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�i <br /> • <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> SAN JOA%4N COUNTY <br /> 600 F.,W Maw sura,sem, ftw*a ft-2n <br /> Teb*bma(20)468-3420 I F=(2@9)4683433 <br /> APPUCAMON FOR UNDERGROUND STORAGE TANK REQ' W OR POING REPAIR PERMIT <br /> Elm� <br /> RR THIS PERMIT E{XPE�MS 980 DAYS FROM 7HE APPR VAATE E PGRMffTfPE GROW <br /> aAW RE7ROFfT L�fPMIG R� IRAWROFrfSTAR'*w LpmAm <br /> F EPA Site# N2&34 Proled Coded&Tdophbne 6 <br /> � <br /> Fac�ty Name SJC Sheriff I s Fu�eluig Operations Phone#209-468=4645 <br /> I Adm 7000 Michael Canlis Blvd French Cam 95231 ; <br /> L <br /> I Cross Street W. Nathews Rd. <br /> T <br /> Y OwnerA*WUW SJC - Fleet Services motor Pool(Dan ) Ptrorre# Zpg-,c 8-3098 <br /> o contracW Name Baglff EnterprLsess Inc. Phone# 209-367 4800 <br /> N Co or Address '2370 Maggio Circle,#4 l;o4 45240= :CA tic#774802 ch",C41(DU,D2 4,D4 <br /> A arlsur+er - =_fir sl ` Itssur c=m X00451 701 <br /> T Icc Techs 's Cion Number .524857641?_ �.�� Daft 6/4/09 <br /> R ice kato lei's Car on Number 8012444—UT Lie 6/23/10 <br /> Tank Size (areae cats Scored Date UST Irltda W <br /> Tarek ID# Currer��y <br /> T <br /> A <br /> N <br /> K <br /> P t—t_______ wo t�md" [lDmapprwed <br /> L �.PP�� ( AvdentH�Conte) <br /> A <br /> N Plan Reviewers Name Date <br /> APPLICANT MUST PERFORM ALL WORK W ACC04D ICE W rFH SAN JOVYLIUBN OOUNfYaWWJ@CM STATE LAWS,AND RULES AND REG UTV6 OF SAN <br /> JOAcAm coumy,BNviksominAL HEAuH oBPARi'M W.CNVNER OR WOH*M AGENM SIGNATURE CERT THE FCLLC ABrG 1 cEFrTIFY THAT IN <br /> Tt�Pf3 ORMAN(2:OF THE Wow FOR vwamTm PE uFr a asuED.,sKvx mar EMPLoy PERSON aN SUCH A MANNf32 A870 BECOME SUedECr TO <br /> worms COMPENSATION LAWS of CALt�a- CONiRACTORWS HRNO OR SUeOOM�SNYWURE CER'TIF TkE Foll,owLroa '1 c Rr r <br /> THAT IN THE ANCE OF THE WORK FOR VAMCH UNS P6iMR IS ISSUER i SHALL �,onr PERS=SUafi Cf TO Wolaa3M COMPENSATION LAWS <br /> OF <br /> ULUNG IWOMMMM. <br /> McffiCeta the respWm&w party to be bSed for addNorad EM*Aoff fom expsndad boymd pov. paynort <br /> mu acknowledge <br /> the qty desiWislad below Is dhierent flan +e permit appficarrt, 9 pal► <br /> resp" MW for the L`Nrug by signe& e and deM below <br /> Tr:LE General li r PHom# 209--367-4800 <br /> AEss 2370 Maggio Circle, Unit 4,. Lodi, CA 95240 <br /> SnNATURE r <br /> i <br /> EH2 (revised 12MM j <br /> 1 <br />