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SAN JOACOUNTY PUBLIC HEALTH VICES <br /> P O Box 388 rocxTox, CA 95201-0388 a PHON 9) 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 /> ENVMONWNTAL HEALTH <br /> OPMTING FAIT FOR HSE bS&'. STORAGE TAW F=ACILITY <br /> Tank Tare Permit Annual Permit Fee Valid <br /> PRE ter Record It? Neer Capacity Contents Permit Status _ From To <br /> 2380 001 TA239701 006752 8,000 Diesel 01 Activee`� rm t 000-1/97 12/31/97 <br /> PERMIT CONDITIONS <br /> 1) The PERMIT TO OPERATE will become void if NSA PERMIT Fees and SERVICE Fees are not-paid and/or the UST system(s) fails <br /> to remain in compliance witty tie PERMIT CAITIOPS. <br /> 2) The PERMIT TO OPERATE is granted to tie TAW OWNER w4io accepts responsibility for operating and monitoring the UST system <br /> according to State underground storage tank lags and regulations as well as any conditions established by San Jowin axty. <br /> 3) The TAS{ OPERATOR(S), if different from the tank owner, shall operate and monitor the UST system according to the iRITTEN <br /> OPERATING AST required under Section 25293, Chapter 6.7, Division 20, California Health and Safety Code. <br /> F <br /> 4) The TAW OIC shall notify the Environmental Health Division of any proposed change in operation or ownership of theAT <br /> system. <br /> 5) Upon, charm in equipment, design or operation of this facility, the PERMIT TO OPERATE will be reviewed by the <br /> Enyvironmental Health Division. <br /> 6) RA 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 to considered permission to violate any existing laws, ordinances or statutea.4.Tot1w <br /> federal, state or local agencies. <br /> PERMIT TO OPERATE an UST FACILITY issued to; ST JOSEPH MEDICAL CENTER CORP <br /> P <br /> 1800 N CALIFORNIA ST #407 <br /> STOCKTON, CA 9S204 <br /> P <br /> PERMITS TO OPERATE anis ANNUAL PERMIT EEE PAYMENTS are NOT TRANSFERABLE, <br /> anO may be: SUSPENDED or REVOKED for cause. <br /> #f <br /> THIS FC , MWT HE DISPLAYED CUISP1 ' Y ON THE PREMISES <br /> REGULATED FACILITY: ST DO I N :`k= HOSPITAL/MANTEC:A Account; ' 0003603 <br /> t ' ITE° ' Facility ID; 003978 <br /> ANTECA, CA SSSSE Permit Printed., 03/28/97 <br /> BILLING ADDRESS: ST DOM I N I C'S HOSPITAL/MANTECA <br /> ATTN: ST DOMINIC'S HOSPIAL/MANTECA <br /> 1805 N CALIFORNIA ST #407 <br /> STOCKTON, CA SS 04 <br /> y <br />