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APPLICATION FOR PERF, SAN JOAQUIN LOCAL--,-fi9ALT DISTRICT <br /> UNDERGROUND TANK 1601 E HAZELTON AVE., STOCKTON CA <br /> CLOSURE OR ABANDONMENT Telephone (209 ) 468-3420 <br /> 1PPLICITIOR FOR PRINUCITITINPOLIIT CLOSUIS 01 1111DOIK91T 11 PL1CR Of OID91GR0011 11110003 SUISTIICRS STORIGI f1CILITI <br /> TRIS PUNIT 111IRI1 11 DIIS 1101 T11 IPPROTIL DITI. DO JOT 11IT1 11 11I SIIDRD 11115. 11D1CIT1 PIINIT TIPI BILGE: <br /> XX REMOVAL TEMPORARY CLOSURE ABANDONMENT IN PLACE <br /> F PROJECT CONTACT Aldo Freggiaro PHONE 1 209 ,/ 946-0246 <br /> A <br /> C FACILITY NAME port of Stockton ADDRESS 2201 W. Washington, Stockton, CA <br /> I <br /> L CROSS STREET PHONE 1_20J 946-0246 <br /> I <br /> T OWNER PHONE 1 A22J <br /> Y Pa Rf o Z4-6 <br /> C CONTRACTOR NAME JIM THORPE OIL, INC. PHONE 12_ 09 / 462-4581 <br /> 0 <br /> N CONTRACTOR ADDRESS 351 N. Beckman Rd. , Lodi CA LIC 1 495699 <br /> T <br /> R LIC CLASS A WORK . COMP. 1 on file INSURER on file <br /> A <br /> C FIRE DISTRICT S�tjC��7Qn� PERMIT # <br /> T <br /> 0 LABORATORY NAME Canonie EnvironmentalPHONE 1 20_/ 983-1340 <br /> R <br /> SAMPLERS NAME SAMPLING METHOD <br /> CTANK VOLUME CHEMICALS STORED DATES STORED CHEMICALS STORED <br /> H ID 1 CURRENTLY PREVIOUSLY <br /> E u.« <br /> M 12,000 #6 Crude Oil TO ela ce O F L, <br /> I TO <br /> C TO <br /> A TO <br /> L LISt ANY EXTRA TANKS 0 A SEPERATE SH ET <br /> 011001015100119'j-0311M.1100 w1iffift warNIMPINIUMME <br /> Pr. <br /> L (SEE ATT H NT WITH ONDITIONS) Ger <br /> A PLAN REVIEWERS NAME DATE <br /> N <br /> 1ULIC1I1 Nut 111101N ILL FORK IR 1CC09O1lCI FITE SIN JOIOUIN CAUrfl O10[I11CtS, STITI L1FS, 110 RUL1S no RYCUL/1[013 <br /> OF Tit SIN JOIOUII LOCIL ILILTI DISTRICT. Olin OR L1C11310 ICIET'S SIGH TORE CtffIFltS TIE FOLLOWING: 'I C811111 TNIT <br /> If TII PERFOINIICI OF TWE FORK tot fllCl IRIS PIRNIf IS ISSUID, I STILL 10T INPL01 III PIRSOf Il SUCI NIINII IS TO ItCONE <br /> SUBJECT TO I09IN1113 CONP11S1TI01 LITS OP CILIFO1111.' COIT1100R'S 11111C OR SH-CONf11C111C SICIITURI Cl1IIFIIS TOR <br /> FOLLOUIC: 'l C811I11 flit It TNI PIRFORNINCI Of TNI FORK FOR WIICI TILS PlimIt IS ISSUID, I STILL tNPLOT PtR8018 SUBJtCT <br /> TO IORININ'S CONPIISIT101 Lilt OF CILIF0111I. CONPLITS D111110 01 IfTICNID PLOT PLIC SIIIT. <br /> CALL FOR ALL NECESSARY INSPECTIONS AT LEAST 48 HOURS IN ADVANCE <br /> SIGNED X TITLE: DATE: <br /> ACCEPTED BY TITLE: DATE: <br /> AMUUNT DUEr 1 I I I 19 <br />