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Stockton Fire Department • Fire Prevention Division <br /> 345 N, EI Dorado Street, Stockton, CA 95202 <br /> (209) 937-8271 • Fax (209) 937-8893 <br /> INSPECTION APPLICATION <br /> Application is hereby made fora ins ection as re uired b the Stockton Munlci al Code77. <br /> i • . . . ns . - . <br /> Application Date : AflY 16, 2020 Location: City ® County [� <br /> Describe Type of Business/Services : FueP Terminal <br /> Business Namet Nu Star Terminats Operations Partnership L . P . Business Owner Same <br /> BuslnessAddress 3505 Navy Dr , Stockton , CA Suite Zip 95206 <br /> Mailing Address 2941 Navy Dr. Stockton , CA Suite Zip 95206 <br /> Business Telephone 209-943 " 5662ext , 5516 Contact Person Pay Sni% th <br /> E-Mall Address�y smith ea<tarPna gy com <br /> Inspection <br /> Check type of Inspection: <br /> ® Special Inspection as City (charge per hour) <br /> ❑ Special Inspection - County Contract Areas (charge per hour) <br /> ❑ Permit and Code Compliance Inspection <br /> ❑ Permit and Code Compliance Inspection after 2"' Inspection (charge per hour) <br /> ❑ All other Field Inspections (charge per hour) <br /> Describe purpose of Inspections, closure in peace of a 6 , 000 eat , undegrt and storage tank <br /> APPLICANT SIGNATURE nay DATE 7116 / 2020 <br /> PRINT NAME. Ray Smith <br /> BELOW FOR OFFICE USE ONLY <br /> Issued by: Date Issued : <br /> Check # <br /> ❑ Special Inspection • City: Pay Code XX $ 048-2631 -342.23-00 <br /> ❑ Special Inspection - County Contract Areas: Pay Gode XX $ 048-2631 -342.23- 10 <br /> ❑ Permit and Code Compliance Inspection: Pay Code XX $ 048-2631 -342. 23-00 <br /> ❑ Permit and Code Compliance Inspection after 2^d Inspection: Pay Code XX $ 048-2631 -342.23-00 <br /> ❑ All other Field Inspections : Pay Code XX $ 048-2631 -342.23-10 <br /> INSPECTION DATEITIME: <br /> INSPECTION RESULTS: <br /> INSPECTED BY: DATE <br /> 02112/16 FPD FORM Inspection Application White; FPD File Yellow. Inspection Results to Customer Pink: Payment Copy to Customer <br />