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9-1271998 19:28AM FROM . �. 2 <br /> SAN JOAQ= C=rrt POBLIC f®J-'= SERP:CES <br /> SMVIRO� HEALTH DNLS:CN <br /> SSLE M-1—OA^-ON MiS=F= RECORD PORN j <br /> GFAL FROG,2AM F=; Ncw�pu:ge D] t (PAOGi) ttvtaed 5/233 <br /> m <br /> FACS-:! ID N M1� I 1 V Cl FAC51�.Y ne To KAY SNE"_ i( <br /> RECORD To r)D P=OR DSS R PRIOR sworn a I <br /> IJ 1!!7 <br /> ice lticigac_oa: '+1 as��^--- -)CAB Rarasw masce :w t ya�ee Pipeline Txvesc <br /> Pty Lead Autt=y site DISC EPA Site c �iw SYllce eZG vpe Sice <br /> DECGSAIED DM6PT-',= s I L / PRLYJD1Tf a^.afcY R GZ/_ ( c=ZR. mm S72= { <br /> 'A'Y8 of DDITTS 1. SPA mqs?? Tcy CODE <br /> NwrDcr of TAInM 141kcd to this PRCGtAM record p <br /> 3=Z.= ACVOWLF9(.� a <br /> I: I. r^_ oadeigned Dyne, operator o-_ agcy of same. amko lcdlc ;tat allsite aai/or project. spec--- <br /> -c <br /> 7n-= hourly --barges ae aced . Cb chiv faeilicy or aelvity ri11 be 5..11ed to rhe party idcnt_ied as %ba 3=Z--iG PARTY on <br /> rhe m-ter'_le Reeord Information Fars. j({ <br /> I also ce^ify t c I bays Prtpared r"E appli=Z= aed rn.. the .ark to be pe--ftrmed will be Aero, in accordance with all SAN 3 <br /> JOApQIDt CO®ifY Oali.nanee Cadas and .nStamdn.-'is. State and Pederai lace. /^ (�" ( 7 <br /> APPL=xTr-S sz=z= .L`�"'�i WILL. Cvi be t)zj � Q T �u i l l;� Gy� r r Pr se's f_L-c <br /> TStle: C--j2d1�, cim�j;1k 6nV; roiwfoi?-c mu: 9 -Z4 -98 - !�r� EN <br /> ADTRLRZZ==N TO am-.er n,FG�XTW; Tz addition to tho about, .bem - OCT 1 6 1998 <br /> applicable. :, cher e.enr. operator or agent of same. of <br /> cbe property loeaeed ar the above site addx- bcscby aurhmrx rye yue. of any ad allresults. gene v`ee�m�ggL'{p����,)��� �� and/or <br /> eava---== eeal/site aaazaemmt 4aforoarlon co SAM JOANDt O V— P=CBAILTH SERTCFS ) IDL MEZ DivZs®g'.;ae 9oaa3:,as, <br /> it ss available a mG at the same stat It 9, <br /> Provided ra me Or my tepreaentativt- �='.i.�rrGi✓151 fir, s <br /> f <br /> DEiDL."iE DATE! Insppea icor: Cl m / / P.^ior <br /> Fee Amant Amuut Aid Dace of Payarmc Payment Type Reeeipc A Clacks Recd By <br /> L (1 6 <br /> O T bb <br /> i <br /> z <br />