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OST ON PREMISE <br /> EN%O N M ENTAL HEAL Pv <br /> ISSUED: EXPIRES: <br /> PERMIT NO. 0015:31 - 1 of I <br /> April 25, 1989 Decertiter :31, 1989 SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. • PHONE 466-6781 <br /> Permit issued to: P.O. BOX 2009 • STOCKTON, CA 95201 <br /> LOCA MEMORIAL HOSPITAL <br /> 975 S. FA I t";MONT <br /> LORI CA 95240 OPERATING PERMIT FOR UNDERGROUND <br /> Status; til STORAGE TANK FACILITY <br /> :SIM BLAIS TANK OWNER LOCI MEMORIAL HOSPITAL <br /> CALL BOX :3004 975 S. FAIRMONT <br /> LOD I CA 95241 LOIS I CA `3524f 3 <br /> NUMBER OF TANKS i ' <br /> Tank Description Product ac i t LOM 'Status <br /> t 001 TANKS Motor Vehicle Fuel i,000 01 <br /> 0002 TANKS Motor Vehicle Fuel 151000 08 0 <br /> 0003 TANKS Motor Vehicle Fuel 51000 VS <br /> I <br /> CONDITIONS <br /> one f 1 ? year <br /> 1. This permit expires in fi �%Wl�d is renewable thereafter. 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 /> _Io-gi i'=.haifila;, F"!.D. f MP Ronal d ')a I i no ti. , <br /> District Health Officer Director of Environmental Health <br /> THIS PERMIT MAY BE SUSPENDER REVOKED FOR CAUSE 0 <br />