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APPLICATION FOR LIQUID WASTE PERMIT <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> P.O.BOX 300,446 N. SAN JOAQUIN ST.,STOCXTON,CA 96201-0380 <br /> (209)468-3420 <br /> NBb REFUNRABLE PERISIT EXPIRES 1 YV II FRRN BRIE IS9 ED <br /> (COMP►ES b TriPSnbl <br /> JAONAtnIlk CDXMNNrOLBT/YADET?D TRNLFGBACENRNJOrAgWS.1 110 <br /> -1110. FOnAPEMIrt TO CONBFRNULI}.AAfHAOONRNCOBONry NBUC XFILTM BFn B.DMAFq)NLYATFNIOTNAI- KHLT MINpCAWIll. C[WDN 6y1 <br /> _.JOU rmIEBBKn AR/ <br /> DWAEn•s4-/ 1R <br /> `CDNTRACTDX 1 L Yr L. /�J Y7g2n_ApOREBB I1C. qqN[ <br /> WB caxIRAOFOx ADpIEBe MC/ PKxE <br /> TTPE OF NTK WORKI Nm 11HTAWTMIN C3 RpYNAppTIOX L3 q,RYCNOx 13 <br /> M BDRK BTOIEIA PFNOITED M FARM 6EVA119 AMAI .E wnNN 1.FEET OF Bp..) FqL TERTIN I 1 MINA MARY <br /> ARNW A I <br /> IIMTAWnox TYXL WN{: IENOCNCE�. COMMFKIK O OTXIR❑ R�I <br /> to—CF AMNO UNRY:—NWSWR OF[EpCOW: XVA[M OF EMM.: <br /> CXMUCM OF SCR TO A DFPFH OF i FlUtF "MINA"ION CHARACTER:_WATER TABU O �/ <br /> PRO T.wII TIW ESST� No, [NEST: pWEy CAPMpT FOMOATNH �1 A"ROWERT),11OW,AfOw <br /> !KO MA,MBIT MNF eeVAVR/� <br /> OFT STATION 13�O®(EE TYVEOFNMP �S)AN�D OIs SEPARATOR SNC..ED STSIESH _ F <br /> IEACMIMI YX/ 'I�M.B LENGTH OF urdB, 'Z/f pFTµOE TO NEAREST:WFLL_&PECt FOONDATION ��RONERTT MW <br /> mmm OHVFN UNCI CEPTI�pBFANCE TO NEMER:NEL FODMATON_p1C1ERry ME <br /> AM MmVAOM IENOTN_ DERN DIRµ R:CETO NEMEIADVN <br /> l y���..yy��FOOA,ON ROHCRTY ME ''� <br /> SFRAOE RTS -��ff``�N[E MMRR�DIRAHCETONFARR:NUj( MUMATION��RKAgTY LIMA _ <br /> SID <br /> M.MM �VMFN LLMTXOFPTN�pRAMETO XFNER:NlLL FWNDATON ROPFRFVNM G, <br /> WARM PDIIOS 13IENSFX__OEFN ...f TO WAIER:W[LL_FOUNDATION ROPERFYINE <br /> IND ESY WOCERIYYTXAT1HAVE HISPANIC TRW Y,HOME OM ROTHAT THE YWXLN1LLC OOM1ENAC<ppµCUWRNB :'KENT THLINTYpMN.WCFSANp RAT[LAN9,AMRUIEB <br /> µSMA, TONG OPTHE RAN RA"LAN CDIRT'.HOME IN SUCH <br /> ENWCC WASIOR.129ONATUAHIIR1EBTNEFOLL'000N•ICERTIFYTNATNTHE Co CR RINCEOFTNEVNIF PonNG M <br /> THISMA, IBISB ItN n NpTdNOY FEMOARY KI IN BUCNAMHAT IN THE FORRIABUOJRT E N91NYAN'pC"ICH <br /> TNIN UNR R CI NAM A.• Gp NOWONR MWECIF.OR <br /> 6L6COMTMCn B NRE CFIfIMEBTHE WLLOWIM:'ICERTI%TY.AT IN THE PFIFORMµCF OF THE Wt PoR'.1MKN TNIS FERRIS INUFp.I WALL FMROY PERSONS WBJECT TO <br /> MRLMNYB CO HEN CON U1\W,EOFCNN Y THE AFRNAR RAT CALLAMYNIN PDVAMB PoR11LL rEO1ElES INp[OTONI CCYRETEDMVANOBEICW <br /> �BONEDY <br /> A �/ y TRIf:_ /\/�`xY�/I ✓ NTE' <br /> PLOT lo-Ax GROW TO SCAM SCALE <br /> R <br /> 1.NAPES OF SAINTS OR ROMS IRFARER TO M BMNG GAITHE RORRTY, ..LOCATION OF MUSE eEwAOE pN06K SYREM OR RO1p5E0 <br /> E.OU ME OF THE PROPERTY.WRH pMENEIONB AND NORTH DIRECTION. ...ON OP SEWAGE N.FOBAL F... <br /> ]. IRA ENppNED ODDNR AIA)LOCATION OF ALL SCNO AM...STRKNR'R• E.LOCATION OF NELLB NTTXN AAgUB OF ONE MH.0 I FT.OR <br /> INCLUDING COVEFEO MEAS SUCH AF PATINE.ORV[WAYe,µO WA W@ THE PRINK rOR AOIOMNO MINE . <br /> ... .i .. ..... ( ....... <br /> Ifm� <br /> RP E <br /> PAYMENT :. <br /> RECEIVED <br /> MAR 1 1995 <br /> .. i.. ..SAN14ELJOAQUIN COUNTY <br /> ���� PUBLCWEAtTH SERVICES <br /> ' <br /> ENV IRONMENTAL'HEALTH DIMS! N <br /> �AF3 /NF uFs eNlr 9 ,�/C/IBJ T <br /> /A/IPIPuunou AcccPrcoR w^oo(uyy.��NGF��n.����.//rr DATE. /..,. �� APu ^'/ <br /> .�ORBVMPINBRRION sv ^/ EA`Fk,[FNRAL wBRCTH)N BYrP�A� DAT4FI—(,YJ` <br /> MVVVVpranu cDMMw�e: �♦�'� V� E <br /> AccpuxnlwA DNIv. AIDE Pre. <br /> PE CODE OIRTO TRWIiim C RAW RECOP®IT AAT! M/AENIITN XVgCEI <br /> Q��Y441 12 <br />