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ENVIRONMENTAL NEALTN DIVISION <br /> APPLICATION FOR umexQOM TANK CUISUU PERMIT <br /> APRIL ICATIdIFOR PERMANENT/TEMPORMY CLOSURE Oil ABANDONMARD STANCE iTORAQ ►AGILITY <br /> IIT IN PUCE of UDERaRQ111p IU2 <br /> THIS PERMIT EXPIRES 90 DAYS FROM THE APPROVAL DATE. Do NOT Will IN INT TRADED AREAS- INDICATE PERMIT TYPE ULaVt <br /> RDWAL TEMPORARY CLOSURE __ CLOS.RE IN PLACE <br /> EPA SITE / Cyc PROJECT CONTACT [ TELEPHONE f el <br /> q/LHi1.4d /ETON ?09515'653 <br /> F FACILITY MAZE <br /> A l�(I,(LGI.Q/i-Q ►xC11F / <br /> C ADDRESS /[��� Al, L7/v <br /> 1 q E J09 D <br /> L CROSS STREET /1W <br /> ( ( ! 9SZD-s— <br /> i OVNER/OPERATOR <br /> 1vxae 1 �¢+SEtir <br /> �OE cel ween '4 -- 16 6: eS '4 4) 701 93/ <br /> C COMi RACTOI NAME SEmGp <br /> o PHONE IS 209 52 9 S3 <br /> N CONTRACTOR ADDRESS !�3/ <br /> I /�TGH �Gvgp a LIC [ fzf/986$1 CLA884 chi O�/o <br /> A INSURER <br /> A fJ/YS (=�1 �Cf� WV <br /> RK Cd .0 <br /> T <br /> FIRE o1srRlcT 6-1TER /-00 AVL- /X,16 <br /> PERMIT / <br /> o LABORATORY MANE <br /> R yT��q�— PHONE 1 d <br /> SAWLINO FIRM el EO 9ti [- 20/ Z ig <br /> IIIIIIIIIIIIIIIIIIl111111111119 yTic �L PHONE 1 �y s�2 D9oo <br /> LANK ID TANK tI2[ <br /> 29- <br /> CHEMICALS STORED LSMRENTLY/PREVIOUSLY DATE UST INSTALLED <br /> r <br /> 39- <br /> A <br /> 9 A 39• 00 utit'NoLVN <br /> N 39• sOUvE K�C�1.p h,N <br /> 2 00 d95o vE +Kvo�vN <br /> K J9- <br /> 39- <br /> P IIIIIII� SEMCO <br /> TERRY HAM2ILTON, PRESIDENT - 65 III III II II III II III <br /> RICHARD C. HAMILTON, VP <br /> '• ' ��-- <br /> L 431 W. HATCH RD, 209-524 9853. t " - <br /> A MODE5T0, CA 95351 �I —3a — 19Q _ <br /> PAY TO THE <br /> N• PLAN RI ORDER OF - 1 <br /> 1111111 � � - <br /> v� NC)aFQ 6v�/ IIIIIIIIIIIIIillll <br /> F �(q}�@.3T' DOLLARS <br /> n1�! <br /> APPLICANT '�I/G� ® M�NENRY OFFICE � - _ <br /> SAN IO1oU BANKING PO.BOX 52P1 - tOkAt101s of <br /> iXEAVNUE <br /> PER/OI COMPANY oM <br /> <br /> <br /> ' 1 10 WOMRIS <br /> APPLICANT'S SIOIATUREt tltL[ ••,• <br /> GATE ?Z 92 <br /> EN 23 D46 (Rev 2/8/91) ft <br /> PR/R 3 <br />