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APPLICATION FOR L:OUID WASTE PERMIT SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES ENVIRONMENTAL HEALTH DIVISION P.O.BOX 309, 446 N.SAN JOAOUIN ST., STOCY.TON,CA 962010-3112 12091 490.3470 NON RtiUNDABLE PtRMIf t%PIR[3 I TLAR ICOM Onlf ISSUEII Ir'..p i.e.M T/INlkrl.l AIT..:::A MN If IV PC RY MIIW 10 THI SAH JIIAWIN ll)(INI V Ili ;.141.1.11!11:f-ftI AIII:1 ANO.1111.,I,•1.11 1 I VVIIIg,IN PCIVPt II I—ATTIC AI ION IB MAD(IN CnMll lr.CI WIIN BAN JOAt"Al COIINTV fN Y11O1'MI H::Illf I:11-tI N 9 .1 10 I-,),)I'It n(.I,IIAIIj iG'1,IRAN IOAl11nN/.1111NI)'AIN'N.I,I nI!II.,"Wm r-nt1NMI NT AL WAIT"INLNNON "A AINNYBeVP A~ ! 1- / RLI`• 7�Z}�.-._.. 'of MY�- 1(. LZ OWN.R'BNAMt-,S1.kl_`.ti�,11LC 41 ..__�`:l.l'.�`_-_w111nV bu_..._•-J..�1\:�-�..___..-�__--�. MMNI 2,- 1��T COF1IfIACTon/�'`C :L.]t__..J.•= )-� Annu rre !_ZS-...L �t_^y�i..�.�._`.��.�__�`La _I N:. ' <I!(.�.aS nqN( __._; 3 AU.CON I RA(.1011 .1111111 Nb IICI-_-__--_AMNr TVPI Or"I'l1C WOR. MBW I%SIAILATMN❑ .IPMwI Yn[R1IpN wei- "o.❑ INO&1111 N:PV 811 M 17 RMI f f t O 11 11(111 n PI W I N I.AI[,Ari-.III 1 w1111n1 rlrcl 111 1 0, TQC t1111c1 I I W W MAMT ` , AppMMtlon I INSTALLATION WILL 6ErVI: of BIo[NCI Y LDMFAf IV:IAI ❑ \u-I n CI_ NVNMCI Or VENO UIRT A-.�_NLAIREIN S[INIOOMB "^`\ CHARAC Tf N OF KIM TO A OF Pf II Of l F ff l �i1'(l_ll�_. 11 f:SVM1'Nutt I111A11AL l lnLYAe1 R t ARL I IN FIT II 11677/C TANK.•ONtAN TRAP ❑TVIT urn_ - 1'wl'At'!IvN'1 LCMF`ARIMfNI%_,� ALO TREAIMERI LANT P ❑ p&TANCE TO IIEMIf.BI. WI11- 10VIIDAI`IIN 11KJITRTV IIHI LIF t STATION 0 Wlf_ TV111 or IVMI' _RAMI OIL AI I•ARA((1R 11 NCICIIII CI T[Slf M) LIALIBNO UNE -NO.S LINOTN O'.IHI.N .�' �C, i �\Y' •J TNAt AlWf TNINAIVA' VY(1'�(�'_IOlN1DATVN L7l • TPROPI RTV lIH7 n,r FILTER SED ❑LVIDT/I If11fiT11 UI PTII 111ATANC(IONIAPINT l•fTIL_,_rOUNOATION___PNOPCRTVLW[_ MOVND[O ❑1 WIUTII 1[IIC�T11 -1111'IN- DIGI GNf:f TtI NFAWNf'W _- ill__ _-f0'+Nt AIION NigITFOY IINr___ &C[PAOt RTO Ll Dlf'TNS- .1%i1h1 AN,I TIl N1ANi N1 WT:1 -_--_IONNIIAIgN-„.._—AIt11TRIY%IH1_� &UTAM ❑W:Of11 llNOIN Ol fill_ INNTINI.1 IVNf AMAI WI1l-__--IOtINOA117N___NNONrRTY LIN[ 10UNUAT RIN _IN10P(RIY LIN[ p&gAAI►OMOA 0W1OTH- LfNOTII U[11'lll _pPfANCl TU N1 AIV FI.LVIII _— -- I N1111tlV CIR71t V THAT 111.V'[K21'A.Rtb 1 NIS IJTI.N;A1gH ANU 111.1 THE WOFI(WILL PI IN)N.IN Af.COMIAIVU IVIIII PAN JUAOUIN COUN(Y DP:)INAMCEA AND STATE IIN” AHO RUL[0 .\ ANO A(GuLAT10NS Of THE 6AH JOAOUIN COVNTV WM(o~R on(WFN61 D AOI HI'AR)ONATVRt CERTIFIER 1141 lot LO%WNO.'IC(RTIFV THAT IN TH(1'(RPOIMANC[DF TN[WORK(SNI WHKII TI IItl pf,WfT It ISSUED..WALL NOT 1[301LQV ANY ITRRON IN SV A MANNEP AS TO SI EOMI SLIR IFI•T TO 1•A`IB[M.\N'B GOMIT)IAATgN IAWt ON f.AllfOlW1A.' COMRACTOR'S 1VIBIM OR AVP CONT MCTNIO M1IONATVRI C(MAf 11S 111 OLlOVNNO '1 C 111 Y THAT IN TIn Pf FVURMANCf M fllt Lv1HBL r'1R tW h(11 TNIR IT NMIT IS ISSUE Fe.I CHALL EMPLOY P[IIPON&AVMtCT TO WII.TK MI`t!/i LAW. LALIt 01 IA THEA JCAN CJ UST CALL lA IIOIAI6 IN ALWANOt FOR ALL R[OURIO 1NOP9011ONA COMHtlf INRAYNf10 Sf LOW. inti�,j} •w-/�. -Davit: 2�/ 1 �- 1`LOT IRAN I[NUW f0 ekM1.1(CAIt 1. MAMt9 OF ST RLf1S OR ROA06 NPYI[BT TO OR NOUNOINO THE i'14)IT ItTY •--— ROA 1OCATION Or HOU"B[WAGI.p1pnRN S7'6TEM UR PRON)S[D . 1 APAN61OF1 OF S[WAOC pS)t!SAL fiel"ItAB. },OUTUN[Df 71:E pROMRTY.WITH MMCN61ONV ANU NORTH DInfC tC" b Lf•(AT ION OF WELLS LWTNIN itADR)S OF ONE NUNORIO HFW TT.Fell 3. DIM[HIIIO/JCD OUTUNCS ANU I.DCATION OF ALL(AIRIINO AND p10IV SIU Al Nll'.1 VIIfA, IW INVMRTV OR AU.IOININ(11'nbM11TV. R .LUOINO COVTR[D AMAS BDCH AN PAT**..ONIVIWAYA.AND WAIAP. 0 v ----1 T-AAj ---- (�L A .J.JLF — �Cusc•' ' � 1 �n 1 (17 �l�CS „�• � r';v AN 2 3 1995 ''�r:L+L lyfllL TH� rIRIEi�tye�I to.nrPAn rMfNl u.f IIAII I IINAI INI.11CIh)M&V - /'�� UATI IA1 IT Ock blrlJl'ill MICTION h27._.A -� - ACCO -It-�_� VNTINO ONLY: K:o IU INFO AMOVNT AITAIT,C1` INrC /'A/li .ICnV[O■Y nAlt NIPRNAA..-..miM aClrA girl TFL U 0—._ .r