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ri <br />PUBLIC HEALTH SERVICE, <br />T <br />SAN JOAQUIN COUNTY � �' T <br />EWRONIIEN TAL HFALM DrWSION 'e <br />Karen Furst, M.D., M.EH., HeaRA Offi= ) <br />344 East Weber Avenue, Third Floor . Stockton, CA 95202 <br />209/468-34201 H <br />PERMIT APPLICATION <br />TO INTERIOR 1_INEIREPAIR UNDERGROUNE) STORAGE TANKS <br />NOTE. ONLY UNDERGROUND STCRAGE TANKS CONTAINING MOTOR VEHICLE FUEL MAY BE REPAIRED ICY THE <br />INTERIOR JNING PROCESS. IN ACCORDANCE WITH SECTION 25296 OF THE CALIFORNIA HEALTH AND SAFETY CODE, SUCH AN <br />UNDERGROUND STORAGE TANK MAY ONLY BE REPAIRCD ONCE. <br />Site FPA # <br />Tank 1D # <br />Facility Name: caer - 1- &a Alam <br />Facility <br />Address: 5;W Iz. GraM L;,ley U_ <br />State: 0, A Zip Code: S 1b <br />City: i aq <br />Contractor Name: 'D It S 'Dra4ilng. SCfv;C.e. 'Ire— <br />Contractor Address (mailing): F'.0. &Q)( %5 <br />1 s arsc> _ State: C. Zip Code: 83435 <br />City: <br />Lining Contractor. Alk <br />Contractor Address: <br />State: Zip Code: <br />Lining <br />City:_ <br />'ll Approved 0 Disapproved <br />Ll Approved with the following conditions: <br />Date R-E.H.S. <br />A DMdou of San Joaquin County Hc2ldx Care Services <br />LIZ 'd 0J6VO N 9991 -LSA -60Z Nflg:Z, 6661 '1 'un0 <br />Z <br />S <br />n <br />R <br />Z <br />H <br />M <br />H <br />Z <br />