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. � t-tt�t�'� �`'•t�tett- t <br /> 1p(�ION FOR PERMIT w SLA JOAQUIN Loaf, BEL m, DISTRICT <br /> UNDBRCROUKD TAM[ t: 1601 6 Him'Ta AVE., STOCXTQ>&L E <br /> r. CLOSURR OR 131NDONKIII t- Telephone (2011 468-3420 t <br /> t-It'tt-tt'tt.tt-it.tt-tt,tt.ttt=tt,cr.ft.tt:tt-a,atVtt tt-tVti,tt-txtt-tt-tt-tt.tvt;tt-tt- <br /> 1PPLICITION FOR PBAMAHENTJTENPORIRT CLOSUII OR ABANDONMENT IN PLIC$ OF UNDERGROUND HAIIRDOUS SUBSTINCES STORK$ FACILITY <br /> THIS PERMIT $IPIRES 90 DIIS FROM THE IPPROVIL BATH. DO KOT 8111$ IK 111 SIIADID AREAS. INDICITE PERK]? TYPE 11LON: <br /> ,RINOVAL N_ TEMPORARY CLOSURE _ 181116ONHENT III PLIC$ <br /> EPA .SIT$ IK �� 70(! 2 PROJECT COITACT i TELEPHONE I <br /> F FACILITY NAME <br /> a "I <br /> C IDDRE59 �� <br /> ! - S U' C <br /> L <br /> L CROSS STIRIT ! <br /> T OWNER pER1TOR PHONE I <br /> C COlITR1CToR IImR © I PHONE I <br /> o hof — , �3 <br /> Y CONTRICTOA IODE$SS O C1 LIC I CLASS�� rr . <br /> 4nR INSURRR , <br /> I rl VORE.COMP.I D <br /> r <br /> C ?IRI DISTRICT <br /> T � I �• PE1Mlf II[KSPTR <br /> 0 LABORATORY NINE PHONE I <br /> SIMPLINC FIRM= n II.40 r��ti1��1�C,� SAMPLING MEfIOD <br /> ulil KUilu m S <br /> T TANI ID I 111E SIZE ClIEMICILS STORIO CL'RREITL CHINICILS STORED PRNVIOUSL <br /> 1 39-.� <br /> [ 39- <br /> ]9- <br /> 39- <br /> LIST IODITIom TIME INFORHITIOK AS INEEDID OD SEPARITE roll <br /> P � 1tlN�Jtl�llflD�llllfRlLlt� p,I1tlGfd <br /> L __, APPROVED 1PPRO?ID PITH CONDITIONS _ DISAPPROFED <br /> 1 PLAN RBVIBKERS K1ME SRI 11hC11' NT WITH COjDITlOES] C <br /> DATE ✓ �7 � <br /> 1PPLlCIKT MUST PERFORM .ILL WOaE IN ACC0IDINCE WlTR <br /> $iN JO1QUlN COUNTY ORDCKIKCES, STATE 61NS, In JULES AND RI±GUc1TIONs <br /> OF THE SAN JOAQUIN LOCAL 1EALTN DISTRICT. OWNER OR LICENSED KENT'S SICIITURR CERTIFIES THE FOLLOfIKC: 'I CIRTIPT THAT <br /> It THE PERFORMIKCI OP THE WORK FOR WRICH THIS PERMIT IS ISSUED, I SHILL :ROT EKPLOT AKY PERSON IN SUCH MANNER is TO BECOM <br /> SUBJECT TO YORKER'S COMPENSITION LAYS OF CALIFORNIA.' COATR1C101'S HIRING OR SUECONTRACTiKG SICN1fU1E CEAT[FI8S THE. <br /> TO <br /> 'I CEEISIT THAT IK THE P$IFORNII. OF TINE Won Vol YKICH THIS PERMIT. Is ISSUED, I SHALL EHPLOT PERSONS SUBJEC <br /> TO YOAEER'S COMPEKSITION LAYS OF CILIPORIII. <br /> CAL Y''OI2 IN PI~CTI NS AT LEAST 40 If0UR.S IH ADVANCE <br /> 0 <br /> SICNE <br /> OYFI'F SE OKLT--IH 11 046 12181 -----------�_DI11 <br /> S#SSSSSSSSS$#SSSSSS$S$S$SSS$SSSSS## <br /> SS$ <br /> S$S <br /> j7S-1 <br /> SS <br /> s <br /> SWEEPS I COUP 1 LOC C $ <br /> SSSS$S;SSS#$;S$SSSS#SSS;�SSSSSSSSSSSSSS#SS#SSSSSSSSSSS <br /> ODE DI SSSSSSSS S <br /> ST COD INOUKT DUE AMOUNT ACV S SS#SSS$ <br /> D CElIC1SB ROTO BY OITF RCYD PERMIT I <br /> i AIU5Inlormalfon 4 .ya- <br /> se-sego u(I - <br /> �: <br />