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SAN JOAQt&COUNTY PUBLIC HEALTH SEINCES <br /> P O Box 388 • KTON, CA 95201-0388 • PHONE (2W 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 /> TIS PERMIT FUR kUDERGROUND STC. _ TAW' FACILITY <br /> I ank Tarn Permit Annual Permit Fee Valid <br /> P1E Number Record ID fiber Capacity Contents Permit Status From To <br /> 2360 044 TAi73604 0047 101000 Unleaded 01 Active Permit 01/01197 12131/97 <br /> PERMIT CONDITIONS! <br /> 1) The PERMIT TO OPERATE will become void if Awl.. 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 PERMIIT TO OPERATE is granted to the TANK OWNER who accepts responsibility for operating and monitoring the UST system <br /> according to State underground storage tank lain and relations as well as any conditions established by Sar. Joaquin County. <br /> 3) The TANK OPERATOR(S), if different from the tank owner, shall operate and monitor the UST system according to the WRITTEN <br /> OPERATING AGREEMENT required under Section 25293, Chapter 6.7, division 20, California Health and Safety Code. <br /> 4) The Tt WEER shall notify tf+e Environmental Health 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 rewired from tte Environmental Health Division prior to any removal or <br /> change of• VJST system equipment. <br /> 7) This PERMIT TO OPERATE sl-iall not be considered permission to violate any existing laws, ordinances or statutes of other <br /> federal, state or local agencies. <br /> PERMIT TO OPERATE an UST FACILITY issued to; TRACY COMMUNITY MEMORIAL. HOS'P <br /> 1420 N TRACY BLVD <br /> TRACY, CA 95376 <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS a r e NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause . <br /> THIS F T BE DISPLAYED C04SPICUOUSLY ON THE PREMISES <br /> REGULATED FACILITY! TRACY COMMUNITY, MEMORIAL HOSP Account ID; MO2387 <br /> tm 0 N TRACY BVD Facility ID; 002562 <br /> 'ACY , CA 95376 Permit Printed. 03/28397 <br /> BILLING ADDRESS, TRACY COMMUNITY MEMOR IAL HOESP <br /> 1420 N TRACY BLVD <br />