Laserfiche WebLink
�ArrLal_A11UC1 YUR 116hm1 `. SAN JUAUUIN LUCAL HkM—Ttt DISTRICT <br /> UNDERGROUND TANK 1601 E HAZELTON AVE. , STOCKTON CA <br /> CLOSURE OR ABANDONMENT Telephone ( 209 ) 468- eye <br /> IPPLICITION POI Pt111111IT11l14'011l1 CLOSUtt O1 18110011111 11 PLICs Of UIDUCIOUYD IIIlIDOUS SUISf STOR1Gt PICILITZ) <br /> TRIJ ?1!911 IIPIRRS TO BII$ 1101 ?Ft IPPROTIL DITI. DO NOT lilts II 111 SI1Dtl 1!117. IIDICIit PERI11f� B$ <br /> XX REMOVAL XX TEMPOR Y CLOSURE ABANDONMENT IN �LAJC89 <br /> y ENVIRONMENTAL HEq <br /> --- PER941149g <br /> F7FACILITY <br /> rForest <br /> er PHONE 1 209 466-6726 <br /> A <br /> C Forest ADDRESSI 1221 N. Golden Gate Ave. Stkn. Ca <br /> L PHONE 1209/ 466-6726 <br /> IT PHONE 1 209 / 466-6726 <br /> Yucts <br /> C CONTRACTOR NAME Group, <br /> Inc.Stockton <br /> 0 P. PHONE 1 209 / 462-5082 <br /> N CONTRACTOR ADDRESS 1000 N. Union Street CA LIC 1528156 <br /> T <br /> R LIC CLASS A WORK. COMP . 1 On File INSURER <br /> A On File <br /> C FIRE DISTRICT Stockton PERMIT 1 <br /> T <br /> 0 LABORATORY NAME Canonie Engineering PHONE 1 209 / 983-1340 <br /> R <br /> SAMPLERS NAME rSAMPLING METHOD Hand <br /> C VOLUME CHEMICALS S RED DATES STORED CHEMICALS STORED <br /> H ID I CURRENTLY PREVIOUSLY <br /> E <br /> M 'D 00i TO <br /> I <br /> C TO TO <br /> A TO <br /> L <br /> LIS" ANY EXTRA TANKS Oil A SEPERATE SH ET <br /> 0 <br /> L (SEE ACH T TH CONDITIONS) <br /> A PLAN REVIEWERS NAME <br /> N DATE <br /> UPLICIJI MUST PERFORM ILL FORK II 1CCOIDINCt Ilti $IJ JOIOUII COUItT OIDIIIICIS, Sfitt LI1S, UD LULLS LID IECULIfIOIs <br /> OF Tit SIN JOIOUII LOCIL It1LTI DISTRICT. DIRER at LICIRSID Milt's SIGIITOR6 Ct1TIFIts TIR FOLLOIIIC: 'I CBITIF1 TRIP <br /> It fit PE2POR911Ct OP TIB "it FOR 1RICI tits PIR911 IS ISSUED, MILL 101 LNPLOf III PIRSOI II SUCK 1"Itt is t0 1ECONT <br /> SUBJECT TO IORINII's COMPlIS1f101 LIES OF CILIFORIII.' C01TIlc?OR'S RUING 02 101-COITRICTIIG SICIITURI CLITIFIES_ fos <br /> FOLLOGIC: 't CsitIPT illi It fig PsifORM1NCI OP fit lair FOR EIICI tits PtINIT 1S ISSU80, I STILL INPLOT PtRSOIS SUIJECI <br /> TO PORIIII's C09PtlS'"OI LIES 01 CILIPORIII. COMPLETE D21111C 01 1111CRID PLOT PL1N silly. <br /> CALL FOR ALL NECESSARY INSPECTIONS EAST 98 HOURS IN ADVANCE <br /> SIGNED TITLE. , DATE: <br /> ACCEPTED BY TITLE: DATE: <br /> �z <br />