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Mai 06 03 06:06p TAIT Environmental S!datem ( l 656-1011 p.2 <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />zOa Iti wiaHER Ave. 3"9 FLOOR <br />STOCKTON. CA 95202 <br />APPLICATICN POR VNOEP:GRCVND'ANK RETIICP.T, OR PIPING REPAIR PERMIT <br />TMIS PERMCrV.P(RQS SO DAYS FRCAI'I'ME APPROVAI. OATS. 04 NOT WRITE tN ANY SWACED AREAS.INOICATE PECtMr •TYPE MOW - <br />Re_ 77?4,Ci 7'• TANK RLrrsCFR _.�PiPING REPAIRIM"CFIT _UNDER OIS�I:V ,ER CDNTAINMENT R&pAl�gTRCFr, <br />,...I C?A SITE.1 .................-,.PROJECT CQN7ACT & rzurBONS p - ^- -., ------ •- <br />I ......... -- . /].....----• /---C-y •. ...-----.--••••-• R� FieFSNoultC9,/0 'i £ ' PACYLITY $AA14C.2 d __�:J-%f .l.. . ... .............---- • ➢HONG.. .... _ <br />A <br />j•Ivooa�ss .- - - ......... ..........(?d9 �rGC�_G433... <br />I 5--l.I.Sc,v._....�4`�....------•......--- <br />I L 7toas•RTTN LT (t� 9 rj H(/�(G Ta N ••••• ••__._..-.-__.._- ...._,._.-._ <br />I T 1.Ow137F7U0POAATOR <br />------------------(Arc--- <br />---- -- - .. ................................... •. <br />Y s 6P WEFT- COA4ST PRODuc.773' 1 PRONE. nt2o9��y4- 33 5 <br />I� a I........zow ,�rueeL-----------------------------------.--------•------ ------- -•-• - -------------- <br />1—Q <br />0 w... .............. .�.T..fs-_!�!:f ......................................._...-+, P11C4fC R./9��I} �' iO ! I <br />1 N .... 1CIpl J1pLR - - 2 Za 2_ _ / ( t_ / / ► G - R_ . I CA L ZC M S' S� r7 ' •{�„ ', G sq - 5 • 1 <br />T _ �{' cz..�.. C /Q F} R I <br />R 1.IargvKsa.}_fSk£'.S�r_FNIT,i�s................... - --- NoRx.:ona.e ... �I14�1�i�4 <br />09Z................... <br />i C I OTKU. INFOIINAT:ON .•, - <br />R I ...........•-----....•_'..............•------------------ .-- -............................. <br />-!e-i .._ _...•l <br />• •Iil 1111:11111]!I1;]IIIii11( llf-----------------_---------------------------.------- � R <br />I I 39• TANK 1b ! i TJlNKr i15 I CHEMICALS 4TOAID R t/PREVICU$L'c ! DATE IJST INSTALL -M <br />I A 131- I <br />! K i SR• I ; <br />ililll i-i7i,i;lll11� I.li t;ill� lllr`rn; <br />PI <br />I A I I APPRAvm APPRED OVWET" CMITTON(S -�� DISAPPROVEM <br />aI-ZACKNF.VT *ErgCQI7DITIONGI C� <br />1 N , RLN QEViSMCAS NJM/F J <br />DAT! i <br />•'l ii •r{1111{{11111{{I: I. ill it i I. I, , }1111 ..,..i .11111}{ i!! 1 {:11111;::1o p,T„ '1� I IfTTT17II t:: :;; <br />L-%PLICANT MUST PLdF9RM ALL WORK IN RCCORtANDS NCTP. SAN JOAQUIN .00!117 OROINANCEG. SCATS LAWS, AND Xr-ES ANL AWLILA1TIONS Or <br />i SAN JOAQUIN CoIMTY. &F-780yM ITAL NLAL:It DBPARTKWI'. OWNER OR LLCZRSM A Orr'S SZONA- IVRC ."4. TIr.Eq THE rOLLC11TNGr •I C�2T'cY <br />' <br />' In' IN THE PERRORNARCS OP TII13 WORK POR WRECK !1(17 PEPMIT ZS j4bW=. I BfV1Lu R1 <br />NOT 83AY R,NT PERSCN IN SUM p.5TO <br />I RECON/ 7UDJ8C: O:R <br />TO WORJ'S COMl7N4ATLOW [dM6 OF iJLL.I PORN IA.CCW'RIGTOR•S KIRLNO OR SLMCONTRJILTINC glvlfAi JRfi CA MANl. ,FZES <br />' FOLLOWING: •1 CERTIFY ALIT IN TRC PCRPQAWCB 07 THE WORK FOR WHIEN THIS P'-'RMIT IS ISSUE , I SNALL c.MPLOY XERSON3 JJW 'NS <br />TXrp <br />-IORKn'$ C9,,Fw*ATAN <br />IoN LS OP CLLIFORNIA.' <br />I <br />i <br />I APPLICAici'$ SSQ a:uRe: 1 <br />.. ............................... ....... .................. <br />_._ <br />BILLING INFORMATION: <br />indicate the responsible party to be billed for additional EMD staff time expended beyond perr-iit payment <br />coverage per tank. If the party designated below Is different than the permit appiicant, e.g. property <br />owner, the party must acknowledge this responsibility for the billing by signature and date below, <br />Name Address 1/ er Arvtk Dt Phone #704,1 y3„4 <br />Signature 47791X4"67az3 <br />FH23v^^038 <br />(revised 1/31102) <br />