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<br /> +- a APMACA1109 FOR PERMIT e: SAX JOAQUIN LOCAL HEALTH DISTRICT r,--:.
<br /> Q4ERGROUND TANK t: 1601 E MIELION AVE., SIOCK101s CAA: 01_�5�1
<br /> CLOSURE OR ABANDOM41 t; Telephone (209) 168.3421 N 'lam
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<br /> APPLICATION TOR PERHANENTlTEMPORARY CLOSURE OR ADANOOHMEMT IN PLACE OF UNLFRGRDUNO HAZARDOUS SUBSTARLES STORA6E FACILITY F,
<br /> THIS PRKII ETPIRES 90 LAYS FROM THE APPROVAL DATE. 00 NOt YR:TE ;N AMY SHADED AREAS. INOICAIE PERMIT ITPE BELOW:
<br /> REMOYAL _ TEVCRARY CLDSURE __•_AOANDONAERT IN PLACE
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<br /> Y EPA SITE 1 CAC 000160205 PPaJECT CONTACT i TELEPHONE I h�ARTN HORPF --��-
<br /> I [209j1�2-h5J)1
<br /> t FACILITY x4MEKBTS _ PHONE 1 (209) 023-3697
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<br /> C ADDRESS 23675 S. Airport Way, Manteca, CA
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<br /> I. CROSS STREET West Ripon Road
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<br /> 1 CWIERPOPERATOR IKBTS PHONE 1 (209) H23-3897
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<br /> C COXIIACTOR NAME JIhI THORPE OIL, INC. a- PHONE 1 (?09) 462-4581
<br /> O -- 495699 S A. Haz.
<br /> II CDWIRACTOR ADDRESS 351 N. Beckman Road CA LIC P CLAS.
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<br /> R INSURER on file YORK-CQKFA on file
<br /> C FIRE DISTRICT Manteca f Y PERMIT I:INSPIR g!-aa 5-�
<br /> 0 UJUAIDtY NME Canunie Environmental PRONE 1 (209) 903-1'340
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<br /> SPJIPLIK&ftRXt same SAXPLINS METHOD Brass tube - 2'-3'ft. below tank
<br /> TANK ID 1 TANK SNE 'HEHICALS STORED CURRENT! CHEMICALS 5162EN PREVIOUS!
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<br /> LIST ADDITIONAL TANK XORMATION AS NEEDED ON SEPAP.ATE FORM
<br /> APPROVEDAPPROVED PITH COANJIGN5 D15APPROYED
<br /> L ISEE ATIACIvat WITH CAXDIIIONSI Vic,
<br /> A LAN REVIEWERS AME ................ �4:�:::::'..::._...... ::- -DA1E.-- - - _.�1.-•• -
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<br /> AMICANI MI PERFORMS ALL W4tT IN ACCOROANCE WIN SAN JOAQUIN'COUNTY ORDINANCES, STATE LAWS, AXP RULES AND RBULAMONS
<br /> Of U IAII JOAIIUTN LOCAL HEALTH DISTRICT. OWNER 02 LICENSED AGENTS SIGNATURE CE;TIrIEs THE FOLLOWING: 'I CEtIIFY THAT
<br /> IN THE PEtfORNAMCE OF THE WORK FOR WHICH THIS PEANII IS ISSUED, I SHALL NOT ERPLOY AXY PERSON IN SUCH MANNER 0 ZO IECDH
<br /> SUIJECT TO=Kit'$ COMPENSATION 1AWS Or CALIFORNIA.' CONTRACTOR'S NIRIXS M SUBCONIRACIINO 516MAIU29 CERTIFIES THE
<br /> flllUdlkii 11 CERTIFT THAT it X PERFORMANCE Cf ITFc WORT fog WHICH IRIS FEIiIII IS ISSLED, 1 SHALL EMPLOY PERSONS SURJEC
<br /> IA 9=01 CQOPEk5ATI34!AL'S Of CALVOINIA.
<br /> CALL FOR I. 'EAST 43 HOUREI IN ADVANCE
<br /> ' � /I >� VicE;-President SITE 3!31/89 '
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