Laserfiche WebLink
04-03-2001 08!29PM FROM TO 36919951 F.32 <br /> UNiFIED P ROG RAM CONS OL.IDAT ED FORM <br /> TANKS ( <br /> UNDERGROUND STORAGE TANKS — FACILITY <br /> r <br /> Pa <br /> go 9a{»r arFl 1 <br /> Paw 01 -. <br /> tt §OF ACTION Ix,, NEYY SIT PERMIT rS.F,EN LPcRWT r1CtPNGE OF WOFI T*N(Epldrf-Mfi K• r1.P°RMAHENTLY CLOSE:911F <br /> (OMCTa1F1 -w opL una0 raTANR REMWlO NXI <br /> r AMEC OED PER YT r 6 TEMPGWIRY arm CLOSURE 3 <br /> 1.FACILITY!SITE INFORMATION <br /> "NESS FAC L MO s <br /> St . John' s Episcopal Church r <br /> yYWia6.T sof FACIiI aAT.ER TYPE A R. LOC',LAOINCYMSTRICT- <br /> „,(� Miner r 1. CCRMRATIOM r S COLNTYAG9NCY <br /> 91J51N • r 1.G I STAT IDN r$.FARM r S.GON-`FIRCW 7 mxvIDOAL r a v.yfi AG:Nerr <br /> F zCWMWJTDR r A PRoc Esson m OTME X 3C VNe"Hh r FEDER.4AGENC`�• <br /> rc <br /> T AL n,AMe TANKS N nr+`h M.VViaM1 RaarvNon U rPA'Mr C U$ R a"(C aaarcr.NmRM <br /> 4NRM'A'J1 <br /> 144 AT 9TE eucea+aT 6.uw�.amen w d+a wtwl CPFrYaP VIC LaT. <br /> 1 IT}YJ iC Ine:.arela pQaon fu nv tww rvmaF 1 ' <br /> aDa rvr j�Ne 'oe � <br /> II.PROPERTY OWNER INFORMATION <br /> mmoPHONE nP <br /> St . John' s Episcopal Church ( (209)466-6916 <br /> MAXINGOR6 ETAODUSS Apa <br /> 31 1 Dorado <br /> j bTATE 4 <br /> 11 DP CODE ♦ti <br /> , Stockton, CA CA 95202 <br /> R^'OMTIER TYPEr 2. wowuuAL OWAICT r 5. aTATEACENCY "a <br /> R, muo c% r]. PMR, R$NIP r > cowi "AGENCY r 7 FEDFAAL AGeNCY <br /> Ill.TANK OWNER INFORMATION <br /> Ala PNCCy Ari <br /> MAILING CR At <br /> c1 <br /> fff222- at? ` Ais MP <br /> u A, <br /> II I+�•�•^._ r 1. )NwoUAL r s LOLL AGENCY r D,ETRICT r 9. STAT AGENCY 420 <br /> r 1. comps ioN r 3. PAWNIERSHP C i. OOVNTYAr JNCY r T. FEO*P AHNCY <br /> Call(916)322.9669 9 questions arise '21 <br /> PAICA MiTH=M r t. f"4wwplo r d. wpm. BOND f17 STATER r 10 LOCALGOV.TNECr 11eM <br /> r 2 GUARANTEE r S LETTERO cnorT r a MATE FVNO a CFO LETTER r ea OTHER <br /> r a PCA FANO r a. ELEMP"nON r 9 STATE FUND L CO al. <br /> GNiiaM CDN*Aeale.Nidl a:kMAFlvld b�uCadly lgPlfG1IOLLI1F rd matt. �1. FACLTYY r 2. PROPERTY Ov r 9. TANNOYmEA P:D <br /> DmiMPICCI: 1 Olr:h T11IDR Ir(amation PAW W Aran a Yu Yf0 CmueP Nnanm�..addCl mY+A�CMaOa- <br /> E P N[ G= <br /> OI <br /> LICA!(T/ � O R•C4rt CTT ' <br /> "E UV 9AC4,i wuo"R( mY W aA9f Qe 1PM LPGFAOE CERTIFICATE wMOEr.rh Ata voe a ,' Qa 1 <br /> I <br /> UPCF 0/99 r !Sed) 5 " J Form-1Y SWRCS PVA <br />