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fl � <br /> SAN JOAQUIN COUNTY <br /> FIRE PERVENTION BUREAU <br /> 222 E. WEBER AVE. ROOM 678 <br /> STOCKTON CA. 95202 <br /> ( 209 ) 944-2414 <br /> pAPPLICATION FOR PERMIT <br /> Permit No. �/ -6 Application Date: 07-05-89 <br /> Application is hereby made for a PERMIT as required by the San Joaquin County <br /> Bureau of Fire Prevention and the Uniform Fire Code . <br /> Article. 79 <br /> Article/Section. 79 . 114 <br /> Rule . REMOVE, ABANDON , PLACE TEMPORARILY OUT OF SERVICE OR OTHERWISE <br /> DISPOSE OF ANY FLAMMABLE OR COMBUSTIBLE LIQUID TANK <br /> Fee Required . $ 5-60 _ „�,� . Fee Paid: YES : X NO <br /> This PERMIT , is to be used for the following purpose(s ) . <br /> Removal and off-site disposal reccli of a steel 5,000 gallon partially buried diesel storage <br /> tank from the Harney Lane Landfill, OJlicensed hazardous wagre hauler will rpmn .P rhe <br /> emptied tank from site per the artac ed specifications <br /> Name and location where permit will be used. <br /> Business Name: DEPARTMENT OF PUBLIC WORKS (SAN JOAQUIN COUNTY ) <br /> Owners Last Name: Rodriguez First: Rudy <br /> Address : 14750 E. HARNEY LANE City : LODI Zip : 95240 <br /> Phone: 468-3066 Contact Person: TOM NORTON <br /> Name of other persons involved. Contractor( X) Installer( ) Other( ) <br /> Licensed hazardous waste hauler will be hired. <br /> Last Name : First: <br /> Address : City: Zip : <br /> Phone : Contact Person: <br /> I have read the above application and know the contents thereof , the same is <br /> true and correct. I further state that I am familiar with accepted fire <br /> protection and prevention practices as set forth in the San Joaquin County <br /> Uniform Fire Code , and the ammendments thereof , and that the use of the permit <br /> being applied for will conform to these practices. <br /> Applicant' s <br /> Signature <br /> Solid WasHe Engineer <br /> Inspected By . <br /> Issued By. <br /> Date Issued. <br /> ROUTING Expiration Date. <br /> ( ) Finance <br /> ( ) Fire Department: LINDEN-PETERS F. D. <br /> ( ) Deputy Fire Marshal <br /> ( ) Fila <br /> FORM AP 05-20-66 „ <br />