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JAN-23-1900 06:44 P.02 <br /> SAN JOACIUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRC)NMENTAL HEALTH DIVISION <br /> Ai PLNca IbN UMa�IRti F OUND STORAGE TANK CLOSURE PERMIT <br /> T IS-pERM�T FOR p€nMANtNt MOOWY CLC)SURE()R A13ANDOt4MENT IN PLACE OF UNDERGROUNC►lMATARDWS SUt3S TANCE' <br /> $;TOFtA G ;fANK($) txp11tt$ldLSAV§PRISM 114E APPROVAL DATE. OU NOT"ITE IN ANY SHADIW AREAS. INDICATE PERMIT TYPE <br /> o:Rr=MOVAL f� µ r&AtN) Ll TEMPORARY CLOSURE 11 CLOSURE IN PLACE <br /> I,i r FACILITY INFORMATION <br /> I+E+Ik' M11001751 PROJECT CONTACT %yll_`iERti1 <br /> rACWftYLJR II <br /> CONTRACTOR INFORMATION <br /> c-. PHQNE V - <br /> Col�l kl a Ably ! cA us f 4 ce ns -IL`A <br /> ' WORKER COMPfmm <br /> FLV MW..Mtt ' _ PERMIT 0' T1]ply <br /> - T COUNTS PHRN>r#� <br /> TANK INF-FiRMATION <br /> p11 TANK SITE - r11W CONF.ENrS(PRESENT A PAS��„ [�'rE INSTALLED <br /> ? rE �IPhLpMt WjaT PmpFU�. LL ftiM C IN ACC014 7AHCE WITI I SAN JQAUUIM COUNTY Qf2bll'IAwm STATE SAWS,TEDEfiAL 1AWR,ANI7.RULES l <br /> t C,tlLAT 71Ig OF"m"43t11fd COUNTY PURlIC HEALTH SER VICES QVflrll:lR CR LICEN$£D ACfF]1Tl3.ST(+aIQATUIiE CERTIFIE5 THE FOtlGgVl1 <br /> _IEEJtlIF1''4 0.IH TF*P*J*0kpa NIfi OF THE WORK FOR wilcH T141S PERMIT I5 ISSUED.I SIIALL NOT EMPLOY ANY PIMSON:14 SUCH A MNJr4EA <br /> t71 UMC 6Cf 1x9 wmKER'S COAaPE96MION(AY)S fir CALIFORRIA' coMT.Sl11GrgR'$HIRINr+'Q1T+K18GOrtTRACTING SIGNATURE(:E TIFi <br /> I .��QIYVM d-14'ERTIFY"TIN THE PERIZORMKFICE OF THE WORK FOR"4W-A THIS PEFtfiff IS IS�St*D,I$HALL EMPLOY¢ERSCIN$StJgJFm <br /> a T <br /> ' �vlr�tlt����IpAr+ol+t�v+rsoF <br /> APPLICAfFT S S TUF(E TITLEP .. �DATE17 f2A <br /> Xef4ktNCald <br /> --- r EV callor+lc s�ELrswnu <br /> CI ITI flwAttcwul�lu 7 APPROVED : APPRUVFQ IMTi-I COFJCIITIC}�I S) Q QiSAP'PROVIED <br /> PLAMAEVWwtR'S NAME nil, I I 1�1 a+--• [)ATE <br /> Y';bavl14TI()N'a fi#tT)IwI TNrs APPLICA70H IIdUST BE 5UB IT7EI]-to sm rok APPRQVAL EFUG l To x OMMENC1i+Ix3 VIC 6K. <br /> t , ONDFIIONS: <br /> i:° <br /> 1 <br /> TOTAL P.W <br />