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N <br />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 25296 OF THE CALIFORNIA HEALTH AND SAFETY CODE, <br />SUCH AN UNDERGROUND STORAGE TANK MAY ONLY BE REPAIRED ONCE. <br />Facility Name: SUPSR 5TO ? MARKG-I- <br />Facility Address: 2.410 N-rnAjiV 67- <br />iCity: noan-rte�r.,O, State: C 0%. Zip Code: q 51,3tv 7 <br />'Contractor Name: Cox6o-za, C-rvfe-r-prt,�,es <br />;'Contractor Address (mailing): e-0.13oX 10ZIL <br />city: State: Zip Code: ...635 <br />0 0 0 0 6 0 <br />II <br />I Date— R.E.H.S. <br />A Division of San Joaquin County Health Care Services <br />