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PUBLIC HEALTH SERVICES <br /> SAN JOAQUIN COUNTY <br /> X <br /> ENVIRONMENTAL HEALTH DIVISION <br /> Karen Furst, M.D., M.P.H., Health Officer , <br /> 304 East Weber Avenue,Third Floor- Stockton, CA 95202 <br /> 209/468-3420 <br /> PERMIT APPLICATION <br /> TO INTERIOR LINE/REPAIR UNDERGROUND STORAGE TANKS <br /> NOTE: ONLY UNDERGROUND STORAGE TANKS CONTAINING MOTOR VEHICLE FUEL MAY BE REPAIRED BY THE <br /> INTERIOR LINING PROCESS. IN ACCORDANCE WITH SECTION 25296 OF THE CALIFORNIA HEALTH AND SAFETY CODE, SUCH AN <br /> UNDERGROUND STORAGE TANK MAY ONLY BE REPAIRED ONCE. <br /> Site EPA # <br /> Tank ID # <br /> Facility Name: 6&C&61 �AA Z)r_ Facility <br /> Address: City: <br /> State:GN Zip Code: GL <br /> ContractorName: Gcol-x COVN�!&VVQ <br /> Contractor Address (mailing): \-IR S'-'tpr City:_ <br /> State:L,.kZip Code: 10k4s-i-+ <br /> ontractor: Lining <br /> Contractor Address: age, City: <br /> State:V <br /> Zip Code: <br /> 0 Approved 0 Disapproved <br /> A <br /> groved with the following conditions: <br /> 6 <br /> Is* <br /> U <br /> Le <br /> Date— 2 `2—LS� R.E.H.S.,,� <br /> C17) <br /> FEB 10 1999 <br /> EN'VhR-)"y',` 'L7 <br /> j (S�ERVIC�'­ <br /> j <br /> A Division of San Joaquin Counry Health Care Services <br />