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OUoz3a <br /> APPLICATION FOR LIQUID WASTE PERMIT <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> P.O.BOX 388,445 N.SAN JOAQUIN ST.,STOCKTON.CA 902010388 <br /> (209)4883429 <br /> NONREFUNDABIE PERMIT EEPIRER I YEAR FROM DATE ISSUED <br /> ANS (11-I IS TFIeRP.) <br /> MIDETOTILEu NAOUINCOUN SPRATERMEDTOCONsrNJC!4 RINr ARDSWOW.OEBMP .T VTx STN <br /> JOAQUINCOuxry wTT111E.cNAFTERS-1110.3 ANDTHESEANOAInR OF SAN JOAQUINCOUNrVmeuC HEALTH ROSII ENVIRGNMENru NEAIMSC <br /> OIMN. <br /> JOB A..EEemn ARNE�~�70 �r R,�_ctuE7T IP_D CI.r./2GA Lm EAI <br /> .YNQA E NAERE j'!/nm PS.N A) ADDRESS TAP' �4c J.-_Ti P6 <br /> CONFNAUTD. ADD RNIM <br /> BUB DONTRwTON�I�1. Fi.LCc2 AD.E.. /?o. '�9n �a7N2r,� RD.�,{,Ig,�PRP�s�ri <br /> TYRE OF.E.RC ENCRE, B...TAY. B I®ASNAO[TON 13 OO, .13 <br /> r INOSE➢IC SYSTEM FERMTIm IF MSUCSEAK IS AVANMIE WRNIN SOO FEET OF MIImIxO.I FPC TYTNIIIMR'MNIf <br /> AMesbn. <br /> INSTALLATION MRLLSNWE AESIDENQE Cl EDMMRCIAE E3 OTHER❑ <br /> HLMSP.I.VIK Te:_1N —7 NFMPOFRJR.: <br /> CHARACTER OF BOB TO <br /> m <br /> SPE ouv<.En.SeAm. DPIH <br /> BERN ..PC TANNAS A Hoo ;IMIMF J V NO CDM.AEIT,EExT. c <br /> RED TREATMENT.117 .eTAACE TO FERRPi. /wvJ� TIONS IIOEENTY.IE <br /> LST eTATFI13 RRF <br /> .BE TYNO ....S..RN IENCm®..I F <br /> DEACHIND A. Iq NO. LENOIx OFUNFS e!—�O /« lm <br /> OnxcE TO NFAKIN;mu_,& .UNDATFON /`�iro y�r" (; <br /> RLTIH.ED ❑YJmx UQUETH DNmISTANCE TO SUBMIT RDATLON AFRI. R <br /> _ ROUNDED ❑mlmM DEvm DIET.TO NEAREST:STEN WEu FFOOUND.ATOxIYmYe <br /> ®ADE NT. LINE- <br /> DEPTH �R' BUDMIMeEP .STANCE TO NEARPT:,,IN. IRS �JI .T <br /> SLP 61 WIDIN " L3NTN� w <br /> DSISH DISTANCE TO NEAREST:vL .' FOUNUATON,/O�rrmAE .7n F'T 1ii- <br /> S.uDAALFOMw 0 YOLTH LENGTH KNOLL DISTAUNCETO NEAREST.VDELL FOUNDATION . <br /> Y CERTIFY THATI HAVE PREPARED THEAg1KATaN AND THAT THE 0YOW YRU BE DONE CE Vmm SAN JOADUw COUNTY ORDINANCES ANO STATE LAWS.AND NUIFe <br /> _ W ES <br /> THISAM'PEEWNLIX SUCNMANKR ASTOSBECOMF SUVECTTO�PMN10'9 COMFFNSATM)N LAWS OF[WRYIA'C <br /> PMIRACTINORONTAECELT!ESTHEmUON1N0:'ICmlI THATINTMEKW. NCEOFTHEWONTmR.RICHTHISFTRMRISIBBUM.IMALLEMH F NSSURIECTTO <br /> voIwMAN B cOMPM.ATON LAWS OFCAU STARK.'TxF A/.ru=Axr Muer e.0 a IRLAu.ADVANDe FOR Au uDMRm DIFFBIOxe.COMPETE wLAWNNa MLO.. <br /> RONmR4��`Li/ TITLE: � � -DATE: <br /> e� FmT EBUL RRA.rO BCNEI B A LE <br /> 1.HANDS OF STRIKES OR ROADS SJUREST TO 09 HOUNDING THE PROPERTY. 4.LOCATION OF DUBS BANADE DISPOSAL.vSTUS OS PROMISED <br /> DMIENSIONE ARM <br /> SEWAGE...SYSTERS. <br /> J..MFN .DATE..AND 1...1 ALL AORDN.AND PnIO—STRUCTURE., TION OF NELLC WRIIIM RA.UB OF ONE HUNDRED FIFTY I ON <br /> RECIUDIESS DDYNNED AREA.NOR AS FAT.. AND THE OR ARLO'..PbRRrY. <br /> <• <br /> Li <br /> �lIV� ENSJ//x14 � <br /> r <br /> (�` <br /> L <br /> V / 1 J J <br /> NNA <br /> STI <br /> L C �� ��2I 7996 <br /> r - Y019LIC HEALTP <br /> APHLCATION ACCEPTm.v� d J_�.�nn,R-.c.�'�� FD..OPM,TMFNT LI:R D.Lv �E71 Lo-'77' qq <br /> WERE TANS,ETT OR EUMPINeFECTOHw 'SHALUTLILE/1rTMY/IYL/ .ATk <br /> ADOTONAL COMMFNTB: <br /> ONLY,ACCOUNTING <br /> AII FACE <br /> r <br /> FE coDE FE MJDISO NARRATED rcAex KC er DATE Prrevxr nlmBP .v.C.. <br /> �v— Ir <br /> ovq o 6 <br />