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t t>;R:tYAti:R,ft.Mr.tytv.t:r-tvt;,ft.ft,ftt?;,fft3-*ty.ft0.ffR:&Mt:�-ty. <br /> APPLIC1TIOr POA PERMIT w $11 JOIQUIN LOCAL HEALTH DISTRICTI: <br /> t; UNDERGROUND TAS[ t: 1401 E 8118L10N AVE., STOCKTON CIt: <br /> t: CLOSURE OR 11INDOYMENT t: Telephone (2091 168-3120 t: <br /> t tZ'tZ kt tZ tt tt tt tt'II'tVv-tt ffftffftti:fttt'tt.fttt'tt=kZ:tt-R:ftti:R:tt'ffff41:. <br /> 1PPL[CITION FOR PERMANINT/18MPOR1I1 CLOSURE OR ABANDONKENT 1N PLACE OF UNDERGROUND 91112BOUS SUBSTINCES STORIGE PICILITY <br /> THIS PERMIT EXPIRES 90 DIYS FROM THE APPROVIL DATE, DO NOT 1131E IY 111 SIIAD10 AREAS. INDICITE PERMIT TYPE BELOW: <br /> X REMOVAL TEMPORARY CLOSURE 1BIYDOSMENT IN PUCE <br /> EPA SITE Ik � f� {�1, PROJECT COYTICT i TELEPHONE IW916 } 444n9378IZM-Wes <br /> P FACILITY NIKE General Potato & Onion PHONE <br /> C IDDRESS 1541-)West Weber Ave. , Stockton, CA <br /> L CROSS Still? Washington <br /> I <br /> T OWHERIOPERITOR PEONS 1 ( 415} 974-4544 <br /> Y Catellus Development Corporation <br /> C CONTRICtOR NAME Jim Dobbas, Inc. PHONE 1 ( 91.6 ) 663-3363 <br /> { 0 <br /> It N COYTRICIOR ADDRESS P.O. Box 177, CA LAC 1 479128 CLASS A <br /> T Newcastle, CA <br /> R INSURER Alexander & Alexander WOILCOMP-1 Wll00302 <br /> 1 ,2 Embarcader _ <br /> C PIRG DISTRICT Stockton City Fire Dist. PERMIT 11INSPTR <br /> (� 0 LIBORITORY NAME Curtis & Tompkins, Ltd. PHONE I ( 415) 486-0900 <br /> R, <br /> SIMPLIYG FIRM' ERM-West, Inc. SAMPLING MEtYOD By band/Brass tube <br /> umm��imuuawrmn3����HiG1Hl9i➢[IY�tI <br /> TIN[ ID I TIMI SITE CIIEMICILS STORED CU,RRENTLI CHENICILS STORED PREVIOUSL <br /> T f e G1 2,000 gal. leaded gasoline +- <br /> [ 39- <br /> 39- <br /> 39- - <br /> LIST IJOITIOXIL 'ANE INFORHITIOr 13 NEEDED OW SEPARITR FORT <br /> JUYt81N31H1UtllIWkIWYIRYlkiltHtWlIUtlCdlll�lltlllllillll{tlWl Il�lfltlfilIil�illWdpJi�l3lt itllllWf{rll�IWL9� n1�R1IL� 91iJ}�IJ1IL �Et �i r��4i1"� L'GIfWWItlt liIMl11t1tIY:l <br /> P /F -b- APPROVED _IPPROS'ED WITH C09DITIOl3 _ DISIPPROYED <br /> (SEE t HM NT WITH COYDITIOYS) a <br /> PA PLAN REVIEWERS NA I rD1f8 �/(�')/ �t <br /> r __ <br /> " Y68uuulfuaultllllfl <br /> IPPLICANT MUST PERFORM ILL YORK 11 ACCORDINCE WITH SAH JOAQUIN COUNTY ORDIr18CES, STITE LAYS, IND RULES IND REGULITIONS <br /> OF THE SAN JOAQUIN LOCAL HEALTH DISTRICT. OWNER OR LICENSED AGENT'S SIGNITURE CERTIFIES THE FOLLOWING: "I CERTIFY THAT <br /> Ir THE PERFORMANCE OF THE YORK FOR WHICH THIS PERMIT IS ISSUED, I SHILL 101 EMPLOY ANY PERSON 11 SUCH MANNER AS TO BECOM <br /> SUBJECT TO WORKER'S COMPENSATION LIPS OF CALIFORNIA.' CONTRACTOR'S HIRING OR SUBCONTRACTING SIGNATURE CERTIFIES THE <br /> FOLLOWING: 'I CERTIFY THIT IN THE PERPORKINCE OF THE YORK FOR WHICH THIS PERMIT IS ISSUED, I SHALL EMPLOY PERSONS SUBJEC <br /> TO YORKER'S COMPEWSATION LAWS OF CILIFORWII. <br /> CALL POR INSPECTIONS AT LEAST 43 I•IOURS IN ADVANCE <br /> SIGNED_ <br /> OFFICE USE ONLr•-EH 23 046 12181 - <br /> SSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSS SSSSSSSS3SSSS <br /> SWEEPS I COMP I LOC CODE DIST CODE INOUNT DUE AMOUNT RCVD CKI/GIBE J RCVD BY Dill RCVD PERKIT <br />