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00/09/2007 Tn M32 FAX 201¢4 3433 93C RED 0041003 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> SAN JOAQUIN COUNTY <br /> Last Weber Avenue,Third Floor,Stockton,Califerab"M <br /> Telephone: (20)46W420 Fax:(20 9) 433 <br /> APPLICATION F UNDERGROUND STORAGE TM RETROFIT OR PIPING REPAIR PERIM <br /> THIS MIT EXPIRES w THE APPROVAL BATE. INDICATE PERMIT L <br /> EITANx RETROFIT RKPARMTROFIT Dwe wAwmm<wrr <br /> F EPS 3ft t ProjeCt CORW T Ot <br /> C Facility <br /> I Address <br /> L <br /> ICross sbast <br /> r <br /> "4 ,k n Lie 9 tj Class <br /> t,t c <br /> A Vftk C"> <br /> I ICC T n°sCertification Datme/s IL.,, On <br /> 4 <br /> R <br /> cc kmftws cemomon <br /> Tank W lie T UST histalled <br /> A <br /> K <br /> P with <br /> L E res} <br /> A <br /> N Plan RoWowen Dale_ 31 <br /> APPUCANT MUST PWORM ALL WOW IN ACCOftAKE VATH SAN XMWN COUNTY ORDINANCES,STATE LAWS,AND RULES AND ASOULATIONS OF <br /> JOQUIN COUNTY AL HEALTH AR L : "( Y TMT� <br /> THE PERFORMANCE Of s T 0 MPM MAIL NOT EMPLOY ANY PERSON IN SUC44 A MANNERAS TO 99COME SURACT To <br /> THAT 114 THE PER CT TLD ffi COMPENSATION LMYS <br /> W%810 ft MMMSMO PAdY to be bW for O . iai END Sbff beyond POMA peyOMd coverage per N <br /> 0. . adMowledge tils <br /> for by sigrIature wA date below. <br /> NAMk_TlTLf-_PH0NE <br /> sed <br /> 1 <br />