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W1 <br />PUBLIC HEALTH SERVICES®u, <br />-of,; 0\ <br />SAN JOAQUIN COUNTY <br />JOGI KHANNA M.D., M.P.H. <br />Health Officer <br />P.O. Box 2009 (1601 East Hazelton Avenue) * Stockton, California 95201 <br />(209) 468-3400 <br />Facility Address <br />Approved <br />Approved with changes: See remarks <br />Disapproved; see Remarks <br />Date By PL <br />Approvaloftheseplans extends only to that <br />which is shown and described hereon but does <br />not authorize or approve any omission or <br />deviation of requirements of State laws or <br />local ordinances. <br />1) Attached is the list of contractors previously <br />approved by Public Health Serv' �es, Environmental <br />Health Division (PHS-EHD). Any <br />deviation from <br />this * list requires approval by PHS-EHD- The <br />contractor selected from the above referenced <br />list shall notify PHS-EHD and shall provide a <br />completed tank tracking record before an <br />appointment will be scheduled. Any violation of <br />the above conditions shall render this approval <br />null and void. <br />Three inspections are required for the <br />installation, each with 48 hours advance notice. <br />One inspection is required for the removal, also <br />with 48 hours notice. <br />A Division of Son jn2quin Cuunty I-1valth CarcSrrvites 0 <br />