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t� <br /> JOAQGIB LOCAL RZALTE DISTRICT <br /> 01 Z. Haselton Ave.-Phone: 466-6781 <br /> P.O. Bos 2009 Stookton, ea. 95201 <br /> ❑ Approved <br /> L7 Approved with ohanges : See Remarks <br /> ❑ Disapproved ; See Remarks <br /> Date <br /> Approval of these plane extends only to <br /> that which is shown and described here- <br /> on but does not authorize or approve <br /> any omission or deviation of require- <br /> %onte of State laws or local Ordinances. <br /> ) All Samples mu.:.�-,rL ye- faf�en h_1 0t CTfe6,�errrn"t"fVe- <br /> Cer�, cd lab. 1 <br /> Z) All l Sol ids�rc�ict�q(s/sl�cic�e5 ���. t-1 nt aink- t b! reed o <br /> motor Vehide. tel Gare }o I� e,(,-,,Nn�lhancl,1k'Li/trot c ficd <br /> (J'isPosed qS hQWr` 00)5 U- to A ccpL) c� h-ozardoos wcts�2, <br /> }s -rc be- subrr,, tom c) this a Ce_ wrth,r", 3o d"s <br /> C� -tOn4< tern( x,19(. <br /> 3)5ubmit receipt -frory-\ ,-IzlnK _ rrtj clesf irCltia� W�t(�,; , <br /> OF tan+S rer,1oved . <br /> A) Obtain All necesscu� -fire per✓n'I-JS (w%tn Proof' of perm rt oc� 5%tc) <br /> At 4: ,me or re fno4at) Prior to schedul i r,5 appai ntrnent., W jth SJLgD. <br /> S) SGHedLde_ CLU 0fV0i n-men+S W(-th -53L-HD at least -,n hours i o <br /> UGiVQnC� . r>RoT i sou+T Ut #exPncr- <br /> I 051 E�i�t r7�L CX hSiL' HYR2dN5 <br /> #`aO15 rr d-)�Icd �T HC <br /> (o �02� (F�-1 XI <br /> 1�A�rHori�-fioN TO realese ar,alytica( #�p10 CED3) <br /> n`(^or�a t'ior� hQ:> +<) be 50bm,ltcc{ <br /> ri oY -ho SCh edul i J 0.Ppo fYt Y1,GntlI <br /> . I EL <br /> —7 F R�Ft� TES S �D41 <br /> /) 1F WATEE ENcocJoref,�--t� CWf�TC-2 � JD WILD A66olAe To 'BE ISL <br /> jP �^ PLS TG �E T/t�'E Al UMI $hG}SGc{ZO U n11� SA M PL E <br />