Laserfiche WebLink
APPLICATION FOR PERMIT SAN JOAQUIN LOCAL HE H DISTRICT <br /> UNDERGROUND TANK 1601 E HAZELTON AVE. , STOCKTON CA o <br /> CLOSURE OR ABANDONMENT Telephone ( 209 ) 468-3920 <br /> IPILIC1TI01 FOR PIIMI CIT/TWDILIY CLOSUII 01 1/11DOIMSIT II PLICI Of UIDRIGRODID 11111DOUS SUISTINCIS STORIGI FICILITI' <br /> TILS PIIMIT IIPI9IS It Bits IRON III IPPIOIIL 1171. DO TOT 11I7I I1 111 31110 11!11. IIDICITI PRINT TIP1 I1L01:, aLTH <br /> ry REMOVAL TEMPORARY CLOSURE ABANDONMENT IN- PLACE ,;._ES <br /> F PROJECT CONTACT ?"ark Tollini PHONE 1 209) 946-0246 <br /> A port or Stockton <br /> C FACILITY NAIF Ar=nia ADDFftSvi. Washington St. Stockton, Ca. <br /> I Port o£ Stockton -0246 <br /> L CROSS STRF�)oTd 1 `,, Road G 20 PHONE 1 946 <br /> I <br /> ryOWNER Cal Armonia PHONE 1 (209 466-9957 <br /> 2201 W. .ashington Street Stockton <br /> C CONTRACTOR NAME.lorth Cal Construction PHONE 1y JaF' -KPPF <br /> 0 <br /> N CONTRACTOR AD$R SS CA LIC I5o57G4 <br /> T �, Box $$ Stockton, Ca. <br /> R LIC CLASS A WORK. COMP . 1 CB 900-4991 INSLMstrial Inde y <br /> A - --- <br /> C FIRE DISTRICT COMA ny ,`..,1 1?Ol West?ias',_ington PERMIT 1 <br /> T m ' L <br /> 0 LABORATORY NAME J. H. Kleinfelder PHONE 1 �o / 14f-17m <br /> R <br /> SAMPLERS NAMELnknmgn at this ti^e SAMPLING METHOD grass Tubes <br /> C VOLUME CHEMICALS STORED I DATES STORED CHEMICALS STORED <br /> H ID 1 CURRENTLY PREVIOUSLY <br /> E - .1978 Nov Diese <br /> M 20 000 ermty TO <br /> I 20 000 erroty TO v <br /> C TO <br /> A TO <br /> L LIS ANY EXTRA TANKS Oil A SEPERATE SH ET <br /> P <br /> L (SEE ATTAC )NDITIO ) <br /> A PLAN REVIEWERS NAME DATE 7� <br /> N <br /> 1PPLICIIT MOST PUFORM ILL IOU If ICCOIDIMCI IITl SII JOIDUII COUITT O9DIlliCI1, Still LITS, AID 9ULIS UD 11GUL1f1011 <br /> OP Til ill JO1O011 LOCH IIJLTi DIST9ICT. Olin Of LICUSID 1G111'S 31G/1TU91 C11T1F111 TU FOLLOIIIG: 11 CMPIIII Till <br /> If Til PRIFORMUCI OP TPI IOU ?Of YIICI TILS PIIMIT 13 ISSOID, I STILL TOT mal Ill PIIS01 if SUCI MIIIIP IS TO IICOMI <br /> iU1J9CT TO 1091111'1 C0IPI151TIO1 Lill a CINFOP111.' COITUCTO1'S IIIIIG OR ill-CONTIJCTING 3191111111 CUTIF113 In <br /> FOLLOCIG: 'I CI9TIFY Till 11 719 PlfFofM11C9 OF Ill IOU FOR 111C1 T11S Pl11IT IS ISSUID, I 311LL IMPLOY P195013 SUNICT <br /> TO IORIMI/'S COMPIISIT101 L113 OF CILIFORIII. CONPLITI D11111G ON 1Tf1CM9D PLOT PLII SIUL <br /> CALL FOR ALL NECESSARY INSPECTIONS AT LEAST 48 HOURS IN ADVANCE <br /> SIGNED X � c � �-�. TITLE: F._7a- DATE.• )/ d4cy 8� <br /> ACCEPTED BY TITLE: DATE: <br />