Laserfiche WebLink
u <br /> ENVIRCHMENTAL HEALTH DIVISION O <br /> APo!:dT:CN -CR 'JNOEiGC:1N0 STORAGE TANK C'CSIRE PERMIT <br /> APo!:GIT:CM -CR PERMANENTiTE�PCRART �"�..I'1RE OR AaAHCCNMEYT IN m-ACS- OF UNOERG2CUND AAZARDCIIS SUSTANC STCRA= TANK <br /> THIS PERMIT EXPIRES 90 OATS 7�RpJ}� "HE APOgCVAL GATE_ OC NOT WRITE IN ANT SHADED AREAS. INOICATE PERMIT TYPE 3ELZ. <br /> \7� R04CVAL — TEMPORARY CLCSVRE — CLOSURE IN PLA=- r/ <br /> EPA SITE Y PRCJEC: CONTACT i TEL PHCHE Y -I MtE�.S(i;� 7�33��56 <br /> F FAC LIT• NAME �• IXC.+ PMCHE Y <br /> CI ADDRESS <br /> L SMCSS SIRE- <br /> I . II � PXCNE <br /> H�ACTrR VAME 1 �- ..UlT�1r-w.L.., .I L PHONE Y � <br /> C' 33—Q� <br /> ( � rI <br /> --NTRAC7= ADDRESS CA LIC Y SI Std =-A= .� <br /> R INSURER � ViCRK.=P3 1Q <br /> j3JZ'O <br /> A <br /> FIRE U N Prtik-c 4 �t� � OF Com _ PIT <br /> ]IS:R:.: 1/ ^_ <br /> 7 '.ARCRATCR'. NAME �T-1i.�.-� n...ri.l � \ �b..�••• ,'^ l P/ 1,11 PNCNE <br /> PMCNE (, <br /> R SAMP'_.NG13 <br /> —11111l1111111I11111111111111I2 TANK s: =iFMICALs STORED =RRENT!T/PMEVIQISL I DATE JS'• .NSTAL M <br /> TANK ID I <br /> T 39- <br /> 1 399- <br /> K 39- 1 <br /> j-------- <br /> H111111111111111111111111I i III <br /> PIll! <br /> •— APP�ym APPROVED PITY CONOITIC'N(S) � OISAPPROVm <br /> L (SE ATTACOIENT YITR C<:YOITICYS) <br /> A ._.DATE _. <br /> t P!4Y REVIEWERS NAMEIII 111111 ffmTmff <br /> ]lllllllllillll11111 <br /> APPI„CANT MAST PERFCDI ALL WORC tH A=SDANCE YITR SAN JOAVIIIN G=ENT T SRDIMANCQS, STATE LAWS, AND RULES AID R=RTIFIL0 IH Of <br /> SAN JCAOUI71 =NTT PUBLIC NEAL7H SERVIL°S• 06MER 0R "=N AQ77'S SIG7IATURE CERTIFIES THE FDLLCYIMAN •I S M SE TMAT IN <br /> THE PERFCRMANC Of THE ICRC FOR YNICS THIS PERMIT 15 ISSI , I SHALL MDT EMPLOY ANY PEASC71 IN 47Ct A MANNER AS 7O BEC:.71E <br /> 4iE:ECT WCR 'S C EVSA72 LAWS OF CCF THEGWORKL. �FCRAYXICi iN S PERFIITN IS NSS7IDG OR �I SMA CE'YPGCTI?ri=us SuBjECGNATURE E TO WORF3'S THE CYING:i <br /> •1 ,�-.T2FT THAT IN THE PERFCRMAN. <br /> SSIPC-11S:72[DI :.AWS OF :AL:�MI#• <br /> 1 <br /> TT 7t. <br /> 1' 1Y <br /> APS!:C.:Ni'S S:GNA;'IAE: v u OA,. <br /> Page <br /> i = OAu (Revised : 25i?47 <br />