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SAN JOA(SN COUNTY PUBLIC HEALTH S VICES <br /> P O Box 388 �roCxroN, CA 95201-0388 • PHONE�9) 468-3420 <br /> ERNEST M. FUJIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA HERAN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> CfUL4TING PEMIT FOR .,,E ter - - STORAGE TAW FACILITY <br /> Tank Tank Permit Annual Permit Fee Valid <br /> P/E number Record iO Number Capacity Contents Permit- Status From To _ <br /> 2360 004 TA173604 044753 10100V Unleaded Ill Active Permit. 01/01/*.:6 12131/36 <br /> PERMIT CONDITIONS: <br /> 1) The PERMIT TO OPERATE will become void if ANNUAL PERMIT Fees and SERVICE g=ees are riot paid and/or the UST system(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> 2) The PERMIT TO OPERATE is grant-Ad to the TAW OWNER who accepts responsibility for operating and monitoring the U-T system <br /> according to State underground storage tark laws and regulations as well as any conditions established by San .Joaquin County. <br /> 3) The TAB, OPERATOR(S), if different from the tarn owner, shall operate and monitor the UST system according to the WRITTEN <br /> OPERATING AGREEMENT required under Section 2593, Chapter 6.7, Division 24, California Health and Safety Code. <br /> 4) The TW, OWNER shall notify the Environmental Health Division of any proposed change in operation or ownership of the UST <br /> systefft. <br /> 5) Upon any change in equipment, design or aeration of this facility, the PERMIT TO OPERATE will be reviewed by the <br /> Environmental Health Division. <br /> 5) 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 +P..RATE shall not be considered permission to violate any existing laws, ordinances or statutes of other <br /> federal, state or local agencies. <br /> 4 <br /> PERMIT TO OPERATE an UST FACILITY issued t TRACY COMMUNITY MEMO <br /> 1420 N TRACY BLVD <br /> TRAC:`3, C.A 95376 <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause . <br /> THIS FQVI WJST BE DISF"YED CONWICtCU3LY ON THE PRMISES <br /> REGULATED FACILITY: TRACY COMMUNITY MEMORIAL HOSP Account ID 0002387 <br /> 1420 N TRACY BLVD Facility ID; 002S62 <br /> TRACY, CA 95376 Permit Printed, 5/ 02. 96 <br /> BILLING ADDRESSi <br /> TRACY COMMUNITY MEMORIAL HO'_::;P <br /> ATTN: TRACY COMMUNITY MEMORIAL Hr.:r'P <br /> 1 420 N TRACY BLVD <br /> TRACY, CA 95376 <br />