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APPLICATION FOR UIIUIO WASTE PERMIT <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES L� <br /> _ ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,STOCKTON,CA 95202 <br /> (209)468-3420 <br /> NONREFUNDABLE PERMIT EXPIRES 1 YEAR FROM DATE ISSUED <br /> _ IGmPMN in 7'1"17W <br /> AI AF*R IB NERBY MADE TO THE BAN AAOUIN COUNTv MR A RBMR TO CONOTMpT ANOpR INSTALL THE NOM DESCRIBED, I.I.NRICATgx IE MADE M COEWAMLE""TIN BAN <br /> MAWS,cmOEYTIOMFM TRIF./c�NA`TEA B.I I10.3 ANS,n��1'/[/�BF�A(\N�)DARSH OF SAN AAOSDN COUMY wMx:HEALTH BFANCEe.ExNroN1AEM.LL HEALTH DmBpx. <br /> Me ACDME.n.1 I IJ\YEQ E'1 ll �1 (�r1�1 c/m� /�T L� <br /> LOT <br /> NlF (11L <br /> OWNEA'S xArnE of.E�ov ` 1, ... ;-14 1/-7F,�L� cu KIY I�� / ND. L��'� <br /> wNTRA=A r,,c5,T-,L)-So V\nS AewEev iLDO() ITCH L• i soI L.-e, 4 (00 NIU._yV o� <br /> ARE coxfw.croR ADOR66 ucr "IDR <br /> TTry OPBEvrle wpM: NEw INnAUAnon❑ RVAwADandx DESTAUDED"❑ <br /> SAO R➢OC rvATEM RPxInTED x PVBIK SEWER 1.AVAxAB1E WITHIN ZOO FEET OF eD11UHD.1 FNIC T9TIN I I NOw MAxv <br /> ��[['' <br /> MFEI I <br /> derAuwMN WIU BONE ENCE& COMMEWIu❑ THEA❑ <br /> xwM OF uwxD VNTS:�Hulse Df SEaRDM.:�xMAea a eAnoYm: <br /> _ CHAMCTOI OF EOE.TO A DEPTH M O RET: NnBUMP wa CxAMRFI: WATTA TABLE DEFTx <br /> AOTUI TAANDUSI EE TRAP ❑TYPFAEFO ,AFAET' .COMPH.S <br /> F[O n1OLTM..O dRMCE TO MEIRUT: WELL FOVNOATpH "ARMY UHE <br /> IDT STATED"11 Em TER OF R1Mp SANG On SEPARATOR%MLOSED BYBTENR CIOIFACNMO UM{ OE NO.E LENMM OFVRS 1/NF (ODL dR.WCE IO NEAReT:WELL L FDVHOATRIN IDS EFNUFENTYUNE� <br /> —N PRIOR m ❑WIDTH UENUI MFTH__DURANCE TO HEARBT:WRI PoUND - P"ONN"UNE <br /> MOdR® 0WIOTx LENGTH DEPTH�DISTANCE TO NEARS":WELL PoUNUATRN�VroRRTY1M <br /> tFDAOF <br /> T. ❑OEPIX BD£ NVMBEn dETM10E TO NEAR":WUI�MUNRATEDN�NORATY UNE <br /> tlMry ❑wW TN LENGTH p.H__DIMANCE TO...1""'M--FOOSDUMNRRFERIY UNE <br /> dfbSAI bNOS ❑RIOT" IFHOTN oFT-i--STANCE TO NEAREST:vvLL FOUNDATEDN RpRRTY 1Rd <br /> s I NEUDY CUTHEY THAT I RAVE TOEPAREO THIS MEDICATION AND THAT THE NOIR N FIT DONE IN ACCORDANCE NRM BAN MADUAN COUNTY dRMANCFe AND STATE LAWS.ARD M Ee <br /> ANO RONATRNS DFTR SAN]OAQW COUNTY.HOME OWNFAO"UCEHSED AGUNT'B SIGNATURE CENTRES TRFOUDWINO:T CFRTUYTHAT MTHE RROIMANCE Of MNOM MIHAN1CR <br /> TNIB RRAOIS NSUFD,1 OINL NDT EMNOV ANY RPBJM M S11CN A MAIINFR AS TO BECOME SIRhCTM""OMMAN'S COMRNSATRN IAWE Of CAIROMA' COMPACTORS NIOR UR <br /> SUBCOMMC'TINO OO RCOMNLS n1EfOLLOY/MO:TCERnFY THAT IX TXE PEPEO"MAHCE DFTM WOM Po"wMICMTMN 1ElMn NIBSVED.I BMALL MROY PE"MNB MINCE TO <br /> NOMMAR'S COM AT NnI�AaJW..�S Of C�AHFOR/}I/Iy ITTlNF AWUCANT MNT CALL EA IRMS a ADVANCE b"ALL ROIInMm IMSRCTONS. CONKER USA.BELOW. y/I <br /> T.. C 1 DATE: I <br /> ROT RAN pMW TO BCAUR BCA1E—��wERp <br /> t. XNIEe Of eTl@iS0"IRAOB MMEBT TO OnBWNdNOTM RIORAIY. •"ry:''Y�,C+(p�^p�YA-A• AR�OF�EWAOE dS10SK SYSIEMSMOR PIRIORO <br /> E,ONIIIf Of T1ORRPERY, WATa NMONSANO MORTHDIH ME �ILGf-I lI�+P,S PoCATRNOF— OF ONEHUNCPEO FIFFI(MON <br /> ]. dMFHBpNOI OVfUMCSNAIOH AT pNO S,bl`E RINOANDFIAFOSFO STIIVCTVRO. ff�CGt� l <br /> INCIV-1A COVf11EO Bv11CM A8 PATpS,OPoYFWAYS.AND WAIAe. �[ THE <br /> FNRMYOn AOA <br /> ON J <br /> /03 o <br /> W o <br /> Y� <br /> U 2— 5 z G5 Lll <br /> J \' F <br /> 1 �y <br /> 1F <br /> e <br /> fo SFAWT#w USE DRILY <br /> AIAICATION ACCEFTEO tY,�t <br /> L PATE. M C/JL <br /> TAM(,FIT OR BUMF MSRCTwN Sv DATE T 1 FBML VII BY DATE <br /> AUURII NAI COMMFMS <br /> MCONIDNO DRY: A1OE fAC" <br /> FE �EE1MO AMOVM RBAI Sx MC OAT MI IFORRT nHMSd IR-ME, <br /> Pub.HBBM SBH.-E.R..174(W96) <br />