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Engineering 81EW2 3760 p• 2 <br /> 12/04/2002 15:35 2094683433 FIFTH FLOOR �NtiE �' <br /> SAN JOA©UIN COUNTY <br /> ENVIRONMENTAL. HEALTH DEPARTMENT <br /> so E MIENIk AVE.r OLOOR <br /> ATOG1CTON.GA 11saw <br /> A7StWATION dOR UNt3f MAWNb TAMC RETRol"j.OR PIPING REPAIR►Er1M1T <br /> THIS pfiRMT EXAMS b OAT,kitNA Tt1i AmROVA4.DATE. e0 NOT wAOtt <br /> mTE IN ANY bNe ARSiA1 Ne'r-A"P'R&W T17E el!IOW: <br /> _,_TANK A6T110fIT__PING KEPAMRWIltOPIT_VrIDEt D16PiNSEA CON7M0MEMT REPAIRMETRGiIT <br /> I �•.__......__._..........•............................................................. <br /> --...`- Cta�rl.tr A•TcLLrICYc Y-Dart l.c <br /> RM SiSir* a'rc¢ios iDi Zd1-o!4$' <br /> r i run=*+ .At2[:o G✓Ca�ilonl ....__......' WOOL11701:Z°7:.°i46 -- 1 <br /> .. .. <br /> IA................ <br /> I c.l .� 3,¢25 TRACY 13L4D ---------......., <br /> 1 s ............... ....................... .... -- <br /> I L{—,,mar CL.O tit- Qd� ................._.1 <br /> :-------------------------------- <br /> ----------------------------•----------.-.------ .... � -2o�-at4f3 <br /> x.!( P_IrJ sT..CoA. T.PC�aJ IlCs7:SCMR.:ATi +p ..-74; -1 ... t <br /> I MOM. <br /> C I CGOTRACT'M r.l.c _ ........ <br /> i K I lVIS1fAC1Qil AOGESS................................................................... <br /> .........I Cx LIG r-.. .r_•__....C;ASG.....•...... .......1 <br /> ' ;� 1-tet�! L !!.:t. .......�....�.....T..... <br /> ..._1 <br /> �:k?�DaAvir-�20.x..._.. ....................--•--......,._..._..... <br /> 1 - j o'L f_. 1 rlaMs. .............................. <br /> Z7b � <br /> Au-I .......----- <br /> {:1111n lnl+1 ill 111:n ._._._................... <br /> I 1 TANK tat I TAtM Slzc I OIiOOIt i lroAtC LytAr,rrl r/►Irtv:wrvv 111"I utr 109TU410 l <br /> , 1 tt- :BCIST tQiQoo t PI�CM ��-----moi <br /> ; r { sr• I plit� 1 p.Soo I I <br /> A , »• , c acd 4 L 1_ 1 <br /> (N I sr• I�CtS "t'ot.QQ,f' NL_ 1 <br /> I I Tr t ! <br /> -•:11111tI:III1111111II::IIIIIIIIIIIIIII{I II:;II{" '1{:I!!Ilfit Il:lllltll11:1l11 U It:Iill-1:1111111111-1-717:1:111 1t{11Iti1!11 <br /> IPI / 1 <br /> IL, V VOw>"ro vITt4 ccNOITTaItt <br /> IAC lscc A"Amprr•ITII commamb ^ t <br /> IN 1 TWt Iln10=3 MMS 1d- <br /> ••••t111111111111!il N .1111 Ill. llPt I 1111 Illll:I 111:1::Iltll lta 111{Illltlll:1111lllitllllt 11 11tI III 111111111 R <br /> I <br /> i ArrLICAYT.SST 1cArrAM ALS.Nr11K u ACCOApAMtG VCM Mfr?CAQpCN l'r1A1SY OIip1rAl'af• STATS t1W. AMD tl01dL AYD PAWArtOlf of I <br /> { SA{t iullicui1 mm", tAVIttO~ML 14 TF WPAA-;Nw,04M 4c utwo AcRR•s ss01ATYt[cartnu TW ralyairt:, "C1'drSry I THAT TP TId <br /> PtUNIMwct or TI%.0a I'm-MtsM Tilts tWl1T is IararO. T smu.war elrLor ANT Lairs If sm A Of""L-0 <br /> Atma rowlICT TO 11p1>C1111'L COIOOLSATICM LAYS Or CALIF"IP. RMTINAMM•.KPtTrC a 1R11 <br /> OACaR"wa AtaNtvl:eMr1Mu Ila I teytCl'i <br /> I pciprtNGl •I Ca7ftU row M MM sOvmrMtz o►TMC tltl X tot Wiel We rTMOT IS CtNM:.1:.SWLL W'QT ri7ld6 GUS=70 ! 1 <br /> cof"NW710N LAVE 6P MI fOwftA.• <br /> I i <br /> ' ATruolrr A ASwATutc: ._z1Tu A_ F'� ttV�Tt 7-a.OZ <br /> !- _.. ... -....... ----•..................--.................._......... <br /> BILLING I OR ON: <br /> indicate the responsible partyto be billed for additional EHD staff.time expanded beyond permit payment <br /> coverage per tank. If, ated below is different than the ppermit appkant.e.g.praperty Wrier, <br /> the party mu v,de s r ponsibility for the billing by Signal end date below. <br /> c-744 �yY G' -Perone <br /> 7� Name _ _ ^_�_. ddress_?�'`� _ - <br /> / f oZ `/nol,� ly <br /> /cA <br />