Laserfiche WebLink
C <br />V22•titY�t%k26YSY�th'}v CXti kY ti t^1�Si�tY'SY'KS�tYti�ti�t2=St�l'Y%Gl�tiCi�S` Yk'�tY}2:�: <br />APPLICIIION FOR PERN(T w SIN JO!pM LOCAL HEALTH DIStRICTY . <br />UVDERGROU_NO TANK k: 1601 E HATBLTON AVE., StoC(TOI CIV <br />V CLOSURE OR ISINOO MY V TelepAanY (209) 468-3110 <br />Vti�ti�St'ti•ti`ki t't'kY�}Y�NB'2Sti�$2'S'`tVSxCtikYCi'}#�t; SYt2S2'tYkfiSY�tYti'tY�C2�kY� <br />APPLICATION FOR PERNAN901/11HPORM c0i' f8 OR AEANDONmul IN PLACE OF UNDERCROU80 9MIDOUS SUEStA4CES STOfIOE FACILITY <br />tN15 Pef4fi EYPIRBS 90 Dd'fS FROM 148 IPP80WAL DATE. DO NOT YlITE IN SII SIIAOBD IRE". INDICITS PERMIT TYPE SBLOY: <br />V REMOVAL - -- TINPORm CLOSURE „v_ AEAROONMENT IN PLICB <br />1 PL SITE 1 LA.L d00 -Z3') I ZI PROJECT C05TACT S TRLEPHONE ; IzI K <br />Y <br />F <br />FACILITI NAME Pg�l tvsl+ltj -,Hg; <br />(PNONE I-�pc�� 73 11 <br />A <br />_w <br />C <br />ADDRESS 44 5 PEIzs(}I1(C�-- AvFj S�OGL�OI.I GA 9Sz07 <br />, <br />I— <br />L <br />--.__ <br />CROSS Still? Rc6r NJAwP, <br />S(RJIT Glk)GrH PHONE 8 <br />-fir- SANDUI) <br />1 <br />. <br />CONtBACtGR N/N8 c�EE�TTT --'"PROBE T'-' <br />C <br />0-- <br />N <br />CONTRICTOR AODRBSS <br />CA LIC 1 CLISS <br />R <br />INSURER <br />IYORK.CDNF.1 <br />C <br />PERMIT 1ANSPYR <br />PIRB DISTRICT GI OF 5-(oc.ILL <br />0 <br />�- <br />- <br />LIBORIT011 EINE CA1.Ic>Q1E L�A&>eA-Op-IEs Pam I(�Zoq) 983- 3,40 <br />SAMPLING FIRNfG1�4bI�lE L (iC�12AT021Es SdMP6f8G nBtlaD rqp�6 NjETHOD��� <br />PANT ID I ?AVE SITE CREHICILS STORID ct"RFEWTO CHEMICALS STOR80 PR8910USL <br />T <br />[ 39 — 5s- _0 2 . _ <br />5 OGiO�CrA_T. nv i 1rIIF�1�F). _ <br />6ISt dDDITIGBAL TINK iM35- <br />TORHM 01 AS NFEORD OW SIPARIT? FORK <br />'�i&f�'JtGSYyb1SYUmN'.'6Vt5'�+„A'i1k":i'~�d1.�Lv'L'�,.W!"".e'�.aSA''GI'1Et%Rli;dt7Pffi 4kc01'4'.l'w.W'.tl„)Lk"ta'R'WtcA�+(si,dw:`o+rIL9„s�;�d,�,�,"FY@Ill..;�;;:�.uitllrxR'tt�LbAL@NONJ'Ikq:(. <br />IPPRo7R0 APPROVED 91TH cowTIOA4 DISAPPROVED <br />p 1[ _ <br />L {S88 it°I.IiNC81 B"R CONDI110BS1� _ k <br />0118 <br />I PLAN MI€TEES NINE <br />� <br />N <br />' tiY"3154.�ti-Y'' t'Pik7:4'�%w!i�i�"L'f��++�'X2aD: et'aV:2%Y,x#61ifVytr�'&iia:�stb;e''J'i�.��FG°1A'rA�CYi,�S:r�'9'dk�i!1H�'�'i4t .. <br />IPPLICAff RUST FERFORM ILL WORK IB ICCORDINCE FI1M SAN JOA4UIN Coolly ORDIBd8CE3, s!p?. LAWS, AND RUL84 AND REOULITIONS <br />OF THE $IN JOAOUIW LOCAL RBALIH DISTRICT. OfWBR OR LICERS80 AGERI'S SIORATURS CERTIFIES INE FOLL01 M 11 CERTIFY THAT <br />19 THI PEIFORNINCS OF T11E BORT FOR IHICR THIS MKI I IS 1351JU, I SHALL NOT EMPLOY 1l't PERSON IN SUCH MANNER AS TO SECON <br />SUBJECT N 9ORKE1.'5 CONPIASITION LIS' Of CILIFORNIL' C0!9ACT0R'8 21RIWG OR SDECOBTRICIINO SIOMITUIS CERTIFIES tab <br />FOLLOWING: 11 CERTIFY 1441 IN THE PRRAORMIWCE OP Till yowl FOR Jaju THIS PERMIT iS ISScEO, I SHILL EMPLOY PERSONS So8J8C <br />to IORIBR'S CONPEESAllot( LABS OF C,dLIPoilli. <br />CAL FOR INSPECTIONS AT Lis AST 40 110LTRS i N A1)VANCE <br />SIGNED CT_�QK �F1E Ddle_ 2- <br />yy OFFICE USI NLT--811 13 0I6 11/ <br />dS;;SSS;;SSSSS;SS;SSSTSSSSSS;S;S S fSSSSS3S;SSSSSSSSS'SSSSSSSSSSS5SSSS$SSS953SSSSS;SSSSSSSSSSS;SS;SSTSSSSSSS;;S;SSSSSSSSSSSJ <br />IST8RP9 1� COMP I LCC COOK D COaE' !MOUNT OU8 14Pi1'RT RCVO CKIf A RCTD IY 0118 RCYD PERNIT I <br />