER CORP <br /> 9800 N CALIFORNIA 'T, <br /> STOCk:TON, CA 55204 <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE P'AYMENT'S are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause . <br /> THIS F-ORM MUST BE DISPLAYED CONSPICUOUSLY THE PREMISES <br /> REGULATED FACILITY: ST JOSEPHS HOSPITAL Account Mi 0003340 <br /> 1!'300 N CALIFORNIA ST Facility ID: 003761 <br /> '=TOCKTON . CA 95204 Permit Printed: OS/02/96 <br /> BILLING ADDRESS: <br /> ST JOSEPHS HO',:;PITAL <br /> ATTN: ACCOUNTS PAYABLE <br /> 1'000 N CAL TFORNIA ST <br /> STOCKJON, CA 95204 <br />