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IT CORPORATION r SAC Fax:916-361-3047 Jun 2 '95 10:23 P.02 <br />Eli VO J4 (RUV or94) BAN JOAQUIN COUNT` _ <br />l►UBLJC 119AL111 SERVICtS <br />ENVXXONMrLSTAL UKALT11 u�vJSIOM 3 <br />YUX;LIC RECORM ILELEME APL41CATION <br />ADDRESS -1 <br />AGENCY t <br />ADDRESS 1 <br />`%vR <br />10�F61- a!d 1°l�cfrvillt n <br />Swr'tz !1 D <br />PRWB NO ( .91613 6 1- 6 3 <br />SRcrA��A f D, GA 9 s 31.T <br />gv[i3 ; 1 7- e • r c �, ><r . +1 FHONJ3 NO Sq 1, e- <br />LBAQ AGRNC-i <br />SOP4 SP�i4 hirt!orr W"�r St'c 0.1 P HS - F HP: - <br />.xSrr la*Ad hfr i ,4 try tic K _ -- <br />lalo <br />2zZ ��rfsfi w� i�t��, S tack teM � i <br />At <br />2iSN4-,-1* H1.4fr, 51+cktgti + I <br />(30 h1q+t� t-jMptrr� St•G�ioa ,. n <br />,919. Mmfhcwc Aox4, St-ockto-4 0Q 0css <br />39I. SONt-; <br />T1415 Han iS -iRJ Ut5Ul- -tv IAB 1chx4UlRSM13NTA IDE14,MPi815 114 THB ru»ue HaAunl <br />MRV1CME"VIItUNMENTAL.HEALTH DIVISION (UHD) POU&A94-W, ORN HANCE CODE OF SAN <br />30AQUIN COUNTY. ,�-ztD P969 AND SFRVIC4 CHARGE AESOLU'DOMS. STATE WAM COD13, <br />GQVBV,NMFtNT C.nnR AND THP mr)FNGE cam <br />1. A MAjamuMinF TKN (10) PI MUS ADDRE8382 PER MUWT- <br />I <br />2. Pux�lc FJLFsrsJRHCVRDS REVIEW to ST AUG -N7 ONU. Arpoimrl cmn ARE Akx"urm or <br />CAiE1NG (304)468.0)40. OPI*CK HOURS POR APMIMM K" APtR 101HOULED MONDAY 3'111W FRIDAY <br />VCLUDINCn.HOUDAYS, 8:00 AM To 12:00 Noah ANb I:90 PM l -G 4:301"M. <br />I <br />3. A 1-6suc Rscvawa Rismos Aw►L1r.A-tjoH (PRRA) is ItoQuittr-D. <br />4. mar PLEMPLI4e0 114 1111I 7A1,46 lVW4rt►e?l A, XZcrr.*" WILL uo co"ccrtl3o <br />kf IAll F116 3TAPP Ar Tits MrVas M T119 A"LIC).HT. UU ABDI` IWNAL HAVICU WILL = BK -LW W TO -n M <br />AtPURANT POR PAYAIi - (Sit MD JbucY 94-W) <br />S_ Ottl�WA1, NOLIC FILBS/I ECORDS SUALL NOT Be It6movaDIFttom THi EHD t'xcmcm: <br />.91014ATIlllri OP AFt't`1r-d <br />I - <br />..�.-,�. •...r�n*f e%n Mt -i rt rnc" A[ I filA'tT. <br />I ! <br />TRL.a ldI R1'�+M ►+1 11aM.0Y+lOM QMiC <br />PHSIEN DI REcopsWftm tour off Ties Abnxess(=) ; OTM YOl MIJ6 apt NOTIF= WHZN <br />RLCioRVI rls US AXk ATAILAXit.t KW jREYTXWI ,. <br />I <br />TOTAL P.02 <br />