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8. sp,.rj avt� n CDAYNTY YUDIAC UMALTII S VICES <br /> 304 E.WEBER AVE.,' RD FLOOR • STOCKTON,CA 95202 • P E(209)468-3420 <br /> KAREN FURST,M.D.,M.P.H.,HEALTH OFFICER <br /> DONNA HERAN,R.E.H.S.,DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> OPERATING PERMIT FOR RGR D STORAGE TAW FACILITY I <br /> Tank Tank Permit Annual Permit Fee Valid <br /> PIE Number Record ID Number Capacity Contents Permit Statins From To <br /> 2NO 003 TAI33I03 OOSI18 5,000 Diesel 01 Active Permit 01/01/99 1/31/99 <br /> PERMIT .:OND I T I�iNS; <br /> 1) The PERMIT TO URATE will become void if AWJRL PERMIT Fees and SERVICE Fees are not paid and/or the UST system(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> i) 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 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 rewired user Section 25293, Chapter 5.1, Division 20, California Health and Safety Code. <br /> A) 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 /> 5) A construction or removal permit is required from the Environmental Health Division prior to any removal or <br /> change of tr:T system equipment. <br /> 7. !his PERMIT TO OPERATE shall not be considered permission to violate any existing laws, ordinance_ or statutes of other <br /> federal, state or local agencies. <br /> PERMIT TO OPERATE an UST FACILITY issued to: LOO I MEMORIAL HOSPITAL <br /> `3751 S FA I RM;ANT <br /> LA=ID I , CA 9424 0 <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENT R- -,-e NOT TRANSFERABLE <br /> and rifa<y be SUSPENDED r r REVOKED f o—r cause . <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY THE PREMISES <br /> REGt.L ATED FACILITY: LOD I MEMORIAL HOSPITAL Account IN 0M051.2 <br /> �d <br /> 975 S FAIRMONT AVE Facility ID; OfX51 : <br /> LOD I , CA `=4'2240 Permit Printed: 05/18/99 <br /> I <br /> BILLING ADDRESS' LODI MEMORIAL HOSPITAL <br /> ATTN : FACILITY MANAGEMENT <br /> PO BOX 3004 <br /> LIPIDI , CA 95t241 <br />