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. La Id"OuD n'itnl. LV"4 ! [iliU NAGE 02 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> ,C.E We.ER RVI,3"rLOOR <br /> 6YOOK70N.GA 062aa <br /> ADuUCAYION PORL VRGROVND TAW REYROFIT,OR p1pWG REPAIR pERMR <br /> TNIS PVW)T E'<PRt1D1 so DAYS FROM TNF."PROVAL DATE, M NDY WRRE IN ANY SRROED MA6.INDICATE pHRMIT TYPE 6E1.60 <br /> - -• �,TRNX gtiiROflr ➢C}NG REPAlP/R6TRpPIT�UNDERD19PFWER CONTAINWENr RAPAIRAWROMT <br /> :.s::EST------ <br /> t cj� Oa0(o ___—➢Rotne't•enen„ct n . ....efa .Af <br /> - IT— 1'l <br /> r aitxTT,NYR X&S.......... <br /> ...- - <br /> CEp..... /^� <br /> cwferRtteA YARe --- <br /> � �--....._._.._..-.,... .. •lam-�.I JET ➢R�'R/J'lf•K�. <br /> CDRTaA0T0A ADDARLD _ z - - --_ <br /> w <br /> ..___. -.....__ . ....�. IF•�A2,.x,1 w .� ; NORK.Cua'.0 �7 <br /> oTRCT rNPetMAri➢Y ! ` ' err.`---.c�FTr.L,..----•-`--• <br /> 1 tMellE r _____________ <br /> •.. I;:clIlI:IT r;e !:lf l;1:w 1I••••'._...- ..... X <br /> fa- i �1/R1, �� ! /j JGi L'R[NSC,A[ snub cY{RE[ReilvrtCdtOURLY i pf,•ip V27 ;06rALL➢0 <br /> iA I fa• --.— <br /> I ;I I.:I I:II '11 :I ~_ <br /> f <br /> v r I .,!; .,,uo , <br /> TfT <br /> . rr <br /> _ A➢➢aaam RIRla ut}g Larptn9Xl[r �ntcuY[ovCD <br /> N }L[X Rtvx£4Cu 1,ANt� [EE R}}AER v[}f CC4MlYttWSJ <br /> 1:!f:I:nn. ,,,,,I 1 n aATTJC <br /> ". .1::!l(IdI!!1I11; <br /> �coLIGNt RtlIT tERTQRR ALL XORR iY KmAbulCS YTTM MR J04QUIN CM71 OtaiY>RCEL, ETRYR a,N,[, hNa RULDe AtM ReeQLRTt aF6 aP <br /> _.N `aAQ%l co". I'll B . Mtffpf;, YYYEP OR LS <br /> 'SMT IN IXL } al TEE Y011R YXS CL'N[xD AOEN}'s C1DN►lpRC llW1r1[R TKC WuaklHe: •3 Ct]Tl rt <br /> tmb t 5➢BJtCT ltl emys 8A7A IJWE Or =4zft T t± IDDYRP. t CIW.t X➢t 01frLCY ARY 'Mw IR "CN A RANNM Aa TD <br /> rtto` 1 11 caAT THAT R TRC ➢Ef NECL Op TRR YORK b tM(M 41I73'P4NfIR vDtOCpNSW.0}lpc 5t@.cxy{E Ctilulas TNS. <br /> acGJtZX CaKt[XRAT1 ! [RLTPtlIY CVED, t'2K,4LL 0WZY PQ.tsegx ^-Q[JCCT Ta <br /> flrcfrrrf f{CNRTatEI ::<..��Z-O��cP- IC"(CbVA,�,Q /—�-0�� <br /> BIL UNG INFORMATION: <br /> Indi to the responsible patty to be billed for additional EHD staff time expended beyond permit payment <br /> CDvi rage per tank. If the party designated below is different than the permit appilcant, e.g. property <br /> own r, the party/must acknowledge this responsibility fort billing by signoNrsand date below. <br /> Nam c � n90tS Address �O oc - <br /> -9,l �J Phone# <br /> Signetures— &g 3-9062 <br /> i <br /> EH2 0038 <br /> (revi 1/31/02) <br /> r o svJ W CO aToz::z:oT <br />