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_ APPLICATION FOR LINUIO WASTE PERMIT I� <br /> SAN JOAOUIN COUNTY PUBIJC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,STOCKTON,CA 95202 <br /> (209)468.3420 <br /> NON REEBRBASIE PERMIT EXPIRES I YEAR FROM DATE ISSUED <br /> ICeRPMY N TAPBWNI <br /> APFUCATION IS HERBY MACY TO THE BAN JOAOUd COUNTY FOO A ASTAIT TO COXBTWCT..F.SOALL THE KV R(OEACYPUM.TYB ARLLATION IB MADE IN LOMRIANCE Wits BMI <br /> MAd11N COUNTY DEVISOMPUT TTRf.CNAFTFP 9-1110.3—THE 9TAHOAMB OF FAIR JOAOVM COUNTY MOM HFAETR SERNCES.ISArpPEKHTAL HEALTH dNBpN. <br /> JOB AOd1E6BAP IPHI CT' LOT SOI— <br /> A.A.... <br /> OWNw'B NAME /J SB <br /> CORBY. R/J10NE <br /> IF 'Y AOOREFB AJC[7 J INONE/r 3 -7 <br /> sue LOHrMCTDn AODR.. LpF PprEf <br /> s TYPE OF SEFFIC SAM; N[W SHOT...❑ BVMNASISOE OfATRWT1oN <br /> IXO Bt911C 6YRM RRAIREO IF PYBUL 6EWF111B AVMlAB1E WRNIH FOO FFETOF YBdIDN1e"I !wO T4TN1 E 1 MOY YIWY <br /> AMYSYnn <br /> INETAWTON WILL BYNG PFPT-O0 COMMEPCIAL Br OT.Y.o <br /> MIMNRI M AMNO URTB:_MIMw M <br /> BBFOROpA XI6LYw OF iMMYfA:��-,�YV✓ �V/(f���(J/'j/// o Y <br /> CHNMCTER OF FOL TO A DEPTH Of B FEET: RT/WMP FOR.CHARACTER: WATHI T. OEPfX• <br /> .TYPE TINRIOYABE. OTV . CAPACRV HO.COMPMIMEM6 <br /> MO YRGTMENT MNTD DISTANCE TO N[Mdi; WELL fOVNOATION MIOFERTY Um <br /> - <br /> UFT STATION BIR IYPF OfRMP�r�BARO' BEPAMTO.IFNLLOBED BYETWI FJ�I. I <br /> a WCMNO YM[ ❑ NO.ALENOTN OFURe�'^�STANCE TO NfARBTe KV14fi- HOATYN, 12( REORPTVVHE <br /> PLT.Bw ❑WVTH IFNOTFI VERY. drtFNCE TO NEAREw:WFIL FOUESATYN�PROPERTY II HE <br /> MOUNG�FD \ OWIDfH LENOIH T:W <br /> DEPTH DRAT..TO NEARESEN. iWMATYON IPORATY UHE <br /> —fEVAOFRTB ) ❑OPHH_U -E MYME- dBfAHCF TO NEMLR:VA1 fOUNOAIpN R10RRPV UNE <br /> SWIPE ❑PEROTN 1FXOTH D.,H—deTANCE TO NFARFET:VA01—WWpM1TIPN�RORTRV UNE <br /> y ....AL FONDS ❑NTDTH LERSTH OSS ATH DISTANCE TO MbN�PROPERTY'LME <br /> I XFPFBV CEPRFY TIAT I MAVF PYPAIIEO THIS AIAIGTION ANO THAT THE NVM WILL BE DONE IN KCOROANCE NTTM BM!MAdPM CDVMY ORDINANCES AND eTATF IAWB.ANO WLE9 <br /> MOIEOVIATIONB Of TNESAN J[1AOV W COVNIY.NOMEOWNw OBUCENBFO AOEM'B Y01MNR C(Af1f1FSTMFOLLOWNPO:'ICfFFIFYTNATYTMRIFON.IANCE OFTR MOw IOP UES <br /> TMB IEPMrt 1[MMIED.I N4LLL NOT EMROV AN!PEPeOX M IUCX A MANNEfl AB TO BECOME WBIERTO MVIYMAN'F COMIEXBATON UWF OF CAIIfOM1A' CONTM<TOR'B MINNO.R OR <br /> WBCONRVCTINO BgNANR LERIIFlEB TME fOLLO\MRO:9 L[RTIfY THAT IH TMf RINORMANCE OF TME WOR[FOP WMICX THIS RNArt IB IBBVEO.1 W Vll EMROY RABOHe BVBJECL TO <br /> WOMMAM'///�MR�/yNB�%AJTpN LAWS OF CAU/IFOWYA: 1R/JAN6CANT MVST CALL 9A IpU1[IN AWANCF fM//IiI1LL REOUI/P/m INFRCROMF. COMPETE OMWI W BfLOW. <br /> DATE <br /> Ml RAN WMW TO Y:AUV CAI NAAFS IS <br /> OF eTRETB OR CADS NFMRBT TO OR BOUNCING THE PACKAw. 6.LOAM; OF XOV6E BEWAOE dY9ak BIeTEM OP Pp YD <br /> F.OUTIJNE OF THF RpRRTY.MTI-OIMEN6W NR ANO HURT'"RL" E%...OF BFWAOE OIBP)BAL SYSTEMS. <br /> O. OIMEN WOHED OVTUNEB AND LOCATION OF ALL E%I6TIFAi AND IPOC6E06TPV[TYR6. LOCATION OF WELL.WITHIN..OF ONE NVNDPFO FIFTY FL.ON <br /> INCLUDOW COl D AREAS SUCH AS FAME.DRVEWAY.AHD WALES, <br /> THE PROPERTY OR AOJOININ3 PpTERTY. <br /> 3333 \ <br /> �121 � lq e <br /> 14 <br /> 0 <br /> c, 1 <br /> 7>O Q t 1Z0o <br /> a (� <br /> W E PAYMENT <br /> AUG 2410 <br /> d 3aH J4r1Wu 4,tdrNTY <br /> FNVIgO t1CHFALTH SE13Vf0ES <br /> CEOTAUS.T WE ONLY <br /> ARLCEAT-I'O�NKCMEDBY izo"Arin <br /> 1PN(.f+I WP BVMP MCERpN eV OAIF ANAL M6FECTN)N <br /> AOdTpVVVXK LOMMRITB: !G �/ <br /> KCOUXTNO ONIr: Apf FAC. <br /> WIR u.T RFMIITEO 1�1[. RFCYVFO Br oATF Mr7r- <br /> Pub, <br /> 6MBTNWOw IxvopEF <br /> -. Z D a I I'.S IX �.xFlq r S <br /> Pub.Heats Sew,"Envlro.174(3196) <br />