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k:tt,ft ft R:kt:' 't :rt:k:kt: i:ffR:R:IV ft ft:kY tt:kt:kt ft kt:R R:tv R:it: tte ktr 3 <br /> k: APPUNCATt,;DR PERMIT k: SAN JOAQUIN LOCAL HEALTH Di_.CTk: Fauq4 <br /> UNDERGROUND TANK ; 1601 E QUIN LON AVE., STOCY.TON CA : <br /> k: CLOSURE OR ABANDONMENT k; Telephone (209) 468-3420 k; <br /> .... a:::;y:.> JAN 10 198 <br /> APPLICATION FOR PERMANENT/TEMPORARY CLOSURE OR ABANDONMENT IN PLACE OF UNDERGROUND HAZARDOUS SUBST FACILITY <br /> THIS PERMIT EXPIRES 90 DAYS FROM THE APPROVAL DATE. DO NOT WRITE IN ANY SHADED AREAS. INDICATE PERM P 1, L HEALTH <br /> -- ICES <br /> REMOVAL _____ TEMPORARY CLOSURE ABANDONMENT IN PLACE <br /> EPA SITE t PROJECT CONTACT f TELEPHONE tV <br /> Royce Mayo 466-3691 <br /> F FACILITY NAE Collins Electric Co. PHONE t (209) 466-3 <br /> All)lr <br /> � f^} <br /> C ADDRESS 611 W. Fremont Street ►'''vI'' <br /> I <br /> L CROSS STREET Edison Street JAN 2 7 1989 <br /> 1 <br /> T OWNER/OPERATOR Collins Electric Co. PHONE t 'NVIRCNMENTAL HkAI <br /> Y (209) 466-3691 PERMIT/SERVICES <br /> C CONTRACTOR NAME Stockton Contracting Group PHONE t (209) 462-5082 <br /> 0 <br /> N CONTRACTOR ADDRESS 1000 N. Union Street CA LIC t 528156 CLASS A <br /> T <br /> R INSURER ON FILE WORK.COMP.t ON FILE <br /> A -- --- <br /> C FIRE DISTRICT City of Stockton PERMIT t/INSPTR <br /> T Pending <br /> 0 LABORATORY NAME Canonie PHONE t (209) 983-1340 <br /> R <br /> SAMPLING FIRMt SAMPLING METHOD Standard <br /> TANK ID t TANK SIl CHEMICALS STORED CURRENTLY CHEMICALS STORED PREVIOUSL <br /> T <br /> A 39-_.1 l� _,2 - - <br /> N 39 _LJ`J_ ----1----------- <br /> K 39 <br /> --------------------------- <br /> 39 <br /> -------------------- <br /> 39_____ _______________ <br /> LIST ADDITIONAL TANK INFORMATION AS NEEDED ON SEPARATE FORM <br /> 1001 1.1 <br /> P AP ROVED APPROVED WITH CONDITIONS ___ DISAPPROVED <br /> (SEE ATTACHMENT WITH CONDITIONS) A <br /> A PLAN REVIEWERS NAME _____ ----------------------------------------DATE_ <br /> _� �9 _3� �_/__ <br /> N -- - - <br /> _ <br /> APPLICANT MUST PERFORM ALL WORK IN ACCORDANCE WITH SAN JOAQUIN COUNTY ORDINANCES, STATE LAWS, AND RULES AND REGULATIONS <br /> OF THE SAN JOAQUIN LOCAL HEALTH DISTRICT. OWNER OR LICENSED AGENT'S SIGNATURE CERTIFIES THE FOLLOWING: '1 CERTIFY THAT <br /> 1N THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT 1S ISSUED, 1 SHALL NOT EMPLOY ANY PERSON IN SUCH MANNER AS TO BECOME <br /> SUBJECT TO WORKER'S COMPENSATION LAWS OF CALIFORNIA.' CONTRACTOR'S HIRING OR SUBCONTRACTING SIGNATURE CERTIFIES THE <br /> FOLLOWING: 'I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT 1S ISSUED, I SHALL EMPLOY PERSONS SUBJECT <br /> TO WORKER'S COMPENSATION LAWS OF CALIFORNIA. <br /> CALL FOR INSPECTIONS AT LEAST 48 HOURS IN ADVANCE <br /> SIG <br /> "USE11LOCCOD <br /> -- - - - - -- - - -- = . - - <br /> OFE1/88fffffftff{fffffffffffffffftftfffifffffifff itftff{fffff{ffffffffffifSfffffffffffffifffffffS <br /> S EPS t 1C MP t11TSODEI AMOUNT�E I AMQUNTMVD I CK ASH I BY IL ATE R��O IT f <br />