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Nbv, 04 0$ 2:IOp Plant Engineering 468-47q•' <br />ieuv VJ LVuu Au. uGnl'. I.nJCRJC JGVV I- J <br />r.� <br />^11/83/2805 13:48 4648138 ENVIRONMENTALHEALTH PAGE 0] <br />SAN JOA(1U1N COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />304 E WUFA AVE. i"° FLOOR <br />5TOCKr0N. CA 95202 <br />Apn CATION FOR L*C"GRouND TANK WIM61T. OR PIP04 REPAIR PERW <br />T PEAW EMM 90 MYS FROM THE APPKWAL MW- DONOT W"M IN AW StWDED ARE , t=CAM PERW TYPE BELOW: <br />� fWAIwRETROFlT ___ etNt>ER DtSPE/15ERC4NTAlNMENT <br />•1 re i1t _Y✓..T.A.-N{K��®R,E:T..�f.�P.1NN�G .�..r//�,.:�.REPWR-C.xT <br />............ y....... <br />-i.- <br />---. 'i' ._ <br />.............. ;;t;t`Te46e!!!•iL. <br />tA eta • ...- .._.. <br />•«;��ay'fZ. <br />�"YC�.?.7...3., <br />--------------------------- <br />95 <br />-------- - <br />ss®M4-i- <br />•�I!1 <br />=- L. f ;ttS`i..r •• - .� Y �- <br />L 1 <br />--------------- Chase rrn`ast........................-------- ._.. <br />---------------------------- <br />c l oovin,cro* nn(� t4_rCA ,,,s?X!c�' c -1 _� <br />? : Cm1fTNACT911 AppK•• ...• �.-------------------------- <br />A <br />._------eAWtK.cvPlr <br />R I Ir91Alm Y,L Y QQiZ - •- --------------- --- <br />A t........ .............. <br />C 1 .I... ..... N. roe _... <br />o:._......_.....__.... - ... .................................... <br />....._..... ---.. . '"_'.'.. .... tYtoost.r oAts vaT noetAt.LVD I <br />IIII U 11111111111111111111111111 ST ` I <br />fw• !o • <br />4 1 Df- 1 1 I <br />A I Sa- I 1 i <br />NI Ds- 1-------------- <br />( K 1 D?• I ( t <br />( ». 111 l i I 11 1 I 1 1{ I 111TTT I I I � <br />i <br />•�-illll 11 I 1 t I) 11 It 11 S 11 o1sAlserwfD �' <br />� 1 .• (AVFaweo A�saovm ■ate weeotz:onc•t <br />® { • NG ATEAo47oPT VLSN Oo1mETE0Y•1 �— <br />i r i KLAN •eVisNTee ease ( 1 111111 t I I <br />--I 11111111111111110 111 I1 111 I tl ,.I I I II III 1 <br />1 RDAMCB MPTP I/✓ JOAOVtd COLN" owt»A=q' Ma .la". NfU KtR.m Aso K9GIILATIDN9 of i <br />At0610J1I IM1151' OEefORN AL1, V6RA� PCALTR 01<•RA21mf7. *an OR L;CZOSW AC WI'•H 9tEttA'117Ae cts�'tlF.Ie9 TN PCK A j'XK O. 'I C>QTlfY I <br />ISAO jiOwIN Coca", DMI R MMl O1 21119 eiN4lT IS tSs2+ca, t eeAt,L IIOT VOL" ANY •9A6`ON IN 9yCS(A PIAN1+gie A8 TO i <br />I•AT IN TIM Mr0•l.ANdZ OF a 0•'S M11#0 oA iGlllb 6PL'oy rte CQATIF189 Iltt <br />1 TIdM LA+•9 OF GLIPOMIA.• OQI'tllA�t Aro1,0Y rtnaoNa Q1eiICGT t9 l <br />Won Mj= 1'0 N011KiR ® a► TN6 %W ®oe KNtce 1916 WAIT 12 LFSVm. ] tNAt t: <br />( Toi.l.oula.0: •1 C IMI <br />K CAL WMtA.• 1 <br />M6RPZA'7 a•RPe#•AlEop <br />Time ` t <br />( I <br />1 pt•PLIOWTrsc"T <br />'• IAE: ....... <br />........................ <br />I .—............... .............................................................. <br />.... _.....__._.. anTa <br />•- <br />BILLING INFORMATION: <br />Indicate the responsible party to be billed for additional EHO staff time expended beyond permit paymen <br />coverage per tank. If the party designated below is different than the permit applicant, e.g. property <br />owner, the party must acknowledge this msponsiblIlty far the billing by signature and date below. <br />Phone <br />am <br />Addressr7%"'���`-G''" <br />--•�- nature <br />EH230038 <br />(revised 1/31/02) <br />