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F:ag 14 08 08:44a Cit Of Stockton Fleet 20993764 p.2 <br />^� ULIVI <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />SAN JOA,QUIN COUNTY <br />609 »;alit Maim Street, Stockton, California M02 <br />Teie bene. (209) 468-M20 Fox, (209) 441.3433 <br />APPLICATION FOR UNDERCROUND STORAGE TANK REi'ROM PAIR PERMIT <br />THIG PF,RMR &;AprRCA 1R0 DAYC FROM Tr* APIROVAL CATe INDICATE PrmWT ra <br />DANK REYROFrT PIPING RErAIR1RttTRORr r OUDC REPANirtt SVR UPOpAv[ <br />A EPA 31te p — - p►mjpct CorXW Is Trlt:phone a t 4 <br />Fdcltlty Na Phone 0 <br />L _Alt"I <br />TC+bev 5tmat _ <br />Y qtr �►� Pham! * �f S <br />G Centtfl to e, PhonuV2_459 <br />T Cmmtrtrotar Athdrll CA 1.1c Xa6t�`�iD. Cine} t <br />R nDurw <br />A IWtxk Ctmip#5�b t <br />T <br />T ICC Teftiden's 090cailon r _*kMao Cute <br />o 'CC tnetaltar'a Cermcotbn Number <br />a m_ T _ 41PIK11i0n Dafo <br />Tank ID tY TAnk SIwe Chemic -ab 91brw Date UST Installed <br />- Curlentty/PrevoLmsy <br />N — CSL <br />Jtas.. <br />` OAPPr� prod with conditions ❑biWIM wee <br />A (See Mw mhht Witr, Condtbons) <br />N Plan Rioviewm Name oato <br />APPLICANT MIDST PERFORMtACCONKNCE IMTIi SAN JOAOUIN COUN1r ORWW4ce& $TATE LAV4. AND RUmlzt ANC REWLILTIMS OR SAN <br />.bAOmI1N lrDUNTY. CLAVI fl OR LICEN".rEb AGP,NTs 5IQWAYt1Ra ,'inRiFlCg tL07MlNQ; '4 CGRTIPY T171Ij R'mTNC pmr, OR ICH THIP Pnmrr IBI U CMPLOT ANY PERSON IN t.L= A IIARP"A9YO WOW $1J6.EOT TO <br />MAKrPs CO Tt]FOp1wA• CONTRAOTOR'y kfflma an a ONTRACTIND a10NATi1NF CCR TW, noLLumm 'I CERT1rY <br />THAT IN YHE PER OR wNIC"'rHIS PERMIT IS ALL EMPLOY POWONS 9U�T Tp . t1`MWS NBATIQH LA%d <br />Indicate tha r0mp0naibttt Pdny to be NiNrt9 lot oddhlprlal EHD steft time expended beyond penta Payment 0owwape Dw tank, If <br />the Party 01031 *below is diflorcnt than the permit eppilwnt, (S.U. proparly the party must aakri"ecoe the <br />WOoncibelty for ft MIN try algnWure end detr below, <br />Lcar=_ nTL <br />CM73 UI Irewsed 17n1m) <br />1 <br />