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i <br /> APPLICATION FOR LIOUIO WASTE PERMIT <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 904 EAST WEBER AVENUE,STOCKTON,CA 95202 �Lc+a•Rcd� [TES-t+.Baf¢ <br /> (209)468.3420 <br /> BBRAEFBBDABLE PERMIT RPIRES 1 YEAR FROM BATE ISSUED <br /> rAw"N IB TrbOuW <br /> A TXIHIYNEFEPVMIMTNF WHAAgxN COFORARIPIRTO0u MTN[VABFD.THISAMICATIONNMMFNEP RRM EAM <br /> AADERECOMY DFVORJE.rNI.CfRFA 0-1110.3 a lNBµ NRe or B.AMcOuYQ 'EALM&/FYNCG. WHEALTH gEAWN. <br /> JOB ADDPESOMM AMP 6).UN1NYJ,Gf r <br /> CRV Mi!ODE, <br /> Sre�G k q/ � ✓ F 4 Ga i-/� S RlT J. RIoxF= I- '- ,Z/o <br /> OWIRR'B N.WE HOL /Trt R:xawJ f •�'iiE1-E(oI AWRep <br /> CONF}IYCTDP AOURF6B EFI RKKE <br /> suecoTPAcron IL-l,JS/�J F7bL�/r-E2- MDnrse zElfY� IS MY/JFZ.rc- EICI •�L7Z52-MIOHE 4'%�—�3�/1 <br /> TYPE OF&E C WORK: NEW I.WrIW m.❑ RVMwROMNON❑ ouGUtlgx❑ <br /> WO SEFTK BYBF[M RR. .IF VMEM PPVFR IB AVAI EWITHIN AO RET OF BUWNOA REM TISTNE I I MW FERRY <br /> RF FP I_ <br /> IxFTAWTMN WNl FEMf: HMPE..E❑ COMMERCIAE❑ OT m.❑ <br /> IIUIIW[II OF EPA.YNPQ:-NMABIR OF ltUroerAB: XUNWa OF WEE.EEN! <br /> IpA,AnG OF WN ID A RUTH OF 3 FEET: PT .l MMLCIWNCIG: WAWRTNIl MRIL�� <br /> .OTIC TAM[IQEY[TRAP ❑TKFiTAf3 L1VI&RI XO.CORVMIF.EMB <br /> IRO ERGTMMr PLANEgETAME TO RFMGT: WflL fOIINOATIJN fFORMY'NIE <br /> TET BTAm"0 6YEE TYRE DF NMP e•WD 011 BVMATOP ENLEPBFO tYBTEMI <br /> W aM. ❑ NO.EIFWIN OF INVFB� geTANCE lO XFARBT:WFLL IgM1OATNlM��PIURRTYUNE <br /> RLTIAM. OBAOIx EENOTN DEPTNg6TAP=E TO NEAEBT:WELL MO ATRRI-EPORRN UIE <br /> MOUNDED ❑WIDTH TENOM�_DEBIH�DISTANCE TO EMST:WELL NVREATMR-RGFFRTY UNe <br /> P®AeI TP ORPTH MZF NUMlGl�gfAM"P A,AAEBT:WLE EDVMDRTONFIORRTY EME <br /> "EA" ❑WIOm EFNOTx__DEOTx PoTAMCE TO nEAIEBE,WE11EDIIXWTRw-FORRM UxE <br /> gpbFAL PORDP ❑WYOTN TENDER OEFM�gSTANCETO MEARBI:YAL��Pg11bN1OX�POPMTYLMF <br /> 1 NEIEpY L[MIEY THAT I NAK FREYARD TINe AMICATON PNII THR!T1R WOIR WILL BE DONE W AG CO QLYNLF WIEN EMM AAWM OOUNry OIdxNNZB NO PTATE EAWB.WOIMFO <br /> TEDE IATpNp OFTNEBENAApUIMCOVNTY.NOME0WNE110RlICPHIEO AOIMCp MOMATUR EFRTREBTxpEOLLOYMIO:•10ER11fYlNAT WTNIIEAORPMIEE OF TOFM FXPENOCN <br /> TMM YFRAR IP IpIVFO.IBNNL NOT EM ROY ANY PPMONM NGIIA MM.T WTVR YCOM[PIIB.1 E mm FOR <br /> Im.FTNIx UN'PKRD ISVEL ETNCOMTMCTOWPNBNEI OR <br /> 9VE<ONTPALTIIO NOIUTNIp 1SRBlNE rOLLb.M D:'IC[MIfYTHAS MINf PPERWANCY.1 WE WONT bNVMICN TNI.FfrWR HI IIBUPI.I MNL EMROYRRPONP BURIECI TO <br /> NOIKMAN'p CONRNPATON,IAW OFCILIOWIIA' WAPFICRNIMVPT CNINNOLM IN AOVNKI FdI NP1. /V aA E ry �aR'101EYFlO IN/P�P2ST�OIU. COMRETBDMWIND MLOW. <br /> TTM1E:_ E r' -- <br /> ROT MI MW TO BCAEEI scuE <br /> 1, E.OF STREET.OR MADN NENFCT TO OR B DINO THE FOPERTY. A.IDCATIDN OF E RWMF OIMOM"MFM OR READWD <br /> t.gIPINE OF TN!FORMY.'MTx OIMENMOxB ANU x011TN OWECTgN. ENMFON V E RWAOE PREED.PYPTEMB, <br /> 1TI <br /> 9.OWFNF1g200HFP/APT LOCATION OF ATL EE IBTIW MD PROPP-DpTflVCTLNEp, E.LOCATMN OF KERB NTEMH RAONF OFO1d HVNDRG R FT.ON <br /> MCLVDRm CONMD WAS SUCH AB PAT00%OQVEWAYO,MD WAE%B, 1M FgRRry OR ADAN4 FORRIY. <br /> . . . : _... .. r <br /> .... DTFRAR / <br /> a <br /> ... .. PeMRFIwF-fin'-".`-_`"''�roi .i........ ..... <br /> ,.. . .. .. <br /> .._: . ...'. :. a :a •r,'�y yr-Ira��K. Nay ;�. .Wr ::. :J:. vVD Y.:Vr!h .............. . <br /> "Y E <br /> . . .... I• ij E' D _I'H1�° � (`,I Tlla\`FIY�,Yi� V <br /> iy I E MIf'fALLL)E1A ... T <br /> GE N. <br /> N ';Xy,. .a SAY JnAOUINfOIIN FY' rte, <br /> .: .....:. y E. E" I;.. ..Y . PUBIC HEALTH \' <br /> . _..... 6B <br /> _ .. =NwHOHIaerTA ileum q <br /> ... .. .. ... rMN.IMI...sx,.tt•A�Fx.... <br /> N ATx MCEMDev N�AAI.dI (� T` wR eo TMQIT we oxLr wrE " L/-,� K� AQE: /Gj{2 <br /> TAM.IRORBUASMMFCTOIEBY DATE I I FNAL IMERRONB DATE <br /> ADdipNAL COMMEIR6: <br /> ACCOVNPNOONLV: ADE <br /> FQ INFO MIOUNT RN.XIT C1 RRH PtCwVm PY DATE M1P9P.RT NURWG MYOICEI II <br /> d JE Z -7 •� 2.5 S-z '-IIIYII' <br /> S200a3glo <br /> PUL.HPe1M BAN. EDvirO.Ad(3156) �' <br />