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SAN J UIN COUNTY PUBLIC HEALTH VICES <br />VIRONMENTAL HEALTH DIVISI <br />THIS PERMIT FOR PERMANENTITEMPORARY CLOSURE OR ABANDONMENT IN PLACE OF UNDERGROUND HAZARDOUS SUBSTANCES <br />STORAGE TANK(S) EXPIRES 90 DAYS FROM THE APPROVAL DATE. DO NOT WRITE IN ANY SHADED AREAS. INDICATE PERMIT TYPE: <br />0 TEMPORARY CLOSURE 0 CLOSURE IN PLACE <br />PERFORMAPPLICANT MUST EAIN'I <br />REGULATIONS OF AN JOAQUIN COUNTY PUBLIC HEALTH RCS.OWNER OR LICENSED ORDINANCES, <br />SIGNATURE CERTIFIES THE <br />CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. i SHALL NOT EMPLOY ANY PERSON IN SUCH A MANNER AS <br />TO TING SIGNATURE CERTIFIES <br />THE FOLLOWINGJME *1CT TO WORKERS 1 CERTIFY THAT IN THE PERFORMANCE nOF THE WORK FOR WHICH THON LAWS OF CALIFORNIA,' IS PERMIT IS ISSUED, I SHALL EMTOR!S HIRING OR CPLOY PERSONS SUBJECT TO <br />WORKER'S COMPENSATION LAWS OF CALIFORNIA." �� �Q �Q <br />APPLICANTS SIGNATURE TITLE �lQl�� DATE yam==-= <br />--l----l----------------- .___�. _.__.-- . ...__ _. <br />■ ♦ rrr• . ♦ rPr• i WITH • • ..I ► rrr• r <br />CONDITIONS BELOW ANDIOR ON <br />PLA I N REVIEWER'S NAME 1 4" tiv, DATE—/*�& <br />ANY. DEVIATIONS FROW THIS AaUCATION� MUST BE SUBMITTED TO EHD FOR APPROVAL PRIOR TO COMMENCI GWORK. <br />CONDITIONS: <br />N <br />• 2 k igail•M I " I ffel` • <br />: .. <br />... .. <br />• ' r l <br />• .. 1-1-1:4 ..1.. <br />�� rrl�„• <br />Emilf <br />., <br />aTiviojog.. • ..: i f. . • <br />- <br />DISTRICT <br />u <br />ITE <br />•.rig � � a � <br />y <br />a:. � 3 y <br />ter... . ♦:. <br />PERFORMAPPLICANT MUST EAIN'I <br />REGULATIONS OF AN JOAQUIN COUNTY PUBLIC HEALTH RCS.OWNER OR LICENSED ORDINANCES, <br />SIGNATURE CERTIFIES THE <br />CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. i SHALL NOT EMPLOY ANY PERSON IN SUCH A MANNER AS <br />TO TING SIGNATURE CERTIFIES <br />THE FOLLOWINGJME *1CT TO WORKERS 1 CERTIFY THAT IN THE PERFORMANCE nOF THE WORK FOR WHICH THON LAWS OF CALIFORNIA,' IS PERMIT IS ISSUED, I SHALL EMTOR!S HIRING OR CPLOY PERSONS SUBJECT TO <br />WORKER'S COMPENSATION LAWS OF CALIFORNIA." �� �Q �Q <br />APPLICANTS SIGNATURE TITLE �lQl�� DATE yam==-= <br />--l----l----------------- .___�. _.__.-- . ...__ _. <br />■ ♦ rrr• . ♦ rPr• i WITH • • ..I ► rrr• r <br />CONDITIONS BELOW ANDIOR ON <br />PLA I N REVIEWER'S NAME 1 4" tiv, DATE—/*�& <br />ANY. DEVIATIONS FROW THIS AaUCATION� MUST BE SUBMITTED TO EHD FOR APPROVAL PRIOR TO COMMENCI GWORK. <br />CONDITIONS: <br />N <br />• 2 k igail•M I " I ffel` • <br />... .. <br />•�1��•ZA4'lii.Tt <br />• .. 1-1-1:4 ..1.. <br />�� rrl�„• <br />�:. <br />., <br />aTiviojog.. • ..: i f. . • <br />- <br />DISTRICT <br />u <br />ITE <br />� ikr <br />, a <br />PERFORMAPPLICANT MUST EAIN'I <br />REGULATIONS OF AN JOAQUIN COUNTY PUBLIC HEALTH RCS.OWNER OR LICENSED ORDINANCES, <br />SIGNATURE CERTIFIES THE <br />CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. i SHALL NOT EMPLOY ANY PERSON IN SUCH A MANNER AS <br />TO TING SIGNATURE CERTIFIES <br />THE FOLLOWINGJME *1CT TO WORKERS 1 CERTIFY THAT IN THE PERFORMANCE nOF THE WORK FOR WHICH THON LAWS OF CALIFORNIA,' IS PERMIT IS ISSUED, I SHALL EMTOR!S HIRING OR CPLOY PERSONS SUBJECT TO <br />WORKER'S COMPENSATION LAWS OF CALIFORNIA." �� �Q �Q <br />APPLICANTS SIGNATURE TITLE �lQl�� DATE yam==-= <br />--l----l----------------- .___�. _.__.-- . ...__ _. <br />■ ♦ rrr• . ♦ rPr• i WITH • • ..I ► rrr• r <br />CONDITIONS BELOW ANDIOR ON <br />PLA I N REVIEWER'S NAME 1 4" tiv, DATE—/*�& <br />ANY. DEVIATIONS FROW THIS AaUCATION� MUST BE SUBMITTED TO EHD FOR APPROVAL PRIOR TO COMMENCI GWORK. <br />CONDITIONS: <br />N <br />