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0 ' 0 <br />ENVIRONiIENIAL HEALTH DIVISION <br />APPLICATION Fon UNDERGROUND STORAGE TANK CLOSURE PERMIT <br />APPI.ICAIION FOR PERMANFNt/TEMPORARY CIOSIIRF. OR ARANOOWNT IN PLACE OF 1NIDERORIXIND RAIARDOl13 SUBSTANCE STORAGE TANK <br />11115 PERMIT EXPIRES 90 DAYS FRoM THE APPROVAL DAIS. Do Not 111111E IN ANY SRADED,AREAS. INDICATE PERMIT TYPE BELOW <br />X REMOVAL TEMPORARY CLOSURE C�OSURE IN PLACE <br />EPA Sl1F N CA8210020832 <br />►Acn,llr NAME DDRW- Sharpe Facilit. <br />ADDRESS 700 E. Roth Rd. Lathrop, <br />Enos' 9tREEr Air Port Wav <br />Ot1RER/OrERAtoll <br />Same as above <br />PROJFCr CONTACT A iELEPItoNE / baron Dean( <br />I PRONE N <br />CA <br />PRONE 0 (209)982-2427 <br />r, COIItRACiOR unnF JIM THORPE OIL, INC.\' PHONE 120 )368-6175 <br />N carnanr.►na An0aES5 351 N. Beckman Rd. , Lodi, CA 954 CA LIC N495699 CIA B Haz <br />1 -- <br />a ntsunER Landmark & Genstar uvaK.coMP.�1095135 <br />A <br />C ►IRF. DIStRiC PERM11 N <br />�har e Facilityon anoroval of__pl an <br />D LARnrtAlnnr NAME GeoAnal tical Laboratori PRONE N (209)572-0900 <br />�rIR'I1N0 ►TPN PHONE S <br />11111111 111 �I 11111 �I I IMI I I I I GeoAnal tical L o tories - <br />1 NK ID IANK SIZE � CHEMICALS STORED CURRENTLY/PREVIOUSLY DATE UST INSTALLED <br />SD __ 550 gallons ` Waste Oi.l Uk <br />A 37- _ <br />P iiiillltliltiittitttlllltllttl ZAA1 <br />t APPROVEDD 111TH CoNo1T1oN(S) DISAPPROVED <br />A EN1 WIT" CONDI11oNS) ( _�u WitPrvltvrpqPAIIjll III 1111I DATE <br />illlllillilllllllllllllilliilit illitiiltiiitiilriliilrltl <br />AP WANI 1RISt PER►ORM ALL think IN ACCORDANCE WITH S N JOAol1tN COUNtY ORDINANCES, STATE LAWS, AND RULES AND REGULATIONS OF <br />SAN JOAr)UlR COUNTY PIIRI.IC iWAITH SERVICES. OURER 0 LICENSED AGENt'S SIGNATURE CERTIFIES THE FOLLOVIN01 "I CERTIFY THAT IN <br />ti1F PERICR11A11CF OF THE th)RK FOR UHICH THIS PERiiIi I ISSUED, 1 SIIALL Not EMPLOY ANY PERSON IN SUCH A MANNER AS '10 BECOME <br />SOW? IO tA)WR'S COiIPENSA?ION LADS Or CAI.Iton"IA." CONTRACTOR'S HIRING OR SUBCONTRACTINd SIGNATURE CERTIFIES THE FOLLOUINGI <br />"1 1:ERIIrY THAT IN THE PERFORMANCE of 111E WORK FOR If THIS PERMIT IS ISSUED, I SIIALL EMPLOY PERSONS SUBJECT 10 MMKERIS <br />ColIPF.NSAt10N LAWS of CALItURIII& ,/ �1 <br />APPLICANiIS SIGNAIUREt TITLE Contractor DATE 7_/_5/95 <br />I EH 73 046 (ReVISed 4/26/94) Page 3 <br />