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4 � <br /> Z <br /> ' I <br /> / 1 <br /> ENVIRONIENIAL NEAI.IN DIVIU011 I <br /> i <br /> APPLICATION FOR UNDERGROLINO, STORAGE TANK CLOSURE PERMIT <br /> I'ICAtToN 101 PERMANENI/TEMPORARY CLOSURE OR AIANDONMENI IN PLACE Of UNDERGROMD HAYARDaIS SMSIANCE STORAGE TANX <br /> S PERMIT EXPIRES " DAYS FROM IRF APPROVAL DAIS 00 NOT WRITE IN ANY SHADED AREAS INDICATE PERMIT TYPE IELOITI <br /> X REMOVAL IEMPORARY CLOSURE CLOSURE IN PLACE <br /> E#si lF r CAG 001022416 Y PROJECT CONIACy A IELEPININE 1 (209066-0131 Paul Sousa <br /> FACItIIY NAME Valley Wholesale Drug C , Inc PHONE 1? (209)466-0131 <br /> ESS _ 1401 W. Fremont St Stockton, CA Q5203 <br /> CROss 51RFET Pershing Ave. <br /> R/DPERAIOR _ PHONE <br /> Valley Wholesale Drug Co. , Inc. (20 <br /> 10111PACIOR NAFIF J113, III(), Itc oil I llRc PHONE <br /> (2021462-45131_ - <br /> C RACTON ADDRESS <br /> 351 II flec,l<Inall Hcl I` 0 Ux, syr a IIc Iryc�(,I �� clAss a p �1a� <br /> fHSlIRER I lte,rrl,lns I'Und/ Pacific Insur. Co. , LID WORK COMP E IU9�IS�; ml). Ifls;`fUld <br /> r D1sTRI[r The City of Stockton PERMIT ^ <br /> 1 '1011 aIJUI ova! c)L-ILL _ <br /> IA11tRr NAYtE ...._ —�_ PHONEI <br /> _ y c3r_a-t.nrs�s- __ (209 3 572 0900 <br /> Ge <br /> I�pro I IFN GeoAna 1 y L)c,a I Lata Lor i es PH'*' r (209)572-0900 ' <br /> III IIIIII�IIIIII11111 <br /> 1 NK RD TA#k 1119 CHEMICALS STORED CURRENItY/FRE�IIOUSLY DATE USI IN AILED <br /> IV Ur c' r '111 f <br /> so a on so , <br /> s <br /> s _ <br /> sv <br /> �lllllllllillllllllllllill 111tllrlrlllllllllll�`IIIII111111 iiiIIIIIIiIiIIlI1111111I(IIII([II111111 11iIIIIIIIIIililll111 ' <br /> 1 f J APPROVEpLA <br /> f , APPROVED IN CONDIIIONIS) DISAPPROVED <br /> ��!`i�777TTj� i t r /� <br /> Aft 1HMENI WITH CONDITIONS) r /3 <br /> i Ilfll!IIIIIIIIIII Iflll�llllll�Illil lfl /I1#Ilr llnllllllnlnnnlllllnnllnllluf lillrinlnnIII Jill( <br /> lnlnnl <br /> ICARI HOST PERFORW AIL WORK IN ACCORDANCE WIJR SAN JOAOISH COITNIY ORDINANCES, $WAIF LAWS, AND RULES AND REGULATIONS Of <br /> J GUIN CoUNfY Pllbll[ HEALTH SERVICE! MINER OR IICEMSED AGERI't SICNAFURE CERTIFIES 114E FOttoW1NG: "1 CEAIIFT THAI fitroRMAHCE OF INE WORK FOR VOTER 1NOS PERMIT IS 11sl1ED, 1 SHAtt NOT EMPLOY ANT PERSON IN SUCH A MANNER Af 10 IECONE <br /> E 10 WORKER'S COMPENSATION LAWS Of CALIFORNIA " CONTRACIOR'S MIRING OR MCONIRACTTNO SIGNAIURE CERTIFIES WOE FOUCUINO: <br /> E IFY WHAT IN INE PERIORNANCE Of THE WORK FOR WHICH THIS PERMIT IS ISSUED, I SHALL EMFtor PERSON! SUDJEU 10 WORKER'S <br /> ENSATION LAWS Of CAtIFORNI <br /> I F'S SIGNAYUREI O OAII .3 <br /> r <br /> 0 �fY i �'1j1r'1',t <br /> I� Rr�1�ed 7/10/92) Paye <br />