Laserfiche WebLink
APPLICATION FOR L:OUIO WASTE PERMIT <br /> SAN JOAOUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> P.O.ROY 388,446 N.SAN J"ADUIN ST., STOCY.TON,CA 96201.0788 <br /> (109)468 3420 <br /> NON R(FUNO►8(6 P(RMIT E.PIRES1 YAR fROM DATE ISSUED <br /> ICemplPb M 1r�)liel!A) <br /> M't•=ATIONISII(RENY MAD( rO till SAN X`AOUIN t 11UNIV11111 'I'INAITICA11ONIEMADEINCOMI%iI.CIWITHSAN <br /> JOAGVIN COUNTY(11 V E I OA•N N:S IT I E f:IIAIT I R 9 .1 10 j ANI"111( "'Fit-,SL RUM.n.I "AriNMI N7 Al HF AL tH DIL111ION <br /> R GM.AIN. .-1-�T�,fC._"`I+---r.�I-.ElA'L'`--G=._.-ty...l iI`. •.11 r 1�♦ E ---wT lutt <br /> JOS AIR <br /> OWIrl R'S NAMr _ �Lt.' W J_11L C.1.0 Y_�Ll.�­AU!%11 FN_�1L�__1.L <br /> COYTMI'TOR��11.Q���- -�. .-_C __.-_4%rN rix -�._l_L..__�-`�Lt..'-�L:�'.(.�`__ >�1•l-I wi4_1l.�S nqM ��i•3 _-3VJ <br /> SVS COMTM"tOR .AI%Nrl xN %F AMMF <br /> TYPE Of AEAIC WONA'. MfW INITAILATION LJ NIPAIRI\OItl NOM OFIIPLY.TON❑ - <br /> MO BI PfK FYSi1M 1?RENT""t1U II NNI IC NI WtR IA AJ h AR11­­.N 161C flUl-,1 I NOW MANY <br /> INSTALLATION WILL SERVU NSIDf NCI{:f' CUMr.1114:1AI LJ f)f 1U 11❑- <br /> NUALIOt OE UNNO UMTS'.-_1 NIAHSIT N REDNOOMI 11 NUMSt"OF ITJFIOYIEA <br /> "HARACtTR OF b0s,TO A oll".Of.I TILT. �11�-NI:AUMI IAIIL f.IUOAt. ____wAyIA TARLF OIPTH <br /> {VT1C TANKMyINA(TNAP ❑TV14'Mf Ci- ..tA1•AflfV� NO LC`A'ARTMFNIF <br /> PKO TRUIMENT PLIA�NIT❑ NITANCII TO Nt"F,21. NII l�_� <br /> I ISIINUAt"N "w"I RTY LINT <br /> U f STATION lJ 512E TYIT OF FVMI• SANG OIL F("•ANA TON tl NCIOFI O RY STI:/1 �- <br /> LEJ NINO UNE T2S�N0.f LENGTH O':"NIA .�- IC I � <br /> \<'�). <br /> DLII f"Id ANS, Vw'I r'\C' IUUNUATON CI I'' T PROP(NTY tINF <br /> RLTM OED ❑\•ADTN I(NGTI DI P7H-,__IIIYTANCC IONfA %t WLtL_•_FOUNDATION__NIDFf RFY LINE_ <br /> MOUNDED ❑WIUTII IING7H IIF I'T rl- fR�IANf.L 7U xtAW FT'NRIL____- <br /> (OyNI AT MN �RppERTY IIN[ <br /> AEIIAOE.1■ cl n((TN- NUAIOIA Ur;.i ANC"TU NI ANI NT Nl_I fO11NIlAIgN-� -�PROICRTY LINE <br /> tl/AP6 ❑N^,DTII LLNOTN _DIPTII_ lx81ANCT 10 NIANAL WlllfOUNDAl10N IRE)FFRTY LINE <br /> DISPOSAL HONDA ❑WIDTH LENGTH D(ITH LNFTANCE TO NIANS1.WILL FOUNDATMN .PROI•EI(TY LINt <br /> 1 HERESY CERTIFY THAT I IIAV'E PFYPAPAD 1 NIS AFRKATION AND iHAi•N(NAR(Will M lq Nt.M ACCOWIM+:I•MTI/SAN JOAOUN(COUNTY OWJ+NANCCS AND STATE LAWS.AND RUl[11 r <br /> ANUPEOULATION90f TN(SANJOAdRNCOIINTY.NF'��OWN�NORLN:t NsrO AOI NT'S SIGNATURE CERTIFIES THE FOIIOWINO.'ICFWIFV THATINTHE KRFORMANCE OF THE WOIK Fpfl1N/IIC11 <br /> 71118 RfWfT IB ISRUCD,I SNALL NOT( Y ANV rCPSON SN SU A MANNEP AS TO SI COMI SUO 111.7 TO VA'/KM.AN'9 COMPENSATION LAWS OF C.ALIFORMA.' CONTRACTOR'S NIRNR.ON <br /> SUS CONTMCTr:G FIONATVRE CC FITS 1 H 'OLIOWINO'.'I C IU Y THAT IN TII(N FIFUPMANf(OF fNf WURI r.'1R\REFI"II THIS 111VAIT IS ISSUE O.""HALL EMPIDV PE11,OM8 SVNJfCi TO <br /> WOq( MIENS LAWS CALIF", IA.' THS JCA FAUST CALL 24 HOURG IN ADVANCE F ft ALL RAOUIREO INAPECIIONA CCIMPi l7F DIIAWIM SELOW. --f--� <br /> 1 /li.. DATE: 3.I S� <br /> illi! ./-+-G.c:.i•-A_ — ! 2 <br /> SgN(D V <br /> 1 <br /> /TOT IRAN IMUW fO SCALE'\ ?CAI[___ DIPO <br /> \ �� IPA IDEATION Of HOUSE D(WAG/ SSAL SYSTEM OR NgMB(O <br /> 1.NAMES OF BT ME-75 OR"DADS NP�'L^`T TO OR DOUNDING THE NIOPIH'Y - rPANSKIN OF SEWAGE DISIVSAL SYREIAS- [/ <br /> 2.OVTUNE OF p:(pAOPERTY,WITH DIMENSIONS AND NORTH OIRECTKN. S (C,(ATION OF WELLS\NTR <br /> NIN RADIUS OF ONE HUNDRED FIFT•I rT.DN t"1 <br /> 7.DIMENSIONED OUTLINE?AND LOCATION OF ALL EAIRTING ANO'AfIMS"'AI NUC"UHfG. i11E PRO PEATY OR AOJOININ(i I'RUPIRTY. •Y/ <br /> INCLUDING C.DVEPED AREAS SUCH AS PATIOS,OW VEWAYS.AND WAI%S. -�- _-. <br /> 71, <br /> � L I <br /> SVI 1 — <br /> �__� T-AN (�[ <br /> JUN 2 3 199c <br /> hr--SSL T N SERvIC -s <br /> "�•- ? l;e ��S ISIC�II <br /> FOR DEPARfMtNT Utf ONLY <br /> OAff <br /> APPLICATION ACCEPTED SY <br /> _UATf ' IINAl INNI1CIIVN SV_ '•/'"/� UATE IA•� <br /> TANt,"T OR SUMP INA"C"TION <br /> ADDITIONAL COMMENTS: I <br /> V f t, "/)-���X' l/<i h-C..t,r1�'r'7 r,TJL3•�/"-'[..I�•T` <br /> MDS IAC1 <br /> ACCOUNTNO ONLY:T� -� -- <br /> r-_ NFC rAF\H NfCTVtD■Y OAT[ M I MIM":NlA.M 61 INVOICE P 'I <br /> PC CODS FILA t�O AMOUNT NfNM(T I S V --I <br />