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i <br /> ENVIRONNFHTAI- HEALTII DIVISION <br /> APPLICATION FOR IINDFRGROOND STORAGE TANK CLOSURE PERMIT <br /> nr.r lrATTnll TOR PERMANENT/TEMPORARY CLOSURE. OR ARANnoMMENT IN PLACE OF UNDERGROUND HAZARDOUS SUDSLANCE STORAGE TANK <br /> talc FD <br /> fTRNiT EXPIRES 90 DAYS rRo" IIIF APPROVAL DATE. DO Not WRITE IN ANY SIIAC105UREA IN PLACE <br /> ATE PERMIT TYPE BELOW! <br /> YREMOVAL - 'FNPORARY CI OSIIRF _ __ --_ <br /> �7 A/o,en�,ll�h�, -- <br /> , 1 RI1F # C/7L_UQ� �y-�- 6y� - - ---.I PROJFri CONTACT 61EI FPIInnF M 1 <br /> rIIONE # <br /> t"Il ITY <br /> ! n!.,rorcS , zP+S9 LJJy51_]Y�S..l1a'JAID_ILa._ <br /> — SpL'0-i <br /> I I, 1' /•1 <br /> "l!rP/nrFRAIOR <br /> i - I• rNONE 0 <br /> •"•'11RACTOR NAME. q 't IJ� 4•KU1PC .__.- -_ -__._-. _ _._ ._—..._.-..- n . I CLASS /�- I{'�Z <br /> -,. �nFl nL�n1--- CA LIC # Er ��E// <br /> n r.nnnnrrnR ADDRESS X518 B_tL����t- rgq`""�� C�-- - - - uoaK.Ca+r.a <br /> — — -- <br /> P mr"PFR PERMIT 0 1 p <br /> 3ctIO <br /> tirr DICTRICT 'h•- ,� iite Q!Lw_V� Wr'- - - _.___—_—_.-_--- PIIONE # JO? -S4''Lal <br /> •, IpnnPATORY NAME FCLL �,nl�__.____...._- -- ... _____- _._— PNONE 0 2,,e. <br /> v "nln•1111G r1RH INSTALLED <br /> TANK SUr. CHEMICALS STORED CURRENTLY/PREVIOUSLY DATE!LIST <br /> TANK If - nq/ <br /> IlOnsT IInNr <br /> Gibe WILLOW E)EnM 2358 <br /> srECIAL ArCOUNr 19 �Z <br /> 834 FFTANCISCO BLJ <br /> VD. WEST 1 aA iR 21/122D <br /> t•! - nn SAN OA EL,1CfAI 94901 <br /> lnny10 lhe <br /> der <br /> order of I.tl�l i�2.0.TTHL \ <br /> 1 <br /> , I $ �3L�• Qo n1T111I1T1 <br /> n,n PrvrFura! <br /> Iwo NIL1l��L0� 1 _ II <br /> �� jbLLk" - - - Dollars oT11ATF IN <br /> First m.ri,. n w a s p :CONE <br /> nrr1 ICA11T 191ST P Mfersfafe 1421 R,omomce E FOLLOWING! <br /> -.R vNA!II II CTA)1 ^��ftyAnk !nzn mr,r n„nn �^-� <br /> Fnt I l I\ � r� �W`n�ln.u,�!�Qr``no,n. <br /> ir.r rr'PrnnMNICF GQ�(j <br /> ..r.nirr:T TO W'1PK! 11...A,...�_f-T- <br /> • ! rt PTIrY THAT 1�e_.__,} <br /> IDN LA <br /> •n — <br /> ., , I'nln•i91rHATvnr: _J�--ll.� Gi:L��U-f-- '- - -- <br /> 3�/23FF1� <br /> �� 3 3 rn9n 3 <br /> t,r •• OV, (R!•vicod 7/10/^.)) <br />