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._^PLIC\TION ==; O�IT_ OR PIP'HG 2£P]�IR PETnIT <br /> '3rS ?EEK— -x?:FLS 90 DAYS FACS h A?PROV;` y-_ OO ZOT URMr.V Al,,t Ste, ARZS_ IT*J:G:E PERr;7T�Pf i-tA+: <br /> YETAIR <br /> c?A S Z'IS 3 aTCT COtzTx4:t TII•E?S'Ctfz a <br /> 209 461 -6337 <br /> z } DRESS / N 1 ,• � �, f <br /> I. ! CROSS STF-E.£:' . <br /> 3 , <br /> -Z ! cAj,0CK/0P-1-tA OR <br /> c coNzxnczoa (.L' ' <br /> o ' <br /> ELI IV CONTRACTORS, INC. � �Lo� s 209 462-6337 1 <br /> r 1 2535 WIGWAM DRIVECa LTC 1 660016 <br /> — <br /> T • 1 1 a.Ass A,C, 1 0,HAZ I <br /> x ! titsvRgt <br /> • ! 1 "°R"`�"P s <br /> 046-008761 <br /> C } oIIrER <br /> T <br /> } 1rrlff...:f[a■f►t[t[.r.r+.r r•..•. Pli�E 3 - f <br /> �Ittit as ta[Ti'L-`TX `Dt isuucuuit�— <br /> Z_-Izz SIZE m'FtiT(�I.S STDRfb CORRENZLY/PQEVIOUSLZ DATE VST I22C;Z-nr r r� <br /> 1 1 ! <br /> !ltltliltill![lltill[IIIIi[IIIIIIII![IIIIIIiilillIi[ttIlI111IIII[IIIIIII#II[I!![IiIIi[IIII!lllfit[[IU!![llllllll[ifIIII <br /> a <br /> - I APPRo�r.D -_APPROVED vS3II r?mr_=or+tS) DISAPPROVED I <br /> !. ISZE -rm:cR vY sEuoWD.—IoatS) I <br /> v I ?LAX R -[F LS YAKS DAZ7 Z�/� I <br /> It1IIIII fill l[II1Il111III311IIf111i i [Ili 1 1t ! IfifIIiI11HI1I[liltillfllllllIfitllfllliii[I#[ I1Ii1 Iif1[III#Ii[IIIlII <br /> a22T-ICA[+T iRJS'i: 7£RFORff ALL vORx :N Ac--can]tyL-- -i.8 SAK JDA=br C OZDL'ANCET. STATE LAvS. ;QM ZOLZS AND 2L:W-k ows Oc <br /> .70AQ�CSX ?t78LZC KEaZ.:3 S�LVSCti'.S_. G.'1�OR LIACM-5aSED AG 'S SaG_�TATJtt£C�tTIFTES TtrE FO'...aVZHG= 'T `UCI"FTC 2TLAT :.ter. <br /> _ pq OF'TY£ %[ORX FN %i7rXCH TILLS 2�"�--ITT !S 17vt <br /> I S.7.L NC-'T rZ.iPLar ANY P53tSCTf IX SG. A'LUW 3t 1S70 a£COKE 1 <br /> SJ9.IECI'TO a7fr�—R•S CortrSSMISIQv LXRS OF CA-I=—CR'. IA_` COICI RAC M11 Hja-VG OR 3113 SZGvx-'TIRE GFITZ7I'l;T.iE FOLS.OvYi :I <br /> CS91jfy <br /> T5:.= IV T'NE T- -vcE OF ':FE i+L2�, ;OR -HICE THXS PE_:RXX ISIn <br /> S ISSUED_ I tLL Enpl.0T f y.ZSWS SUa3ECT^_0 voRXER•S - I <br /> CPubP3�>ATZON' vS OF <br /> i <br /> :.?PL1Qft�T'S SiC—:FA URE <br /> r3 iLLWG zNF o3r7riTIO�T <br /> medicate the responsible party to be billed for additional staff time e.tpended bevond <br /> payment coverage per tank_ If'the party designated below is different than the pe--mi.t <br /> applicant, e.g_ p petty owner, t:zp , <br /> ty must, acknowledge- this responsibility for the biding <br /> �v signatz e an d to below_-�� <br /> address e number�y'� <br /> S=5 <br /> nature <br /> 7r H 23-0038 <br />