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SAN JOAOUIN COUNTY PUBLIC HEALTH SERVI^,ES <br /> ENVIRONN15N TAL HEALTH DIVISION <br /> APPLICATION FOR UNDERGROUND STORAGE TANK CLOSURE PERMIT <br /> 'NIS?ERp11T FOR?E.RMANEN--SMFOFAR•^CLOSURE CR AEANCONMENT iN PLACE OF UN'M-ACUND'AAZA;tCCUS SUBSTANCIS <br /> jTORAGE 7ANtc.31 EkPiRCS 9G CAYS FROM THE APPROVAL IDA,Z. CC NC-� 'NR'TE IN Ah^!3HA C'eD aPMAS. INDICaT=F--�',�.MIT TY°. <br /> Z REMOVAL in 7,=NIPORARY CLOSURE u CLOSURE IN PLACE <br /> FACiL7Y INFORMATION <br /> :FA,rrEa PReJEcr^ONTacT I ?I^ONER _ <br /> PHONE a <br /> FaC.LITY NAMEcton _ I <br /> ACCFESu ^=cay� <br /> CRcsssr 'Lafavette St . __ <br /> CWNJa PA70R e i y oStockton ,- /(i,py1 <br /> CONTRACTCR INFORMATION <br /> CCNTRACTORi WAE Jim Thor e 0 I PHCN (• - <br /> CCNTRAC-ORACCRPSS P .O. B "7 a ^?a cAuco a L*=as I cuss ^u <br /> !%SURER GenStar/Golden EaQ a I 'NORkEROOMPt 167-1173-U:& <br /> OISTR:CT TctonRE?Jl'tT x <br /> _AeCRATORY NAME h's - CoLN, qtqn °HONE: <br /> SA.!FUNG FIRM T ab =%CNE S <br /> TANK INFCRNIATICN <br /> -AK 0 TANK CCN�CMTS;PRESENT 3 PAS-' LATE;%STALLED <br /> 3 <br /> f� 3 500 I Diesel Fuel I Unknown <br /> 1 3g. II I <br /> I I <br /> r. 33- 1 <br /> 1 <br /> 39 <br /> 1 <br /> APP!IC.ANT=V P$RF:RA1 ALL`PICP,K:N AGCORCANAL7N 7H SAN JOACUIN COUNTY &4SE; ANC_5. STAB LAS'!5 F�CIIRAL LMS.ANC i4=s ANJ <br /> RE iU.A"C43 CF _aN JCAOULY O .,4T; PUBLIC HEALTH 5'eFMCEB. ONMEP. C>< LICENSc AGENT4 SIGNA�.:QE CERT.FI!? :iE=•X-CbNIM:• <br /> CEPnrY THAT iN'>yF 7E?FCR`nAr10E iF'iE WORK FCA'NHICH T jS PlIMI, S SSU/'u I SHAL_NC-, ;.uPLC'r ANY P!?SC414 SUCH A MANNE. a5 <br /> C S'.!.SLdJSCT TC:vCRFER'S COM°3N�1CN LAWS V CALTORNL�' CONTRav CRL�TRiS SCI,E7CR �ga a SOP C"rNG S1G.WTNa C[rF'ES <br /> T'1EFCLLCIP.ING: '1 CER- Y THAT IN TLE PSVCRMANCS OF;nE'JORK'rC yNrIIC:'TNT9?E"• L PGPSON�aI'e.E.. .� <br /> CCMp1.NSATICh!AwSO.' <br /> vy Contractor Dar 4/29/02 <br /> as=L,cPNrs s�GNa:�R -� <br /> APPROVED G ,APFROVE WITH CONVTION�S) C OISAFPRCVED l <br /> (aa CC��CI:TONS 83•.CW PNC/CR VN?TTkM%114T, <br /> .i <br /> GA_ !I <br /> I, c <br /> PLAN RE'^1 E'�'tER'S NAMe <br /> ANY CV1A7:ON3 FROM 7415 AF'°LICATICN`dU37=E 3LS.M Tr=0.0 g4C FOR APPRCIAL PRIORI TO COMI,AEVCtNGs . <br /> GONV <br /> I� <br /> a <br />