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Tuesday October 4 , 1994 17: 10 - - Page 3 <br /> 10-04-1994 05 : 04PM FROM / TO 19169208463 P . 03 <br /> GENERAL PROCRAN FILE : 1 New ✓ 1118f+Se Edit th'aVt9]F revised 521!73 <br /> rA�tLin lD : � rAeain fLriM PL <br /> RELORO t0 f /1��� PRICK SUMPS/C" M <br /> DAl RY : rrm& AI Cr Cada/ R � Nil t Dispbhter Number of Cantalners In Nulci-Neal unit <br /> i <br /> FOOD: R.estaurceit _ Market _ Commissary _ Nabi to Food Prednco Stand _, ice Plane <br /> Seating .VwI y Sq Ft Nmrkat W/Fadd "ep: T / li p <br /> Temporary Fool Foctlity Speclal Food Event vadtrg Mechirrs _ water of Vendir4 Units <br /> rood vehicle Make License 0 Registration IF Cotor <br /> 1 n <br /> NA3AR000$ UWtz I Tens CMerAted/yr TIERO PMIT FwAtIty : CA _ CE PRN <br /> X0051116: Hot � L/Natel No. of Units Jail/Exempt hntirutfon meaning /latsene _ E <br /> topleyee Homing Xe.of Eaplayees Approx Was of 01Miapmxy to <br /> Liouto 4ASTE: por Vehicle Pugwr Yard Cbsmfut Tel lots _ No. Pecksgr Tx Plant <br /> T 11 <br /> '^ WEOICAL i WCa 6rimary Care . Acutr Care _ Ski tied Ynxving _" LN rrnerstor Sw Generator <br /> Storage t2--"1,,00�1Storage CTT-50) , Storage C v50 ) _ Traasfer Sta . ltd Naular . Yet Clinic . <br /> RECREATIONAL 11: poet/%e_ MImbw of pools out of Serytee• pool . Rotors[ Rathing Plate . <br /> 111111 <br /> Leef� <br /> SITE 11ITTWIOxt I Environ Asseae OST/G1P , Loc Rai Wmate _ Na2 Het PPL <br /> other Lead AS Site _ Adeneyt RkQCS �✓ DTSC NPL Site r RX/H2O 0 Other <br /> _ TOLIO VASrE: Laric till _ Tramfer Ste Recycling Fac _ Vote Stor&W Fae ^ - Ag Unste/Exeapt Sits <br /> .sw vel late No_ T^ phmpater Nt. Stations;y Compmnic Site R^ <br /> vectoR CONTROL_ 1 PwL" Fere �,. Kw Nu6er Of Mirds 1Ceiwl <br /> EMERGENCY NOTIFICATt I for this FACILITY aWw PRDLRAII OAT NIGXr <br /> CONTACT , <br /> DESIGNATW N CZ PRaGRAN ELEJFIIT ■ Z aRUCNT STATUS <br /> 3 OF UNITS : EDA 10 N• 1#SPECiION ltAd <br /> I <br /> MILLING and CWLEAMM ACWKWCOMIT: 1 , tho undersigned arrr, cpn•ator or Meet of sear, mclotoeted " thst ail sift aid/or <br /> project speclfie m <br /> I )7g huprty dWwgw associated with this facility or activity Wilt be bitted to the party identilld at the <br /> MILLING PARTY on thi� fm*6 t also certify that I have ptvpered this aFpLleatiohh and dist this wort to ba perforned WILL be doer <br /> in accordance Wlthqll t awticahl,R SAR JOAGOIN COUNTY C and/or SeatdWi and State ad/or Fskrat taws. <br /> y' APPLICANT'S SIdl1 <br /> Title- �2 act di 0l4 e ' Data: © cf • S_ 9 / - - <br /> 1UTHORIZATEIA TO RELASE INETION: In additlm eo the above, whon applieable, 1 . dos 0~, operator or aghast Of arar, Of <br /> the property lotatal at dna alcove site adiress berebv autherlso der rrlesss of my and ell results, gootedesiesl data and/or <br /> emirermentat/site sent inforrtidn b SAII j0pa III CILArtY NK[C XALTM 4SMC93 ENVIRObRINAL VALTN DIVISION as soon as <br /> It Is minable mid! at the same thin It it provided to as or my rcpresentacfvo. <br /> Fee Amount Anwit Psid Dere of Psyemt Palilmrrt Type Receipt t Cheet 9 R MY <br /> oar{ � Z =t <br /> o7 <br /> gqMlPbo <br /> StRrlt A[GT +....I : � UNIT CLC <br /> 4� <br />