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retttttttttr�rttettit wttktt-pt'tttttttttttttttrtttttttttt" Nt;ta /�`C AZx T7,4 C� <br />G APPLICATUNDER -^R PERMIT t SAN JOAQUIN1HAZE LOCAL HEALTH CK C D _ <br />e UNOERG�IO" TANK c 1601E HhZELTON AVE., S10CKTOA-CAa <br />t; CLOSURE OR ABANDONMENT t: Telephone (209) 468-3420t: <br />APR 19 1989 <br />APPLICATION FOR PERMANENT/TEMPORARY CLOSURE OR ABANDONMENT IN PLACE OF UNDERGROUND HAZARDOUS SUBSTANCES STORAGE FACILITY <br />THIS PERMIT EXPIRES 90 DAYS FROM THE APPROVAL DATE. 00 NOT WRITE IN ANY SHADED AREAS. INOICATFP�pgYlkEs LTH <br />_�__ REMOVAL _____ TEMPORARY CLOSURE ____ ABANDONMENT IN PLACE <br />C 000159381 <br />PROJECT CONTACT I TELEPHONE tMartin Thorpe, (209) 462 <br />nella TruckingPHONE <br />FADDRESS <br />/ (209) 943-5000 <br />_ <br />50 E. Fremont Street, Stockton, CA <br />Street <br />I <br />T OWNER/OPERATOR Panella Trucking <br />_ <br />PHONE 1 <br />Y 5000 E. Fremont Street, STockton, C <br />(209) 943-5000 <br />C CONTRACTOR NAME Jim Thorpe Oil, Inc. <br />PHONE 1(209) 462-4581 ` <br />0 <br />N CONTRACTOR ADDRESS 351 N. Beckman Road <br />CA LIC 1 495699 <br />CLASSA,Haz <br />T <br />R INSURER on file <br />WORK. COMP.1 on file <br />A— --- --- - --- -- <br />Ny� <br />�—_ __ <br />C FIRE DISTRICT Stockton <br />PERMIT I/INSPTR <br />T <br />0 LABORATORY HANE Canonie Environmental <br />PHONE 0 (209) 983-1340 <br />R <br />SAMPLING FIRM+ Canonie Environmental SAMPLING METHODSee #5 on removal plan <br />TANK ID I TANK SIZE CHEMICALS STORED CURRENTL CHENICAL)S STORED PREVIOUSL <br />T <br />A 39 �fG�'� ��i 5000 Unleaded gasoline <br />N 39- - _ <br />--------------------------- <br />K 39 --------------------------- <br />39- --------------------------- <br />39 <br />LIST AOD TIONAL TANK INFORMATION AS NEEDED ON SEPARATE FORM <br />P _ APPROVED APPROVED WITH CONDITIONS DISAPPROVED <br />- - <br />_ <br />L ISEE TACH�MENaT WIT�I'CONOIiIONS) ry <br />A PLAN REVIEWERS NAME �!C�%n om`----------------DATE <br />-- - --- - <br />- -- --- ------ --- --- - <br />APPLICANT MUST PERFORM ALL WORK IN ACCORDANCE WITH SAN JOAQUIN COUNTY ORDINANCES, STATE LAWS, AND RULES AND REGULATIONS <br />OF THE SAN JOAQUIN LOCAL HEALTH DISTRICT. OWNER OR LICENSED AGENT'S SIGNATURE CERTIFIES THE FOLLOWING: 'I CERTIFY THAT <br />IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I SHALL NOT EMPLOY ANY PERSON IN SUCH MANNER AS TO BECOM <br />SUBJECT TO WORKER'S COMPENSATION LAWS OF CALIFORNIA.' CONTRACTOR'S HIRING OR SUBCONTRACTING SIGNATURE CERTIFIES THE <br />FOLLOWING: '1 CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I SHALL EMPLOY PERSONS SUBJEC <br />TO WORKER'S COMPENSATION LAWS OF CALIFORNIA. <br />CALL FPR IN ECT AT LEAST 48 HOURS IN ADVANCE <br />Vice-President DATE 4/19/89 <br />SIGHED_f�_ <br />- -------------------------------------PS <br />Li <br />E AMOUNT DUE I AMOUNT RCVD I CKI/CASH I RCVD BY I DATE RCVD I PERMIT t I <br />4581 <br />