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PUBLIC HEALTH SERVICES <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DIVISION <br />Ernest M. Fujimoto, M. D, M.P.H., Acting Health Officer <br />304 East Weber Avenue, Third Floor - Stockton, CA 95202 <br />209/468-3420 <br />PERMIT APPLICATION <br />TO INTERIOR LINE/REPAIR UNDERGROUND STORAGE TANKS <br />NOTE: ONLY UNDERGROUND STORAGE TANKS CONTAINING MOTOR VEHICLE FUEL MAY BE REPAIRED BY THE <br />INTERIOR LINING PROCESS. IN ACCORDANCE WITH SECTION 25296OF THE CALIFORNIA HEALTH AND SAFETY CODE, <br />SUCH AN UNDERGROUND STORAGE TANK MAY ONLY BE REPAIRED ONCE. <br />Facility Name: SUPER 5TO? MARKEj- <br />Facility Address: 2-910 Nry)AW 57 - <br />city: M an-rc-GO-_ State: C cA. Zip Code: q 5�o',34� <br />Contractor Name: CO_r6o-40, 1n-fe-1-prtseeS I <br />Contractor Address (mailing): P.O.13o'K JoZ'Z_ <br />City: Mante_ ea_ -State: CO,- Zip Code: q 15'35;��Ne <br />Lining Contractor: 6ARC l5NUlK0NffiWrA1­ 0161 58,L- 4qql <br />Lining Contractor Address: 14 A(,bEXCejeF_V, F�b <br />City: rye. State: Cf* Zip Code:9(ot(oQ <br />o Approved o Disapproved <br />ci Approved with the following conditions: <br />Date R.E.H.S. <br />A Division of San Joaquin County Health Care Services <br />