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sw _. SAN ,1 CUiN.COUN T Y PUBLIC HEALTH(, IRVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> APPLICATION FOR UNDERGROUND STORAGE TANK CLOSURE ERMIT,_. <br /> THIS PERMIT FOR PERrAANENT�MpoRARy CLOSURE OR ASANCONMENT IN PLACE OF UNDERGROUND HAZARCOUS SUBSTANCES <br /> STORAGE TANK(S)EX? DAYS PROM THE APPROVAL CAT . 00 NOT WRITE lhi ANY SHADES AREAS. 1iV01CAZTc PEr�M1T TIDE: <br /> ------------ <br /> ID REMOVAL 0 TEMPORARY CLOSURE XX CLOSURE IN PLACE <br /> FACILITY INFORMATION ' <br /> EPA siTEa AC001487592 PROJEC3'CONTACT Lammert Van-. Laar IT PHONE$ (209 473-'2001 <br /> FACILITYNAME Waterfront Yachts Harbor PHONE a (209)_ 943--1848 <br /> ADDRESS . 333 Tulebur Levee. . <br /> cseoss'STRt=eT:.:Lincoln Street. ,z <br /> -OWNER OPERATOR .-Waterfront .Yacht' Harbor PHONE:; (209) 943-1848 <br /> F.FiRcl `:-CONTRACTOR INFORMATION <br /> EOIS <br /> NAME", ' e'. Oil Inc I PtHONE* 20 — 1'.P O 'Bbx.J5:T" I CALnt. 495699 C:ASS A.B.Ha ' <br /> Kem "er Genstar. WORKER COMP'# 1095135 <br /> ICT Cl k of Stockton: PERMIT* U on as roval <br /> R -TAME-Ground"•,ZOro;,�Env.i'ronmehta1 COUINT ' S.J. 'PtHO,4t# (209) "FiRm,.."Ground' Zero Environmental PHONE sf. '(209 838-9888 . <br /> TANK INFORMATION <br /> ):,,;: • "TANKiC7#' TRtiKS►ZE 7ANlC'CONTE�77S(PRESENI 8 PAST) CaATEIiSSiA�D..'..... <br /> 35t 1264 0j : 5,00"0 Diesel fuel: I982 <br /> 39� 1'{2 4'= .2 ;. :Diesel "fuel 1982 , <br /> 39-'`;x'2 6:4 ''031.' " <br /> 5 '0 00 <br /> 39� <br /> 3 <br /> AFFUCw4�r{thtl j . <br /> .rrP't4�L7ft).f!{ 4`J'CR3CiIQ.R RDPRCp MF.&A.YJOAQUIN COt1NTY d7RF1:trANC�S.ST.tTc.LAYI$ FEflERAL1LAV{RS;'AM✓01`RLFLFS AffO I" <br /> REGU1A'Ti011P5( ^.SAN JOACI.M'CC3CR�TY PUuuC HfEAL.m SS4 es. CVVNEFL'OR UCENSED;AGZ+TS S;GNATURF; CCRTiFts,TFHE,FOLLOV�JAtG.'A'S <br /> t <br /> CERMF!MAc :W;le!��OF TeS WORK Int w!-IaCH TSS PERMITJS iSSttEr),I SKAiLL NOT eA LOY ANY.P-EASOA IN SUCH A'MANN R <br /> TO'6tCgrm SyWECST TO 11Vt $COWP$'t M(bN�LAWS,OF,CiIJFOE(tstrl'-'CONTRAC'flR'S:>lfRfNCa.7R..SIIBCOWTRAL'TitiG.57C,1tA3Y3R£C�IFtFS' <br /> lErfJLLSiYV(r' ::'1C YT}lATItV'l3lERZPftbtivCE"Ol THE.1t17FKFOP WY.IW± ,*SPE�Vfi lS s11Ef7rfSlIALLF�?PLQY.P�7�t55i}81E�riU <br /> v1Gi cE S CC'�IPEh�ATlpta L OF CA47F<"tA <br /> Ap <br /> c. rsS1TtAPE_ Lam . i; TI"EINERi�L MAIM „ 6/,25198 <br /> iI3. .. APRO�/E , <br /> D,WITH CONIION(S) d DISAPPROVED . <br /> (S CbimDi-cN' BeLO>.vwAtEvl]R ONATTAGHWNT) <br /> I •�•rA',r�-.��r�. <br /> • .S - _ _ 'I <br /> ANY I7E<WSTt0M F;ZC1Pf,Tji7S 1LPPL1CATICN 1AUST BE SUB- NTTED TO El-0 FOR APPROVAL PM91k TO CCMM,SNCINGyVaRK. <br /> : C0NblTIONS ; <br /> ..� �' ire- ,- � v� •�� <br /> A4 c <br /> , c <br /> 444 <br /> 23 Gta (REVI E 10/191g4� 77 ---AP3 <br /> TOTAL <br /> P.02 <br /> 3j ) <br />