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rIz tt t;:tr IV tt'ty IVtl.tiny-tvIt:ty I%:IV a tYIt:tir IT IT n:it:N.IV If.tic t""1: � c�r1 yiU <br /> APPLICATION 101 PERMIT $11 JOAQUIN LOCAL REILTH DIST11CTt: <br /> r UNDERGROUND 11NI r 1601 E HAIXLTON All., S10CIT01 Cit: <br /> r CLOSURE OR 111NDOYNBIT r Telephone (2091 168-3129 r <br /> r tl:It:tilt:IV It:tl:tY ttR111:tt t111411111 ft tltl ft t1 t1 t1 t1:It:till:It:Nf flit <br /> 1PPLICITIOV FOR PRRMAXBIT/TEMPORIRT CLOSUII OR ABANDONMENT IN PLACE OF UNDERGROUND HAZARDOUS SUBSIIYCES STORAGE FACILITY <br /> THIS PERMIT RIPIRBS 90 DAYS FROM THE APPROVAL O11E. DO NOT 1111E IV 111 SHIDII IAEIS. INDICATE PERMIT TYPE IBLOY: <br /> X REMOVAL __ TBMPORART CLOSURE — 1811DONMEYT IN PLIC[ <br /> BPI SITE 1 CAC 000 192878 PROJECT CONTACT 1 TELEPHONE I John Schuler <br /> P 1 FACILITY MIME Schuler Farms PHONE I 209 931-5033 <br /> C 1002153 9726 N. Alpine Rd . Stockton Ca 95212 <br /> I <br /> L CROSS ST111T Ratio Ave <br /> I <br /> TOYIER/OPBR1T01 John Schuler PHONE 1 209-931-5033 <br /> 1 <br /> C CONTRACTOR NAME Don Lambert & Son PHONE 1 209-874-2168 <br /> 0 <br /> I CONTR1C109 ADDRESS 121 F Street Waterford Ca Cl LIC 1 561566 C115S A <br /> T <br /> R IISUREI Superior National IORL.COMP.I WCP 12732-A <br /> 1 <br /> C /IRB DISTRICTWaterloo-Morada Fire Dist PERMIT I/INSPTI 89-0434 Fire Prevention <br /> 1 <br /> 0 LABORATORY AIMEA&L Western 1311 Woodland Av NONE I <br /> e 209-529-4080 <br /> SAMPLING PIRMt Geological Technics SAMPLING MITIOD <br /> d. Modesto Ca IN-SITU Hand Driven Corin <br /> 1AYI [D I ?III SITE CHEMICALS STORED CURREXTLI CHEMICALS STORED PREVIOUSL <br /> 1 <br /> 1 )9 nL1000 aal Gasoline Gasoline <br /> I J9- <br /> [ J9- <br /> J9- <br /> J9- _ <br /> LIST IDDIT1011L TIMI INFORMATION 13 NEEDED O1 SEPIRIIE F011 <br /> 'Y�N71B�I�tltllttJYfJ9DL'itlPlli'DYfltlmr�in.r�,y?txn�'luranrdixnreean���e_.L�^�LdN�tl'JYMtI ' <br /> P —_ APPROVED _APPROVED PITH CONDITIONSDISAPPROVED <br /> (SER ITTICHMEXI VITH CONDITIO137 <br /> PLAY 181(ET1R1 LIME DATE <br /> IIPPLICIXT MUST PERFORM ILL YORK II 1CCORDIXCE 11TH $19 JOAQUIN COUNTT ORDINANCES, STI?E LIPS, 110 RULES IND 29CULITIONS <br /> OF THE SLY JOAOUIY LOCAL REIL?H DISTRICT. OVNER OR LICENSED ABEYT'S SIGNATURE CERTIFIES THE POLLOVINC: 11 CERTIFY THAT <br /> 11 THE PERFORMAYCB OF THE YORK FOR 191CH THIS PERMIT IS ISSUED, I SMALL 101 EMPLOI ANY PERSON IN SUCH MINNER IS TO BECOX <br /> SUBJECT TO YORKER'S CONPEISITION LAYS OF CALIFORNIA.' CONTRICIOV S CHIC 02 SUBCOYTRACTIYG SIGNATURE CERTIFIES THE <br /> IOLLOVIIG: 'I CIRTIFT ?HIT 11 THE PERFORMANCE OF 1118 TORI FOR VVICH THIS PERMIT IS ISSUED, I SHALL EMPLOY PERSONS SUBJEC <br /> TO YORKER'S COMPENSATION LAYS OF CALIFORNIA. <br /> CAL INSPECT N / S 0 HOURS IN ADVANCE <br /> :OFF <br /> OITR_ <br /> 1 ONLY•• <br /> 37SSSSSSSSSSSSSSS SSSS9SSSS59SSSl95555)SSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSS <br /> SYBEPS I COMP I LOC CODE I DIST C00 1MOUY? DVH AMOUNT RCVD C11/CISH I RCPD BY 011E ICVD PERMIT I <br />