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APR-03-06 WED 09:07 AM P. 02 <br /> ENVIRONMENTAL HEALTH DIVBION <br /> APPUCA-nON FOR UNDERGROUND TANK INSTALLATjON PERMIT <br /> APP4ICATICW FAR INSTALLATION OF 1JNDE9 TAMM ARE OWLT VALID FOR THe CALMAR Y"F,AR lig wmrc:2I IT HAS KEEN Issum. <br /> A PL MIT MY SE EXTCNOLD WTO THE HEXT CAI-xkD'Ak 'frau IF A LETTER IS SENT " PNS-E4 RECl7EST K TRIS EICIENSIGN THIRTT a1LYS <br /> PRIOR TO THE END [IF THE GALEMAR YEAR. A oka Y U -- ONE fIMF EXTENSION 1111Y BE GWAAfLD 8Y PHS-END LIMriI RECEIPT Of THIU I;ET;r�.R_ <br /> 5 3 OQ NOT WRITE IN AXT SAPAED ARU!$. <br /> LPA SITE # C-Ao-)S � '�-s q-' 9 l f PRCI FELT COt1Y i1G7 L TE1�P1i0iIE iM c"w" Py <br /> F FACILITY NATE -2-� <br /> L EROiSS STREET <br /> 1 <br /> I 0WFRJOPFkATOR. PRU <br /> C CONTRACTOR HAW P tea. M� Com- N 1?IECNE ! X10 (����.� E3a i <br /> xMwT=Tm Annym=.74000 V#1.L M R^5--r CA LI[ s <br /> T <br /> R HAZARTI[IL1S WASTE CE2TIFIED YF.S Ntl L7=.cow.fi 1}} <br /> A <br /> C FIRE 014—TRLCT �- 1 PERMIT # <br /> C SQW OF EWAL:ZATX09 # <br /> ntrrr�nrrr�r�rrr�rr:rru�r�r <br /> PAwr IU I Tur SIZE CNENICA" TF1 R :ium77m PROPOSM 111STALLATTIIN <br /> . a7k� <br /> PcK, <br /> A 39- <br /> 39- <br /> 39- <br /> 39- <br /> lilt <br /> 9-;4:4- - <br /> P <br /> L APPROY� APPPXN O Wrim I ITFC�[;5I pISfLPF$OVET <br /> ASEE ATTACHMENT GIITH C=ITICM) <br /> N PLAN REVIE'WIS 1 DATF 1 <br /> II1y11111111iU rICr ifffT Tilillf <br /> u F_Ii'AaIY IKM-. PFPFORM ALL UMr IN ACCFIMMa HITN SM JOWIN =JNTY 0WINAN6ES, STATF I.", AND RCFL,ES M RTCLlLATIMS OF <br /> SAAE ,IOAwig axwTY PUBLIC WEALTH =VICES. CLSF.R OR tjCUN3M AGENT'S SiGM112E CE2N:WIE5 THE FOLLOUI C. ai MRTIFY THAT IN <br /> TNF. PUFORRANICE OF TRE WOM FOI 1.MM THIS PSWTT IS ISD, I SRA.LL NOT VWLCY ANY PER:`z* IN 7.1CH A IWJWER AS TO W-GQM <br /> SUBJECT TO LIOkMIS F]pIMPENSX-410N LAWS OF CALM }11A-" CDWTRAi Y'=19 HIRING oR SVRCONTRACTRIG 0CRATOW QRTIFIV TILE FgLLWJXR . <br /> "[ =TTFY THAT IN TNF PC2FM MNCE OF THE 1.Mr, FCR SN10 THIS PMrT IS ISSi1I:p, I SHALL EMPL13T PMDMM SCISlE£T T4 LIRAS <br /> CCNPENSATIOII LAWS OF CALIFCRWIA.' <br /> APPLICANT'S SILNATME Ali <br /> Irdfcaxe cAe reapWSibLe party to he biLLed for additimot ANS-rHn -raff time expwided beyond the A hcawr minimm mmutLarign payamr, <br /> The party mutt eckmmiedgt this rempcmibiliry for the odditfa»I biiLinR by sigrwrLrr and dare beLeu. <br /> maiLing Address.' S:.Q ALL ; y„y2M— 3, <br /> N}aY Ph" Numtxr O � ti ----- <br /> Vgrmrure - --- Date <br /> ER 23 M {Rev t/?l4w1 W <br />