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:t'.ti ti ttt N'tt It"t Pt li-0t tt It it tt It tl:tl It It It tt It It tt 1 1110 <br /> t APPLICAY, FOR PERMIT t SAN JOAQUIN LOCAL HEALTH 1.AI(TG <br /> t UNDERGROUND TANK f 1601 E HAZELTON AVE., STOCY.TON CAI C� I �1►� <br /> t: CLOSURE OR ABANDONMENT r: Telephone (209) 468-3420 e <br /> r <br /> NOV 9 01989 <br /> APPLICATION FOR PERMANENT/TEMPORARY CLOSURE OR ABANDONMENT IN PLACE OF UNDERGROUND HAZARDOUS SUBSTANCES STORAGE FACILITY <br /> THIS PERMIT EXPIRES 90 DAYS FROM THE APPROVAL DATE. 00 NOT WRITE IN ANY SHADED AREAS. INDICATE PEP&(Ij,,.7 NBER&L HEALTH <br /> REMOVAL TEMPORARI CLOSURE ABANDONMENT IN PLACE PLRMITM/SEERVICES <br /> EPA SITE t CAC 000223089 v — PROJECT CONTACT L TELEPHONE 1 Heol Largin <br /> L 946,_9107__..__ _ ... <br /> F FACILITY NAME Largin'S Service PHONE 1 _ (209) 946-9107 <br /> A ------ ----..._._ —...--._..—.—._..._..—..._._.....__....---- <br /> C ADDRESS 2235 Cherokee Road, Stockton, CA 95205 <br /> L CROSS STREET Myron Avenue <br /> T OWNERIOPERATOR Largin' s Service PHONE 1 (209) 946-9107 <br /> Y I <br /> C CONTRACTOR NAME dim Thorpe Oil , Inc. — PHONE'1- 1 (209) 462-4581 <br /> N CONTRACTOR ADDRESS 351 N. Beckman Road, Lodi, CA CA LIC 1 495699 CLASS A, Haz <br /> R I INSURER on file WORK.COMPA on file <br /> ArFIRE <br /> C DISTRICT City of Stockton PERMIT VINSPTR <br /> T �0ORATORY NAME McLaren Environmental Engineering PHONE 1 (916) 638-3696 <br /> R <br /> SAMPLING FIRM# same SAMPLING METHODBrass tube - see #5 on removal plan <br /> TANK ID 1 TANK-SIZE CHEMICALS STORED CURRENTL CHEMICALS STORED PREVIOUSL <br /> A 39- � [ _.fit-- - 10,000 _ empty -5 years leaded gasoline <br /> 10,000 1 empty-- 5 ears leadergasoline <br /> K 39- —_ <br /> 39- <br /> 39 ------------------------ ------- -----.-- - <br /> LIST ADDITIONAL TANK INFORMATION AS NEEDED ON SEPARATE FORM <br /> r <br /> P APPROVED APPROVED WITH CONDITIONS DISAPPROVED <br /> L _LlFSr _ -E ATTACWMEN] NfTN CONOZTIONSJ <br /> A PIAN REVIEWERS NAME <br /> �. - / <br /> N <br /> APPLICANT MUST PERFORM ALL WORK IN ACCORDANCE W!TH SAN JOAQUIN COUNTY ORDINANCES, STATE LAWS, AND RULES AND REIiULATION$ <br /> OF THE SAN JOAQUIN LOCAL HEALTH DISTRICT. OWNER OR LICENSED AUENT'S SIGNATURE CERTIFIES THE FOLLOWING; 'I CERTIFY NAT <br /> 11 TME PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, 1 SHALL NOT EMPLOY ANY PERSON IN SUCH MANNER AS !0 SUOM <br /> SUDJECT TO WORKER'S COMPENSATION LAWS OF CALIFORNIA,' CONTRACTOR'S HIRING OR SUBCONTRACTING SIGNATURE CERTIFIES THE <br /> FOLLOWING: 'I CERTIFY THAT IN THE PERFORMANCE Of THE WORK FOR WHICH THIS PERMIT IS ISSUED, I SHALL EMPLOY PERSONS SUBJEC <br /> TO WOkER'S COMPENSATION LAWS OF CALIFORNIA. <br /> CALL FOR INSPECTIONS AT LEAST 48 HOURS IN ADVANCE <br /> S fDy ZIl <br /> - Vice-President- <br /> Ai11/17/89 <br /> DffIC7IY--EN1? Of6�{� --_ <br /> }ftf/f{tfltff{ffffttffNttitffftfttffttftttSift{ffNiftfffftfftftflittfffStiffttffffifftiff{ttff{ttfftffttttftftffffttfff <br /> s PS t COMP 1 BLOC CODE DZST� COOED AMOUNT pllE AMOUNT RCVO CKI/CASH I_ RCVp BYDATEPATE RCVD - PER 1j <br />