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%W PUBLIC HEALTH SERVICES 'Of <br />SAN JOAQUIN COUNTY <br />P.O. Box 2009 <br />(1601 East Hazelton Avenue) <br />Stockton, California 95201 <br />❑ Approved <br />Approved with changes: See Remarks <br />❑ Disapproved; See Remarks <br />Remarks i Ei�c J <br />Data �-8T5�- gy <br />Approval of these plane extends only to <br />that which is shown and described here- <br />on but does not authorize or approve <br />any omission or deviation of require- <br />ments of State laws or local Ordinances, <br />/-lea/fh LSP - COP7 <br />1)ATTACHED ,IS THE LIST OF CONTRACTORS PREVIOUSLY APPROVED BY PUBLIC <br />HEALTH SERVICES, ENVIRONMENTAL HEALTH DIVISION (PHS-EHD). ANY DE- <br />VIATION FROM THIS LIST REQUIRES APPROVAL BY PHS-EHD. THE CONTRACTOR <br />SELECTED FROM THE ABOVE REFERENCED LIST SHALL NOTIFY PHS-EHD AND SHALL <br />PROVIDE A COMPLETED TANK TRACKING RECORD BEFORE AN APPOINTMENT WILL BE <br />SCHEDULED. ANY VIOLATION OF THE ABOVE CONDITIONS SHALL RENDER THIS <br />APPROVAL NULL AND VOID. <br />2) NO HAZARDOUS MATERIAL SHALL BE ADDED TO THE ANNULAR SPACE OF THE <br />UNDERGROUND STORAGE TANK (ie: ANTIFREEZE, ETC.) <br />3) THREE INSPECTIONS ARE REQUIRED FOR THE INSTALLATION, EACH WITH 48 <br />HOURS ADVANCE NOTICE. <br />4) ONE INSPECTION IS REQUIRED FOR THE REMOVAL, ALSO WITH 48 HOURS NOTICE. <br />