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r <br /> W <br /> APPLICATION FOR PERMIT N $11 JOIOUIY LOCAL HELLIH OISIIICT _ <br /> i UNDERGROUND TIME 6 1601 B HIZILION ITE., STOCNT01 CIN <br /> t: CLOSURE OR 1111DOMMINI r Telephone (209) 661-1121 !; <br /> t titit}:t{:ti:titi�Lititii�ti't{:titi�N�ti�ti�ti�Li�ti ti�li�ti�Ci�t}:Ci�k;:titi�ti�ti'ti <br /> APPLICATION FOR PERMANENT/TEMPORARY CLOSURE OR ABIIDOMMENT 11 PLICR OF UNDERGROUND HAZARDOUS SUBSTANCES STORAGE FICILITY <br /> THIS PERMIT EXPIRES 90 DAYS FROM THE APPROVAL DATE. DO NOT 111TH IH III SIIADII AREAS. INDICATE PERMIT TYPE IILOV: <br /> REMOVAL —__ TEMPORARY CLOSURE — ABANDONMENT IN PLACE <br /> IPI SITE I L, o °1 7 �; PROJECT COITICT A TELIPROIE IRex Bassett ( 916 ) 96 -7424 <br /> P FACILITY IINIUNOCAL BULK PLANT #0788 PHONE I ( 209 ) 836-0376 <br /> 1 <br /> C IDDRISS 8203 W. Business Loop 205, Tracy CA. 95378 <br /> I <br /> L CROSS STIRIT CHRISMAN <br /> I <br /> 1 OWNER/OPIRATOR PHONE 1 <br /> T UNOCAL--Joe Comstock, Engineer ( 916) 4464981 <br /> C CONTRICTOR ILMI BASSETT CONSTRUCTION, INC. PRONE 1 ( 916 ) 967-7424 <br /> 0 <br /> 1 COMtRICTOR IDDRISS 7730 Greenridge Way C1 GIC 1 CLASS <br /> T Fair Oaks, CA. 95628 394896 B-C61-D4 <br /> R IISURIR Golden Eagle YORI.COMP.IPWC050620 <br /> C FIRE DISTRICT City of Tracy PERMIT I/INSPTR <br /> 1 <br /> 0 LABOR/TORY AIME California Water Labs . PHONE I ( 209) 527-4050 <br /> SAMPLING FIRM' California Water Labs . SAMPLING MEtIOD Driven metal tubes <br /> TIMI ID I Till SIZE CHEMICALS STORED CURREITLI CHEMICALS STORED PREYIOUSL <br /> ? I <br /> I 39 <br /> 19• <br /> J9 <br /> LIST ADDITIONAL TIME IMFORMITIOY IS NEEDED OY S�P� AR =p•• <br /> xlNrflr�NNNn <br /> P _ APPROVED IPPROVID VItH CONDITIOMSDISAPPROVED , <br /> L SIB ITTICRMINT-VITH CONDITIONS). <br /> _ <br /> 1 PLAY RIVIEVERS NAME _ ^mow ^_- D11B '? <br /> 1 <br /> APPLICANT MUST PERFORM ILL VORE 11 ACCORDANCE WITH SIN JOAQUIN COUNTY ORDINANCES, STITH LIVS,'AND RULES IND REGULATIONS <br /> OF THE SIN JOAQUIN LOCAL HRILTN DISTRICT. OYMER OR LICENSED AGENT'S SIGNATURE CERTIFIES THE FOLLOWING: 11 CERTIFY ?NIT <br /> 10 tHE PERFORMANCE OF THE VOIK FOR YRICH THIS PERMIT IS ISSUED, I SHALL 101 EMPLOY ANY PERSON IN SUCH MANNER IS TO BECOM <br /> SUBJECT TO VORIER'S COMPENSATION LIVS OF CILIPORNI6.' COMIRICTOR'S HIRING OR SUBCONTRICTING SIGNATURE CERTIFIES THE <br /> FOLLOVIIG: 11 CERTIFY ?HIT 11 tHR PERFORMANCE OF TINE PORI FOR VRICH THIS PERMIT 13 ISSUED, I SHALL EMPLOY PERSONS SUBJRC <br /> t0 NORKEI'S COMPENSATION LIVS OF CALIFORNIA. <br /> ff.LLCOR V2;NS AT LrAST 40 HOURS IN ADVANCE <br /> —__-- DATE -3 a - I <br /> OFFICE USE ONLY-•RN 23 016 1 /11 <br /> SSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSS <br /> SIBEPS I COMP 1 1 <br /> LOC CODE IDIS? COD AMOUNT DUB AMOUNT RCVD I CKI/CASH I RCTD BY I DATE ICVD I PERMIT 1 <br />