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APPLICATION FOR UOUID WASTE PERMIT <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES •] ' <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,STOCKTON,CA 95202 rA <br /> (209)468.3420 <br /> NO6N 1111"3EE PERMIT EXPIRES 1 YEAR FROM DATE IENED <br /> ICweEbb b Tfl, M l <br /> /VAIC.ITW I M NE,EIV M1pE TO M WI A11OYM dNMEY q11/,R1MR 10 COM6fRYL:!A11LL9N MYLNL TK v.ONt pEi,IEO-TNb Y0.FATM MM:LOf N COMNMNL`t MTIN YM <br /> Jd1dEN CON!RY dV4LpIMwF TEEIE,CNMFII <br /> ]oE AEnMeeDE AmR 2--?a<-r) JACK <br /> 110-=M 1R w e.W bAdMl cOYNM MIMC MFNTN aOF,M.[1.[NL'TOMMWFK 1EALT1 OII.TEDM. <br /> clry ACAMPO lf}at26-- LOTEHp DAc— <br /> amRll'sNAME flln RT llsk.0 CA LflNP LLXI Aopaae 3(2L» SIM'T(UGG /11E1Ri Z.ec4�V C�RTxxIE `� y ""�F398 <br /> coNTAKrdi rJW AS£? AmMea PP CAML EA IHu iFIDM,�a,=r !/.33:f <br /> ERIE CCMM 0T ACLR6s UCe fapM <br /> TTRwEVIC WOR NEwpET1WTMN0 IRAR,Aoo-TroN ❑ OOTMc <br /> Nn 4rtC EYTIEY FpMaTTEp O NpIC EFNEO IE AVMlA91E W,!!MR]W RR OF EUEAM.1 REM'l�TY111FMW MIMT <br /> 4WNY•E_ <br /> METAWTION RRL. REIO F❑ COMMS.❑ OTHER❑ <br /> MVAEOI OF YN110 TEETE:— IRIINWR w.Q OW- MV.Og1w NMOTpE: <br /> CXHVCM Of SOR TO A OEFTH OF A FEETREryVMF EOR.CNAMCf91: WATOI TAEIE OOiII <br /> ..TANWNWE ERR, ❑. CNKT' Id.COMFATMFTEI6 <br /> FFO ile1/1TMIIRI I 13 EFETMCE TO NFMFIT: WELL— FOVM:\lpN fMFERTT RIXC <br /> ILTETATON❑ ERE TYFE OF PRT EIRFO OE.RFM/:TORmRCIOEF➢EIRWI <br /> RIACNM OM ❑ W.E WiN}XwIINEE_ daTAN[ET01.FI11E9T!T191 FgMOATbN IMIfRTY Wf <br /> ER... ❑NgF,I R[NOTN WHCH rtRCE TO MEMER:WELL bwMTON�ROORIRYIM <br /> MOIMO® ❑WIDTH REMTN OFPFHI UETMICN TO AMINUFT:KILL TOUFOATEHI�MOPEIITY tIE <br /> E®I.OE FEFE 11Cf1M . MMIR FNEEMSE m MAMR:MO�FOVMO.RTDN�RMIOETV IIM <br /> EIME ❑W IlIp1X 0[IIX�DbTAECF TO NEMaF:KILL—fpMOwlpN FRFO LINO <br /> bEMIELL MIOE ❑VgTX ILMTNOerTH-- STMCE TO NRAREr:NEIL-- NTY RNF <br /> I MATY CFTFT THM I 1 FREPRIOD THEE AMECATION AND THAT THE K WTLL eF Od1E INILCOIOYCE KITH RMI.pK COUNTY OM,WFCd/,NO STATE I .ROI S <br /> ANOIWNAT OF THE EMI JOAGW COIMTY.MW OWNEOd11SYEO RYFNT'E EONAWORCE111REEMiOLLWA•IY:YC.TNAT WMFIRgMAR1 OF 1EKONLpI1 KlELN <br /> INE E9YE Y WIEO,1 MAIL MT fY{aDY/JIV FINEwI M NM A MfM{R AE TO EKMEE MIfCT TO WOIEfYAAI'E COEERMATNM IANl OR CYlNNW1A' CONTMCTONa IMMIA OIR <br /> aUE{bMMCTW MW.RTaE[FTMaM FOLLOVNM:1 C(IbIIV IEMI d TN[RROFMNR.E OITMWJR.gNKMCN TIIE RRMT b IYUFO.1 eWiL ERMOY ROOM b1a.ECT TO <br /> YR'OM!MAHI'EIC,O'MFBN:RTION IAK1/wJI'./..,�WIfOReA.' 1M MPIICAMT MW}COL iE IbW M1IOVANCEFM IW.EWpIIm IIIEFKTpM.GOME[l[PURNIO-ET60N- <br /> .SLOE U" ltt [/�'W1q�C, TrnE:_N20P itilbl�� are 7 <br /> Ror Eux expw m cAI[:cM[ J <br /> w4.lEa wETEEEEE w11pI1pE NNlRarm ON EOIIYHO MROR6IIY. WE.I ATM OF NOOBE EEWAOE OofOEK WOW OR FMFOO <br /> OVTYMwMMDIEMYMRM ORIOIMOME MO M10HI d1ECEON. F1lMWOR OF aIWIAF dGFOML MIM. <br /> ]. OAHX}ONLOO AFE,RFO IDL ATONw ML AS, <br /> NOI W"S. EIMIlCTVIEA6.LN,mRFrE. LKTHIN NLNE 010M MRClO FIFTYfi.CM n <br /> Y.CLWMCOV9m AFOIpIM FAl10RpMwAve.AM WAIRE. MITEF9RYOARLEOMMV EadO1EY. U <br /> w� <br /> lay <br /> .. �r <br /> s <br /> PAYMENT <br /> vw7E- RECEIVED <br /> w z — ,NL 2 019 <br /> E1J�11�� ._w&,rs,�EaTIT,sERtECPs - <br /> Jl1L�C T�. ..!`1-u .. ..•.. ENVIFIONMENTAIl1EALTM{NNRISKI <br /> FOR OVMTMMT IES OKT <br /> AFEICAIpH KCEAWsv �� . !/T ✓. WIE: Jj'��/E� ��j <br /> TMR.IbME11HM EHRCITp`NE.Y� `� WTE / / SINAI RIR1ECTpN EY �_MTI�, 1�LL/ <br /> LmHTIwML Ed.IpFI.1,J�ZII/_IaLLIfvLFIrcA `"`��✓L )'—o ze/ Li1FE to AVGfw Of L TIO�I�a-1K�. L <br /> i.R%CS NR fILM�AES1nti VE/wT!.f <br /> dMw um wM rtEo cv¢ IcuH NdEIvm ET oATe alreNEr ELnbRR MVOpE <br /> Pub.NEEM San.-FA Ra 1741019E7 <br />