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CA Cert. No. 10 51 <br /> t <br /> An upgrade compliance certificate <br /> Undergroundhas been issued in connection with <br /> UPGRADE , the operating permit for the <br /> facility indicated below. The <br /> This upgrade compliance certificate is issued certificate number on this facsimile <br /> pursuant to Chapter matches the number on the <br /> Clifornia Health and Safety Code, certificate displayed at the facility. <br /> Instructions to the issuing agency: Use the space below to enter the following information in the format of <br /> your choice: name of owner;name of operator; name of facility; street address, city, and zip code of facility; <br /> facility identification number(from Form A);name of issuing agency; and date of issue. Other identifying <br /> information may be added as deemed necessary by the local agency. <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DIVISION <br /> TANK OWNER: LODI MEMORIAL HOSPITAL <br /> TANK OPERATOR: FACILITY MANAGEMENT <br /> FACILITY NAME: LODI MEMORIAL HOSPITAL <br /> FACILITY ADDRESS: 975 S FAIRMONT, <br /> LODI 94240 <br /> FACILITY ID 4: 231331 <br /> ISSUE DATE: 11/10/98 <br /> � K SII <br /> J <br />