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ENGI RON M ENTAL kEALW POST ON PREMISE <br /> ISSUED: EXPIRES: PERMIT NOS.mini of 1 <br /> Au=gust 24, 1988 December 31, 1988 SAN JOAOUIN LOCAL HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. • PHONE 466-6781 <br /> Permit issued to:' P.O. BOX 2009 • STOCKTON, CA 95201 <br /> I� <br /> LODI MEMORIAL AL HIISFI !t'FL <br /> ;ti S. FAIRMONT <br /> LODI CA 95240 OPERATING PERMIT FOR UNDERGROUND <br /> Status: 01 STORAGE TANK FACILITY <br /> E <br /> JIM BLAIS TANK OWNERLODI MEMORIAL HOSPITAL <br /> CALL BOX 3004 975 S. r A I RMON t <br /> LODI CA 954.1 LO*D'! CA 9S240 <br /> NUMBER OF TANKS 03 <br /> Tank Description Product Capacity LOM Status <br /> 0001 TANKS Motor Vehicle Fuel 1 ,000 7 . ()1 <br /> 0002 TANKS Motor Vehicle Fuel 15;000 08 :09 <br /> 0003 TANKS Mohr Vehicle Fuel 51000 2-16 .14 <br /> CONDITIONS <br /> 1. This permit expireijjn.five (5) years and is renewable thereafter. Inspection fee will be billed annually. <br /> 2. This permit is graved 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 /> tat M.D. I'fl'H Ronald Vanni? <br /> District Health Officer Director of Environmental Health <br /> THIS PERMIT MAY BE SUSPENDEOR REVOKED FOR CAUSE <br />