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PUBLIC HEALTH SERVICES <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DIVISION <br />Karen Furst, M.D., M.P.H., Health Officer <br />304 East Weber Avenue, Third Floor - Stockton, CA 95202 <br />209/468-3420 <br />PERMIT APPLICATION <br />TO INTERIOR LINE/REPAIR UNDERGROUND STORAGE TANKS <br />PgUlry <br />NOTE: ONLY UNDERGROUND STORAGE TANKS CONTAINING MOTOR VEHICLE FUEL MAY BE REPAIRED BY THE <br />INTERIOR LINING PROCESS. IN ACCORDANCE WITH SECTION 25296 OF THE CALIFORNIA HEALTH AND SAFETY CODE, SUCH AN <br />UNDERGROUND STORAGE TANK MAY ONLY BE REPAIRED ONCE. <br />Site EPA # O 0G(D4 <br />Tank 1D # �U l6 <br />Facility Name: <br />'-T - lq - 6-0 <br />Facility <br />Address: <br />Rc>�xed <br />State: ,A Zip Code: 6-1? <br />City: -mac=! <br />Contractor Name—i) S -bra5'ltid Srv1t-C7 <br />Contractor Address (mailing): 7. v ' ' <br />vc-' His State: M Zip Code -.__Z3&3: <br />^ c. <br />City: <br />Lining Contractor: /`' w, <br />Contractor Address: <br />State: Zip Code: <br />Lining <br />City: <br />*'XApproved f,-�CdY!oLaZc,n� ❑ <br />YApproved wi(+yh,� the fo�lllowin condi ions: <br />J /7 <br />Disapproved <br />1 <br />Date (P S� <br />R.E.H. <br />A Division of San Joaquin County Health Care Services <br />