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• 04-03-2901 08129RM FROM TO 3681951 F.02 <br /> UNIFIED PROGRAM CON$OLIDATEO FORM <br /> TANKSf, <br /> LUNDERGROUND STORAGE TANKS - FACUTY <br /> i.•K page per li!q ; <br /> Mtl OF ACTION .PERMANENTLY CLO'Mn <br /> (QMCaoMN *w ).NEYI31'PERMIT r A RENEv.K�E?MIT r 3.GYTnGE OF hFORMAigN(Sosab ManF.• r A TANK REMOVED <br /> r 4AMYIGFO a"i. bCNJr cAN I _L.O v IVxp,.i/IW <br /> r 6 TEfAPCPARY SRL CLDEupE <br /> 1.FACIL"I SITS INFORMATION <br /> � BU0NE6tl N41 (GmarF 1 W - EriWrAi) 3 F L • (/' <br /> The City of Stockton F4M194/3 �I <br /> 1 r S mt;NTY4LNCY,W FACIU ER TYPE A LOCALAORNCYOSTRICT• <br /> cRiIGrTpcI. CORPORATION <br /> 9USINE • r I.OM STATION r 3.FARM 2. INOWM IK r 6 STAT£AoENcY <br /> r 2 cmmKTCR r A PROC'csSOR r E QRIa r 1. P.ATNMMMIP r T FEDERAL AGENCY' 102 <br /> �3 <br /> K rvUMtl N4Ltiry en ICOI NIi!WWMa tloNw .US NiPlN:A31ACT.wMNrwa,+aT01 <br /> pS4AIN�uGAT 0TE IiAFixaa dnnwnrman a.DEMI Nlral opalYr Nla uST. <br /> g �T@lle M.a!m Fvau^blt twN n�mlaal ROA n•—rcria.gciso <br /> - II,FROPERTY OWNER INFORMATION <br /> 10E <br /> FR SR wNER NAME ICT <br /> The City of Stockton 209 937-8320 <br /> MAR."s a'sraEErraO. 6 40 <br /> 305. N E1 Dorado St . <br /> ,A E111 00£ II I <br /> Stockton CA 95209 —� <br /> PACPER:-' OWNER ME r 2 INDMDUK r . LOCK AGENCY I DISTMCT 1-6. 3TATEACENCY -13 <br /> r , CCF PORATgN r 3.PARTNERSNi r 1 COUNTY AOENOY r T FEDERAL AGSNGY <br /> IN.TANK OWNER INFORMATION <br /> Hi — <br /> NI i <br /> Th <br /> (209)937-9320 <br /> nuwNc oR sTR�T R£ <br /> 305 N. E1 Dorado St. <br /> C IT STACA 95202 <br /> Stockton, <br /> 1 2. INDMDUAL r LOCALAGENCTIOWMICT rS. STATEAGENCY Am _ <br /> r,. CORPGRATIOFI r 3. PAMTNEOMI r 9. COUNTYAUSN''CY r T. FEDWALA%;WCV <br /> Tv 0-)qHQ A 4 CaU(916)3434669 U qs "Bons sme ie 1 <br /> P0IG,TE YET}g0(Sl r I. tlElRINWREO r t, tlURM sowo r T TE FUND �IG. LOCK OOV•TMECNANISM <br /> r E. GUARANTEE r 6. LETTER OF CREOR r d SYATE FVNC S Oro LETTER A OTMER' <br /> r 3 EItlIAVVFCE r I. EAC31RnON r 9 SATE FUND 4 CC n` <br /> l 1 C AN]Tti1 ♦TI!TN 1NDM 1 Nf`.LMpY^C <br /> Cha-vw>aro.A.ne.r!s:aWrsa•AaYl h•:+audm NgFl nr/tala�,rd mah.:. �,. FACI r s pAv—Rn 0Y 1 r 3. TA Ovmv 133 <br /> r uu LODI mAVTC nusrluc <br /> I GRRwom. m.mramsom F•aiaawPn a ru no am,+xe n tr.ou1 d m�v+o.w1p1 <br /> E !6 01 131 PHONE 209 937-8320 <br /> NA3IE CF AA XANT!>sM1 Ron Palmquist ne cF CAxL "T <br /> srA un WUM ( mNwai47 nI s uRcaADe aann�.ATE NUN�Er.;FO�w�a,+n as <br /> CAC 001447536 <br /> UPCF YPI3 RVNIE01 A+ <br /> I -/-7 -��2��� � �, � / �p.., � /� � / J`~ &` j�Po!me1y 5WFC8 Fol^%+ <br />