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APPLICATION FOR LIQUID WASTE PERMIT <br /> RAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> P.O.BOX 388,446 N.SAN JOAQUIN 8%STOCNTON,CA 86201 0301 <br /> (200)4683420 <br /> RON REFUND4RLF PERMIT"PINES I YFAE FMN pA E 183 FO <br /> K[ Y�b TrEl6ub) <br /> MRIO.FIIpN IB NFNF[YMWF TO THE tµANY.lY1 COVMVfMA1SMN110 COv µDpfl WN.FLL TXE WIR pEBCNBfD- NgyCpTNW If M/aF MCOMiVµCF NTINeµ <br /> JOAOL[b LOVNrY DExNIOIV[M TILLL,CNITE11 111 ,]µOTK rtµONpN OI MH.N1.FgXN CO{Mry gIBLIc vF4T11 CFB.FNVIMWIEMY NF}yTN gNBpN <br /> nepmuFVDR 7 <br /> o[MERx IUM[- AOIMEee em z :.T Dxe—�lA.dL�..l� <br /> EDrtIDCF ,JF, fXpN[s��-rot y <br /> DlBcoxFFWLroN � S <br /> — MONEiB LLCf <br /> wFolE <br /> T'FE O B ..W HEW WTu DON❑ prTINJOIN N l7 <br /> W URIC fYTBA NIV ATTT➢If NBIIC.®pVNIANE VrtrXW x00 f£FT Of BVYDw¢1 <br /> IYC TMTMII IrnW MYY <br /> aBIYEAnFx Wlu[DTVI IEDOENCC*COFFNEWLOTNEnQ 'ONR <br /> IFLELI[RMLM1[IIO W.:_NUNI PDx1100 ' ` N.m OF..Fm: •_ O <br /> CNNMCIEP OF[OIL TO.F DEFT.Of]FFA: ' T/ MY vwL CNNWL'fE W/1TlB TYLE pFLT Ids- <br /> DaTle rAWa]EAN[FRAF ` irnnEFp I eLvpel IcoNNANTHNNN,. <br /> FEM <br /> O TN41MBD r[yFr❑ OHTy to k <br /> RiMBT: WtLL /QQ 7 PoIINOwTON�� XnFprtmYLgE. <br /> L [TATIONO ROE 11 Of W/'/ B.WOOIL NV.EInTpR pFELpB[p fyITN.O / <br /> LW / NO.AIENGTMOFLWEt 6•V�YG/ ..E TO NF NT: <br /> fM1TDI NDNTFII��i��W-VNc,F{ION /prNNYETV WIEsrt <br /> ❑WIDEN 1[E,pTM pERry�dpTµ mNfIXR:%TLL M NDATMIN V)R <br /> YOUNp® Q WqT. NNTY V M <br /> gfnF_gIIpNL[m NFA11E6T: wVW.ETNIN pppW#TYLLW F�.a <br /> B®M[nn XpFl•rM )� ll�Dz[��NVMBEN_�tlrtANLETO x[prteT:wELL iro'/ wuxopTNINT a I E1 1 <br /> BLRAn ❑MFDM J�FtlNOIT,WF T rt <br /> FENDMo[prx_drtAxc[ro NEARrtI vnxE_-_wurnpTgx_fLDNBrY <br /> WfgfEL ANpf OWDTM IFNpTX LE'r`—ONE--TO NE,IMFT:WDLL wVNOpipN <br /> — �PwRRY1W[ <br /> MEFOV CXpfY O'T 11MVL PRNiIV➢TM6 N{VGTpN.IHp TIgT TNEYb1K WILL BE OgD IN ICCVp/INLI VRIM Lµb.FO11NCOLMYOpN1/yN,Llµp Brp{E IAWq ANp„VI[B <br /> AND PHINUM 0H OFTNE MN NOTNMLOVN NaEaN IN MI,N n:[NOLp "T•[iNUTd:F,.TTEOTIE(OLyp,'hONENOFLTT..IA.Tx[rgRORyµCEOf TNf VgpL wBNMCX <br /> TND. nIB0.YD. xMM NPT[[D'ETH MIEN 11 ATHAT IN Af FBEENNI ..,.T TO MM <br /> cp THHO ON A. CLUwIMA' CO ToBY WIWO ON <br /> W BCONTIIA[TW�O�[\D�CN�ANR CETTIiF9 THE PoLLOWNO:-1 CDRFY THAT IN THE IENFOq.1µcE OF of NbIR w.Kl11CN TWB PFA.DT IB I[ellEp, MIA[j EY0.0Y 1EB®XB BVBIEETTO <br /> MOIKMANY CO A /L`• \rW NIfO�MI�TID�I/WL�N�IM�f Y$(DT CI1LL tE MOW W ppYpxCl wN Nl.MD11fVm IM f. [01gETE CMWN]NIDW. <br /> BIOLIw A_ \ y TIIY: • rTW - , 7 � <br /> _ DATE: <br /> 0..T FW1 DMW TO XCNEI[ENF • `/T <br /> I.N.WL°Of IITRETIt OB I[IMBNFNIET TO OP tl1INpIMT TFIp44Bry, 1%,LOCATDNOf WURRWAOEDIDNI .TIHIOA IHE,O V <br /> x.WTVK OF INE IFUFEInV.NTTN ONIENnONFµO NORM gNfLTMNL LVMNWX Of ffWN1F DI[wiAl Blfil MB. <br /> J.ONFEMDONEO OUTFWEY KD LOCATION OF NL E%IWIMµp BwfO[m fTlyCTyll; IIOC/?bX Of N(yf Wn.IXINryyy Of OMEMVNglp flVry FT,IOM <br /> INLVNftl COVFIIO NERD gICx Af NTDI.mVENAT4µ'DW THE FMFFRIYq Apy1MNO RORNrv. <br /> 1 PAYMENT <br /> RIF <br /> f AUG 17 1995 <br /> PAIBLYGOEALtN G:C•LEfu r <br /> .._.' tµyfRT,ANAIE"NTAL HHSt <br /> RVICE <br /> �� EALTHDIVISS;10, <br /> e.. <br /> ri <br /> Q <br /> ,.... <br /> row ogµTI.VIT La[DNLY _ ... � 6[f w <br /> N:EE.Tm BY <br /> /•+.�.•.T..yn WILY iNBPc'LTM)M[Y� �•f"v WTEy_Ettc,�NNK NBI@.'TDN IY �E�q//']�/�_� ��, �E�IVF <br /> `_ADnTMN✓4 COMMIXIf: / I~ <br /> KCOUMiw.]pNLY: NUI FACF C <br /> FECOM --NO YAOMFT IIFMTTID4i-;- <br /> IDO R;WI -77 DY pATf MIfDMTM`J <br /> a 31 <br />