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J ^ <br /> SAN JOARLTIN COUNTY PUBLIC HEALTHVICES <br /> P O Box 388 W STocKroN, CA 95201-0388 • Pno 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 /> OPERATING PERMIT FOR VH ER RIS W STt'MPtACE TAMS FACILITY <br /> Tank Tank Permit Annul Permit Fee Valid <br /> P/E Number Record 10 NigerC acit Contents Permit Status From TO <br /> 2 001 TA239701 51000 Diesel 01 Active Fermit /95 12/31/15 <br /> PERMIT CONDI T <br /> 1) The PERMIT TO OPERATE will become void if ANM AL PERMIT Fees and SERVICE Fees are not paid and/or the UST system(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS, <br /> 2) The PERM'4IT TO OPERATE Is granted to the TANK( OWNER rho accepts responsibility for operating and monitoring the UST system <br /> according to State ui*rground storage tank laws and regulations as well as any conditions establit*d by San Joaquin County. <br /> 3) The TAW OPERATOR(S), if different from.the tank owner+;, shall operate and monitor the UST system according to the WRITTENI <br /> OPERATING AGREEMENT mired under Section 25293, Chapter 6.7, Division 20, California Health and Safety Code. <br /> 4) The TAMS NO shall notify the Environmental Health Division of any pr=Nosed &a ge in operation or ownership of the 1JST <br /> system. <br /> 5) 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 r"oval permit is required from the Environmental Health Division prior to any remoM 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. <br /> A <br /> PERMIT TO OPERATE an UST FACILITY' issued to: ST JOSEPH,� MEDICAL CENTER CORP <br /> 1805 N ,CALIFORNIA ST ?t407 <br /> STOCKTON, CA 95R04 <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> IS FORM MUST BE DISPLAYED CONSPICUOMLY ON THE PREMISES <br /> RE%UTEO FACILITY; ST DOM I N I C'S HCt SP I TAL/Ma#ANTECA Account I0; 0003603 <br /> 17SI W YOSEMITE Facility IN 003976 <br /> MANTECA, CA �.S336 Permit Printed: 08/11/9.5 <br /> BILLINGS ADDRESS; '7 <br /> ST DOMINIC'S HOSPITAL/MANTECA <br /> ATTN: ST DDMINI.C'S HOSPIAL/MANTECA <br /> 1806 N CALIFORNIA ST #407 <br /> STOC KTON, CA 95204 <br /> ti <br />