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COMPLIANCE INFO_1986-2006
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231331
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COMPLIANCE INFO_1986-2006
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Last modified
6/20/2023 9:32:19 AM
Creation date
6/3/2020 9:43:38 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1986-2006
RECORD_ID
PR0231331
PE
2351
FACILITY_ID
FA0000513
FACILITY_NAME
LODI MEMORIAL HOSPITAL
STREET_NUMBER
975
Direction
S
STREET_NAME
FAIRMONT
STREET_TYPE
AVE
City
LODI
Zip
95240
APN
03107039
CURRENT_STATUS
01
SITE_LOCATION
975 S FAIRMONT AVE
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2351_PR0231331_975 S FAIRMONT_1986-2006.tif
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EHD - Public
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AVIRONMENTAL HEAL PosTONPREMISE <br /> ISSUED: EXPIRES: PERMIT NO. <br /> f ¢ � (`r rifts+�{ 31 p� SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> urfe =-i j - ENVIRONMENTAL HEALTH DIVISION <br /> Permit Issued to: 1601 E. HAZELTON AVE. • PHONE 468-3420 <br /> P.O. BOX 2009 • STOCKTON,CA 95201 <br /> L;.:il t MEME-Il IAL Ht iSFr'a 4 A(- <br /> OPERATING PERMIT FOR UNDERGROUND <br /> STORAGE TANK FACILITY <br /> Status: f 1 ID No,, i t3DI�#�r <br /> :tl LA:i= ,' TANK OWNER LCIC)i. r �.i t/Js i iL. HO,31elTAL <br /> 975 <br /> BOX 3004 <br /> NUMBER OF TANKS 0. <br /> Tardi; f.3e:.c-piptsior. Piftducf. i "S=' t IL`.' i�.I }S 1 •t.L•41 <br /> 0001 "4'Af�l+�S <br /> ------------ Mot<or�Vehicle Fuel I iOffi) 7 t4 <br /> TAINI<,S Motor Vehicle Fuel 16 000 <br /> 8 09- <br /> Ui,}#�'� s ANh�a Motor �5e1'siC l.e c uel <br /> CONDITIONS <br /> 1. This permit expires on December 31, of the current year. Inspection fee will be billed annually. <br /> 2. This permit is granted to the tank owner who accepts responsibility for operating and monitoring the tank <br /> system according to state underground storage tank laws and regulations and conditions set by the county. <br /> 3. Tank operators, if different than the owner, shall operate and monitor the tank system according to the <br /> written operating agreement required under Section 25293, Chapter 6.7, Division 20, California Health and <br /> Safety Code. <br /> 4. Tank owner shall notify the Environmental Health Division of any proposed change in operator or ownership <br /> of tank system. <br /> 5. Upon a significant change in design or operation of this facility, permit will be reviewed by the <br /> Environmental Health Division. <br /> 6. This permit cannot be considered as permission-'to violate existing laws, ordinances, regulations or statutes <br /> of other governmental agencies. <br /> -3 <br /> Jogi Khanna, M.D., MPH Rogliklinoti,REF?S, DirectorIF <br /> Health Officer NON-TRANSFERRABLE En mental Health Division / <br /> THIS PERMIT MAY BE SUSPENDED OR REVOKED FOR CAUSE <br />
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