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APPLICATION FOR LIQUID WASTE PERMIT v SAN VOAOUIN COUNTY PUBLIC HEALTH SERVICES ENVIRONMENTAL HEALTH DIVISION ll V P.O.BOX 988,904 EAST WEBER AVENUE,STOCKTOR CA SEMI-388 ��IJJJ 12081 488.3420 NON REFUNRABLE IT0017 FIBRES 1 YEAR FROM DATE ISSUER IbRFIN.Y TTrOYwI 4F11LI.110N Y NE1E.Y MIRE TOTNFf/J1 AhN11M COIMFL FOx A R1.0}l0 COMRRYCr MAAP MIML THE VgIK OEKIY[O.TMt M1KIIlgx Y M:tO!N fDYR:1NLt NRx fMl AitOVN COUMY C.V[LOIVFM[TO LNAK[t P1110.3 rNO T11f RNO/:IRY d YW A/.WIM CpIMY NYIC IfKTN RFIt1ClL ENNMMRRIL N[KTM ONNRM. ,O.IDOII..NIL.[,M Sly ID wT.a[�" sAy-GL.EE.Tr IzoR� L.R (ioyi _ g LMNF11t xALY r+uc N� IL.RNE.1.'Q .wle.. 511E W SkR-61EN'� mde 33�1�E31b COMIIYLTp11 Mf-VONfItDS SVbi� '�6FTL(. wa.a.l.�l,�i Yl3-LOBa'fii I,�NG uef7 z3 Sq3 .FNLNf 431^D�E97 Euf CONTnbron bo1Fw J' 45t1'L IICf n+orN TFFEd Rmle Naw: ABY IrurNunex❑ IVNNAOwTIm etETYcmtO MO ffYIK RttfY[t.I.IFw.L.BPN[nN AVNWLF NTF1w1'OO RR aF tUWMO. (� .Y10 TY1t111NDY MMF NRNIAnM WxL.tIVE xEECFNC[C -� _n. x1MY1dLNYO 1M[L:_y_M[Atwldt®IIOOM.: MNYYIdYNYOYN:��VIAIV," CMMACT(11 d SOIL TO i.OFOFN OF 9 R[i: L.a hM IRNIYN 901 CIMINC[£R WItM T/ O TL .vrle rualYlFUE Fw B�.Msw.a t•9A1 CN.bfb� ��L cAFAcm IF,6[lO G�R 11oN Ne.cowunM[N[t '1- FcoTxuTM[MT.O mT.9 TO n[wsr: wel /Sb[ folwnllnort Si IwoFLwrY[IK /.� ' LST RAFNt O Y[f TYIE OF nM tNA at arlYnTon IFI[wOFFY rvnEin YICIENO IMS 13 —,L-- N3..IIMOTN of LX1l. wRNFFTO NFAIF.T:WIIL FOIMDATIOx PLlIFR1Y l04 RLT.1 E[O nIWAFN_ �F[x.nF—,L—LIRX 2- pYFAME TO M ff:MVL�!M1MI.tTIOx S_,A10FR[[Y IN[ �' NOU1R® 13 m,rx LdTN C9FM _atFA TO WAFFR:W91✓_Fal ATM1 R1O[OIIY IN[ .®IOf RF. 13 O[RN f0 MMWL_..E TO NEAR.:M LL___FO.FWAT.N NORIIEY IM[ EIMN ❑WNTN E[MOTN aIRN LKTMICE TO x[MIR:WELL__FOW DO N NIO161ry 1M! o W NLL NNIO! 13 1[IgTN mrrl afFY E TOW[ FT:Mlll__FO~.. Tw9RY LIFE 11{RfY CEIRIFV n1AT 1 MAK[IVNfD TNN 1[A ATVDN N9 T T T1([VAN[M111 N DOW N F:CCOI V. lYIRN W AAOON COOMY OIwEYNCE.MN RIaT[LAMP,MO IWIEE MORdMTgNf OFl1N f.V1AAOVN COO N F%FWllN NOI On UCMKO IRM'f mOATVIFCCTTO T1Mf '.ftOMF RFVTx ATNMF9.OMLAECE OFMVANLFO1 kM TIMRWRYIffINO.lYU.MT EMROV MO'1111BON-1(IRMrt MMNMFJ FOKCOM[Nt OF FTO O1.FO.I'EC.M 16 ATpN IAWf OF CON[[VLF(Ml11fFT a1 M1E<ONF[ACFMi 1NNitn11E CfIRIN[f TK FOLLOWMO:"I CEINIA'TX/.T M'Iw EMONAVt[d Tx!VAN([ONNFIICN TNY 1E1M1F N Nf11lO.I MYL Y1lOY[[IIpW 1YtNCT TO VA11(MMI'f CSO\M[�Exf�nTAN 4WE.`OF.�CpM�I�pMI' TM ANtRNR MYET<.LLt tF WIINf N(MINCE KA/LM�L I�N�a�YyITmJ I�IN.f�fKI�Me NE. COMNfTl PLtNM)EKOW. 11 /[ ..FOA K'0[� 1Tli F"F - TNL[: W E�1 LL'FTI�[L�Fr OATS: FLOT[tAN FF1I.W TO KMlI KAP - / I. MAMEf d RRRE M M.xFA1FR TO M tOVK.IL YM I'NIflIFY. i, IOCATFIM d NMAGE W.tOE O1Y!'IML ryfYY W/FpAE[O i.OVFIM OFIN[ETIDPFII[Y.MMOYVMO[If N1O MORFN OI1FCTgX. O.16Li. fWAMYON OF YWbE CN'OtIL WE1EMt. F. Lp CMD IND MPA .. AVIAN R1OFO.m RIIIIL f.IDC.tTAxd W[tO VTTIwF MOIVE OI ON[WNOIIO FIRV K.m NCtUPMO COt4RO MFAt EUCNb MTOf.wN[W.tYf.MO WNNt Tll gf114N[YMI6:OIIMO NpR11IY i / _• /yP R-T/1 •. EXI,ST1Nt.�- .' . fi)f.1SSIN� � � � �a'GNU6-tS DePf I G 5y,.0elm 'PRoNTbEv�� : . . . . ._. _: .. I c a PAYMENT .... RFCTJEutrn W P 141998 F Lie HFA LTH 9ERVI¢Ng' , .ENTAL HEALTH gvlllph. L,4 I L C�- 1 uM W •O tV.N M6Y Y..1. q �j AFRUTAx ALcenrwry onn: 1 / GSL TNR.NF pn fllW NfR1:T1ONM TY-TE F F FtyM MEOTpx Er 'F� M bmaxu COMY[Nre s� fT (.� ccvvX oAar: F.oi FAv 11 SIS 25 �L () ITm cNKGFLAfM Rcs.m tr oArz w� w Ixvwee.