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..,FromA TWG Winery Operation 2.QQ 599 5892 To : <br /> 1443/95 13 38P. U <br /> FRC�I'i �11 !'U2"95 P . Z' <br /> I <br /> gAN JOAQUIN CO'UNT'Y PUBLIC NSALTH SERVICE8 <br /> MNVIRONK"i`AL RgALTH D:VISION <br /> SITE MITZOATI4r1 MSTERPILZ RECORD POM <br /> ' --� (PRC(?41 reviypd, �.73l9a <br /> F'ACIL21^t IU H FACILITY NANtfi <br /> Tr <br /> ✓- — _ yklcik ui; M raioe off3ste a <br /> 'i�a llltiga>ios11 vlra I -�••+•••. <br /> I nmental .�BaessmenL STI'C" gal Xazardous Waste �nvesc <br /> 1�ct ♦ AIZ Pipeline Invest <br /> enGy: y W; a4 m DYA Y4 alta aCb <br /> Quality S1ta thMr TWO 51-f M <br /> 1 <br /> I <br /> �1SSI4�IAT3T_ lPIrJYG& k � ) Uk(hikwn� hi:M#fM� d <br /> �C�f C[>aJiSN'I' TA'IR1g <br /> �..�.------- -, SFA p rt: INSPECT ON corns <br /> MUMblr of TANKS linked to this PROORM record <br /> BILLZNO ACYNOW2"LM14Tt 1, the undexNgjjsd owner, operator or agent o! Nams, aakrlowlsdge t all ase» xqa/OIC prc�rpt f�sCifie <br /> PSL; �_ hourly thargaa aeeociatad with Chia facility ut auLivlLy will Los billed to the party WSntified a# the bftwm PARTY on <br /> the MA#Uerfila Record Inforiiation roam, <br /> 4'tft4 =artify that I have proparod hhie applir_at;ion and that the WOxk to be perfoxmsd will be done ie saaordanae with all SAN <br /> udR v N COUNTY OrdinAnj;* Codes and Standards, State Md redaral law#, <br /> J( CA2+1T'S 3ZCiSWT3Ii�' f , <br /> Titlal `,If r� <br /> AV?KOIti2ATioN :0 ABL@ASB INF411FSA7ICN: <br /> In addition to the above, when kpplieabl*, 1, the owner, oparitoL' or agent of same, of <br /> the property located at the above aita address hereby ay;,yprlsxe the release of any and all reoIUlta, geb¢echnitsl data end/or <br /> envirotuAenC*1/NICs /aseaemont inlormat on Ca tiAx w'OAUUIN G'OtWTY PUBLIC HEALTH SUVIC30tNVIAD"NIAL HEALTH DIVISION am 8ovh its <br /> it is svexilable end it the same aims it is proYided to me or my represents tvp, <br /> I <br /> DEADLME PATEa, 1418iy6011LOAS grant �- -- <br /> Fvv 7urv�sv}b Amour*- paid Ga*a of 3`aymNat Peye,ant ryNy lLbubl y N ti� <br /> Kecvd By <br />