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ii i i>,i.., iu•..,ii-i i rr.Ln i IU 1D 1LJO140-)=7 o r- VJ4 <br /> PUBLIC HEALTH SERVICES <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DMSION <br /> Karen Furst,M-D., M.P.H., Health Officer }� <br /> 304 East Weber Avenue,Third Floor•Stockton, CA 95202 <br /> 209/468-3420 <br /> � a <br /> PERMIT APPLICATION ENOV 2 0 1998 <br /> '' '/"r0NME�tj-- <br /> UNDERGROUND STORAGE TANKS hl_ H,EA <br /> NOTE: 014LY UNDERGROUND STORAGE TANKS CONTAININGMOTOR VEHICLE FUEL MAY BE REPAIRED BY THE SERVlo� <br /> INTERIOR L114ING PROCESS. IN ACCORDANCE WITH SECTION 25296 OF THE CALIFORNIA HEALTH AND SAFETY CODE,SUCH AN <br /> UNDERGROtiND STORAGE TANK MAY ONLY BE REPAIRED ONCE. <br /> Site EPA # <br /> Tank ID <br /> FacilityName: l 1E>G,-L-(-) Facility <br /> Address: 445 1A G-{ CEIZ 'vVA--f' City: STG�iCTof`1 <br /> State:_fA.__Zip Code: <br /> Contra or Name: _EAi17IS-O M <br /> Contra c or Address (mailing):_ Wl 1,L,l 9�f"7 �7 City: <br /> State:-LAn Zip Code:—IVal-7 <br /> Lining ontractor: Ki r/ _ Lining: <br /> Contractor Address: City: <br /> State: Zip Code: <br /> O Approved 13 Disapproved <br /> d Appr ved with the following conditions. <br /> Date R.E.H.S. <br /> A Division of San Joaquin County Health Care Services <br />