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ENVIROMENTAL WEALTH DIVISION <br /> APPLICATION FOR UNDERGROUND STORAGE TANK CLOSURE PERMIT <br /> APPLICATION FOR PERMANENT/TEMPORMY CLOSURE OR ABANDONMENT IR PLACE OF UNDERGROUND HAZARDOUS SUBSTANCE STORAGE TANK <br /> THIS PERMIT EXPIRES 90 DAYS FROM THE APPROVAL DATE. DO NOT MITE IN ANY SHADED AREAS. INDICATE PERMIT TYPE BELOW: <br /> REMOVAL TEMPORARY CLOSURE x CLOSURE IN PUCE <br /> EPA SITE f PROJECT CONTACT i TELEPHONE 0 Bob KUbena ( 209 ) 946-8288 <br /> F FACILITY NNE Production Chemical Manufacturing, Inc . PHONE f <br /> A <br /> C ADDRESS 1000 East Channel Street , Stockton , CA <br /> I <br /> L CROSS STREET Union Street <br /> I - <br /> T OWNER/OPERATOR209 943-7337 <br /> vxDRE <br /> r Lewyn Boler ( ) <br /> C CONTRACTOR NNE Turner Explorations PHONE f ( 916 ) 852-74.54 <br /> 0 <br /> N CONTRACTOR ADDRESS 3241 Fitzgerald Rd . , Ste. 2 CA LIC f 602720 CUSS C-57 <br /> T <br /> R INSURER Superior National Insurance WORK.COIP.f WCP60827A <br /> A <br /> C FIRE DISTRICT PERMIT f <br /> T <br /> O LARMTORY NAME Mc Campbell Analytical PHONE f ( 510 ) 798-1620 <br /> R Geological Audit Services , Inc . 95b-02b4 FIRMPHONE f <br /> ���������� AA K �0������������� Zp `` S$ 0pqq �R <br /> 39- 10� KdOlf 100 ga11 . CUn lUdde IED kerOSY/ne NOUS{T DATE UST INSTALLED <br /> T 39- 2 <br /> A 39- <br /> N 39- <br /> K 39- <br /> 39- <br /> 39- <br /> P <br /> L - _ APPROVED APPROVED WITH CONDITIONS) DISAPPROVED <br /> A (SEE ATTACHMENT WITH CONDITIONS) <br /> 4 PUN REVIEWERS NAME DATE <br /> APPLICANT MUST PERFORM ALL WORK IN ACCORDANCE WITH SUI JOAQUIN COUNTY ORDINANCES, STATE LAWS, AMD RULES AND REGULATIONS OF <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES. OWNER OR LICENSED AGENT'S SIGNATURE CERTIFIES THE FOLLOWING: •1 CERTIFY THAT IN <br /> THE PERFORMANCE OF THE WORX FOR WHICH THIS PERMIT IS ISSUED, 1 SHALL MOT EMPLOY ANY PERSON IN SUCH A MANNER AS TO BECOME <br /> SUBJECT TO WORKER'S COMPENSATION LAWS OF CALIFORNIA.- CONTRACTOR'S HIRING OR SUBCONTRACTING SIGNATURE CERTIFIES THE FOLLOWING: <br /> "I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WNICN TN PER IT S ISSUED, 1 SHALL EMPLOY PERSONS SUBJECT TO WORKER'$ <br /> COMPENSATION LAWS OF CALIFORNIA.• <br /> APPLICANT'S SIGNATURE, ITLE DATE <br /> i Z3 046 (Revised 7/10/92) PRBM 3 <br />