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'04 17JO-4 <br /> 1 APPLIChiIGA' iQlc-...P.nII , 1 SAl JOAQUIX LOCAL PIALIN�DISIFI� t ��-�• <br /> UMOERGNQUND Nuu: IG(+{ C 11AULIOM AVE., jIKKION CA <br /> CLC,SIIfE DI: AfMOONACNT R TriC*file QVI) <br /> n <br /> lAli'�dQ11}1LY31FDilQAKAA`_,1CF.this ALxIf _4'7rMRi:k.p11A 7C�;Uq#:iACLLw^}rakp4 i <br /> APPLICAIIOM rDR PERruNfrlr/TE1tPpkhRY CtIt5«JFt OR ABANLON,YF1I1 IN PLACE O1- U.4CEyr,;tt?t1r4O KAZAPSLtIsS7AN::ES ;T;)kA';E F,i�;r.tir <br /> ThtS PERMIT ExP1REs 90 RATS IROn THE APPROVAL DATE. EG NOT WR;TE IN ANY SHADED AREAS. <br /> INDICATE P>rk1I:T Tlri'f vELn�: <br /> x <br /> __ --•• REMOVAL _.._. TEnr00Y MSM _ .. ANAItDOMIIEHi IN PLACE <br /> EPA SITE ICAL 00000303 PROJECT CONrAy1 j TCLEPHONE i �Q - <br /> F FAtjLITY MAN[ Fast <br /> - --- ll4 634-4Pt1Q <br /> Gas" _ P►tbNE >I ( 209 ) 369-31.1,4 <br /> ADDRESS $40 -•--� <br /> 1~. Highway 12 <br /> CkOSS SIREET Lower `"--` -- --- -._, <br /> Sacramento Road <br /> QiiMER10PEftAiOR <br /> Donna Tompkins � -- PHONE � <br /> _ 1 ( 209 ) 369-3121 <br /> CONIPACTQR NAME <br /> COX C-Tpk AD - <br /> tl CA Eli - <br /> lxSU9ER <br /> _..LNbAx.ConN., <br /> FIRE DISTRICT 11Ptkf;ll <br /> LABORATORY XAAfSIP WX Hoot <br /> IAHi' !D ! iRitl: ';i YSI.0 f1 € <br /> 1 ltihtS Sibr:i Ctirii€IiTLY i:itkPllr,ZtS -622 KE 18J30 <br /> ----L5-3 ---- 10-, 000 Gal. Reg, Gasoline <br /> --_--------- 13 t?� Gam _ -_-i 5c�p. Unl - Ga'so -----� <br /> 21- .�4_ _ _ ._ � , 0ZT GarUng — - � - —--- <br /> 3l- -- ---- - _ --- <br /> J�-- -------------------- --___ — ,_, .� <br /> ._-------- <br /> ----------------- ------ - -- - <br /> EJSt kOrrlTlOrfa: rANr INrOPMAINK AS hEEDED ON SEPARATE FOPM <br /> AFF0VED ArPQVEO WITH CONDI T IONS 015APFkQVEQ " <br /> LAN KVIEkikS NAAF (SEE ATIACIvIEN1 41TH CaNDIII NS) / <br /> ---- -- ----------- ---•----------------_-___ ------------ _part---31.2�l_ --------- <br /> fCANr RUST PERFORM ALL WGRX IN ACCORDANCE WITH SAN JOAOL,IN COUNTY NA:lr;ES, .5100 LAWS, AND RJJE ANO pf(, .ATIfryS <br />'1E SAH JQ;,OL'ly Lb{aL HEALTH G1STk1Ci, OVYER OR LICENSED AGENT'S S15hA?U,.- rERi1fIE5 THE fLLL(;lil,tis;; •t:�:L;11lfY THAI1E PcRFOknA'♦iE Of THE WLR►; FOR WHICH THIS PERMIT i5 1SSJEA, 1 ShALL NO'S EMP!OY ANY PERSON TK SUCH .4Ar.HEk. ,JS Id <br />:CI TO UORKEP.rS COMPIY,A1109 L1+uS Or CAL;F!J'FNIA.• C0hjP.;ri0P05 Hjl Ki; Or' SUECONTRACNK. SIGNAfgkE lE9ffrl:S THE <br /> IW11T6: 'I CEPTIFY THAT IN [HE ?ZiropmAN!:F QF THI: wOk;. i02 VHICH THIS FER,1TT :S ISSUED, 1SHALL £nPLul FCf';sinS Cltl,f€.T <br /> 41LO, <br /> G5 Ctf CAL1fORNIA.' PF IONS AT LwEAST 46 HOURS IN ADVAr'4CE <br /> ii1t;[1iSEfitltiii 1 r �, it iiisissllt stsiiliI riEIST COu.� nh��tif CUE ,nJUf;T -r.�V7 �F'iltASll Ic:'L'r? I(t n±7r Lr .n -: _„ <br />