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PROGRAM HAZARDOUS WASTIE GENERATOR ' DATE ' <br /> DBA CQt � W14 VL, C tjp AREA <br /> ADDRESS' 3500 C-DLXRLrt, C Ltab ��VdI CITY Y1 <br /> OWNER PHONE <br /> ADDRESS CITY <br /> BENEFICIARY PHONE <br /> ADDRESS CITY <br /> TENANT PHONE <br /> APN LOT SIZE SHORT TER`.! <br /> IDENTIFY STRUCTURES <br /> PERMIT R DATE PERMIT DATE <br /> N RECORDER'S R GD , TD, TD , RECON. <br /> �t7✓t�at� J�� f�'C..+""-e Z c't <br /> sS oat on !jolf and eount%y ectS <br /> AE <br /> wwxeoxnrsowtvw <br /> Jim Alwine <br /> Golf Course Superintendent <br /> 3800 W.Country Club Blvd. (209)462-6734 <br /> Stockton,CA 95204 Fa (209)943-5079 <br /> www.sgcaurf.blogspot.com sgcctutf®sbcglobal.net <br /> EH 00 18 REV 6/83 2/85 500 <br />