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• SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPAR MENT <br />APPLICATION FOR UNDERGROUND STORAGE TANK CLOSURE PER <br />IA <br />THIS PERMIT E OF UNDERGROUND HAZARDOUS& <br />STORAGE TANK(S)FOR <br />RARY EXPIRES 90 DAYS OCLOSURE I <br />FROM THEAP APPROVAL DATE. DO NOTWRITE CN ANY SHADED AREAS.NI D CA E PEI <br />❑ REMOVAL ❑ TEMPORARY CLOSURE CLOSURE I <br />FACILITY INFORMATION <br />TYPE: <br />PLACE <br />APPLICANT MUST ALL WORK IN ACCORDANCE WITHRAL <br />REGULATIONS OFPSANORM JOAQUIN COUNTY ENVIRONMENTAL HSEALTH AN DEPARTMENJOAQUIN Ty OWNER OR LCEN ED AGENT'SORDINANCES, STATE LAWS,E GNA <br />FOLLOWING: "I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I SHALL NOT EMPLOY <br />SIGNATURE CERTIFIES THHE FOLLOWING. 'I CERTIFY THAT COMPENSATION <br />THAT N <br />HE PERFORMANCE OF HE WORK FOR WH CH THIS PERMICALIFORNIA." CONTCTOR'SRTI SGS`. <br />PERSONS SUBJECT TO WORKOMPENSATION LAWS OF CALIFORNIA" 1 <br />TITLE a 7D/ <br />APPLICANT'S SIGNATURE' <br />O APPROVED <br />OVED WITH CONDI I lui <br />(SEE CONDITIONS BELOW AND/OR ON <br />A <br />5, AND RULES AND <br />5E CERTIFIES THE <br />Y PERSON IN SUCH <br />SUBCONTRACTING <br />:D. I SHALL EMPLOY <br />DAT <br />PLAN REVIEWER'SNAME ��� � <br />ANY DEVIATIONS FROM THIS APPLICATION MUST BE SUBMITTED TO EHD FOR APPROVAL PRIOR TO COMMENCING WORK. <br />CONDITIONS: <br />M <br />