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/ � — =TIF:G•i!CN��,RM �, <br /> I ANK CL�B::FE�c <br /> : BUSINESS NAME <br /> Franks Tire Service ,01 <br /> $Tc ..CCREry <br /> 5023 Market St . 1 <br /> austNEES Z9 :0 <br /> t <br /> I aUs:NESS C:"" <br /> Linden CA sm <br /> 1 -,1NK CwNER!NME <br /> ! Sally L. Atkins So, <br /> 'ANK�,,%NER ACCRESS <br /> 3622 W. Al ine ;:".E s� =� <br /> aNK;;M+ER C:"•' CA 95204 <br /> Stockton , <br /> II T p KIK r', nct! c t F•.),c 71 <br /> I Rammac+e'laoor Cxygen ! <br /> TAnx Canter I ?orcm ! <br /> (State Tank CO-if 3CC+iC3pte) i �_cc Center Bet cm Too i <br /> 1 TanK anterior <br /> Atrncs-nere 500 gallon leaded gasoline; <br /> ! Reacings I ! <br /> 1500 gallon leaded gasoline: - , <br /> I <br /> On exammanon of;tie tam.'.ce., tank is visuaity fr fr m procum stucge.scale(Min.9aKy res+coal of tanK c inters). <br /> nnse3te ano aecr s. I turner.-ratty <br /> .e .c ac^ yes:of-+y'<nowte�ge. <br /> ! that;.�e information pflyteed he �'Lti•�iCN r'•F C.E�TtF"�tNG 3cDC`.N C. i <br /> � _ .. .. _.. fir... <br /> j ';�F !;F::: -7-k SiCN.t UR. r. <br /> CERT:FiER NAME;PRINT'; ; Caroler s a representative of he .JFA+tA: YES C <br /> 1 CE:R'1F:ER ITL= so% � Name of CUP.WL:A <br /> I <br /> Contractor i <br /> ! ACCRESS P.O. BOX 357 if carfief s other=r.CJPo/L:A=eC:accrernate cox pesaw: <br /> j Ct,� Lodi CA C Cartt;ec incustral"gients:(C:H) I <br /> 04CNE f 209���R-+7175 � <br /> i [ Cartfiec Safety Professional(CSF', <br /> I <br /> DA—i= sGe kk CSF,iFi(-A <br /> pA ,,ME <br /> ER� Canfiea Marine C`emtst 1C:'XI, <br /> / �egiste.rec Envtrenmental Heaith Soecatist(RE--S) I <br /> P-cfessmnal Engineer(PE; <br /> t <br /> ! � [ Crass it Regsteret c'twrcnmertot Assessor t <br /> CSL3:icensee Gntracor;wtLh haz3rccus sucs.ar.==rfiotet <br /> mcuscme;as <br /> des <br /> Nc 'his:anx;fevscusry-elo'ammaole or cCmctutt to materats. 5 yes. 'te anx:nteror atmescnere snati.e rte=ectec rrt•t' I <br /> Irdicatcr ,rar to wcrx being c;ncuct>r on the anx. ; <br /> Carniers tat:x nanagerrert,ns=cjcns'er son. aea+er,aisacsat ae3sy.etc: � <br /> � I <br /> ;, w T arils w.rinc3te s'ali ac=r^Cary're:ark: :e,ecyc:;nc;CisccsG1 to Ciity. <br /> r <br />