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SAN JOIN COUNTY PUBLIC HEALTIVICES <br /> P O Box 388WW STOCKTON, CA 95201-0388 • PHO 09) 468-3420 <br /> ERNEST M. FUJIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA RERAN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> OPEMTING PERMIT FOR L")ERGIl OUN D STORAM TAW FACILITY <br /> Tank Tank Permit Annual Permit Fee Valid <br /> P/E Number Record ID Herber Capacity Contents Permit Status From To <br /> 2,180 001 TA239701 006752 8,000 Diesel 01 Active Permit 01/01/96 12/31/96 <br /> PERMIT CONDITIONS: <br /> 1) The PERMIT TO OPERATE will become void if ANM PERMIT Fees and SF94ICE Fees are r*t paid and/or the INT system(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> 2) The PERMIT TO OPERATE is granted to the TAW OWNER who accepts responsibility for grating 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 talk owner, shall operate and monitor the rST system according to the WRITTEN <br /> OPERATING AGREEMENT required under Section 26M.Chapter 6.7, Division 20, California Health and Safety Code. <br /> A) The TANK OVAO shall ratify the Environmental Heallh. Division of any proposed change in operation or ownership of the UST <br /> system. <br /> 6) 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 /> 6) A construction or removal permit is required from the Environmental Health Division prior to any removal or <br /> change of UST system equipment. <br /> 7) This PERMIT TO OPERATE shall not be considered permission to violate any existing laws, ordinances or statutes of other <br /> federal, state or local agencies. ;y <br /> o <br /> PERMIT TO OPERATE an UST FACILITY issued to: S*T ,:t1..SEPHS MEDICAL CENTER CORP <br /> 1805 N CALIFORNIA ST #407 H <br /> STOCKTON, CA 95204 <br /> i <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> "MIS FOW4 NEST BE DISPLAYED IC Y ON THE PREMISES <br /> REMATED FACILITY; ST DOM I N I C'ti HOSP I TAH~../MANTEC:A Account ID, t7t')r);-;i-03 <br /> t 7S i W YOSEMITE Facility ID: 003978 <br /> MANTECA, CA 9S336 Permit Printed; OS/02/96 <br /> BILLING ADDRESS: , <br /> ST DOM I N I C:'S Hi SP I TAL/MANTEC:A <br /> ATTN: ST DOMINIC'S HOSPIAL/MANTECA <br /> 1805 N CALIFORNIA ST #407 <br /> STOCKTON, CA 95204 <br /> x <br /> 47 <br /> lit <br /> d d " <br />