Laserfiche WebLink
ENVIRONMENTAL HEALTH DEPARTMENT <br />SAN JOAQUIN COUNTY <br />APPLICATION FOR UNDERGROUND STORAGE TANK CLOSURE PERMIT <br />THIS PERMIT FOR PERMANENT/TEMPORARY CLOSURE OR ABANDONMENT IN PLACE OF UNDERGROUND HAZARDOUS SUBSTANCES <br />STORAGE TA `(S) EXPIRES 180 DAYS FROM THE APPROVAL DATE. DO NOT WRITE IN ANY SHADED AREAS. INDICATE PERMIT TYPE: <br />O REMOVAL ❑ TEMPORARY CLOSURE ❑ CLOSURE IN PLACE <br />C i(C b02 (p V6 ), Os FArII ITV Inl�no�eA <br />❑ APPROVED APPROVED WITH CONDITION(S) ❑ <br />(SEE CONDITIONS BELOW AND/OR ON ATTACHMENT) <br />PLAN REVIEWER'S NAME aA AJIM^ <br />DATE 1O Z,3 0°/ <br />ANY DEVIATIONS FROM THIS APPLICATION MUST BE SUBMITTED TO EHD FOR APPROVAL PRIOR TO COMMEN IN WORK.CONDITIONS: <br />EH 23 046 (Revised 07/31/09) 3 <br />6 <br />114Z. <br />