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APPLICATION FOR LIQUID WASTE PERMIT <br /> SAN JOAOUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> P.O.BOX 388,406 N.SAN JOAOUIN STN STOCKTON,CA 8620141388 <br /> (209)488.3420 <br /> VINDOFFUNDABLE PUNIT ESPIBES 1 YEAR FfEDM BRE ISBBEB <br /> 1BPRIpbb M TIONNNI <br /> A Ni"WN15HOI[N NAPE TO THE CAN JDA"rOUNTYFOn A FCRNrt TOCOu0i1WCTAM1OARWOi.l TNLNOW.OPoHT;N%iNIB Ag4MATpNIBYWtq CONgWM[\MFI BAN <br /> "iNMNM CQV OLuuOwERT TITLE.CHAg 6.111 D.3 AND TNF RµOM sOP SANMAOUIN COUNTY'FUBIIC IKALTN kAW04,gtt1MNM(NTAL NFl1TN WENN, <br /> JOB wOINlapnuw si4E JA .vABJ "Aid <br /> DAxLM1T:xAu( ..I�.tJIt,L A. � 7,ELOTETEE-ZAL. <br /> :7-0 NG <br /> ,1 <br /> CONTRACTOR <br /> Uti .HMk- <br /> cUBCOMRMrO AOPV6B {pF FNOfE <br /> YYRe OFLTrrKwBRc NEw INea•A ,ON ioABYZWEN DD oltT1Y oN El <br /> p(O BEpFIC BYCIFII PEPNTFOIP I VOFIC NWTR IC AVAIVd1E WrtIpN EW IEET OF BNUNNOI FONt WIN I I"Dw N.W Y <br /> NMe[un i <br /> HEITJ N TION MIU emvT: pLBI .18 CONN.At❑ OTHER 0— <br /> OH—L- <br /> TM NN•N4110Ftt(NIOANL.��tlYFABgp WROYM; p <br /> exAIADKR OF4OaTon OVINa BMEn 4YlTFs EtSH��AMM.FTinuNF OAu euAAeeien wATm TAru oPFlry_ /D I"'F�wpyd4.vr'lLLF�t(r' <br /> LLFIIC iAXWN.W IRA/ '�iYFN:NO uIYY' '�tr CAFALYIVq <br /> NO IIYl.CONPARrN(MTC <br /> nMOMENT MATT Q g vwx NE <br /> iO NJPT N9L 2"a'1 YOUNDAIWN 4 IYWFGTY IINC <br /> INT LTAIpM❑ gZf �TYPS PfNW BAHO O4YNV.TOR NNLIOhtO eY4YOI1 _ <br /> t[LBNNtl IMF � p.LN+]iN OF NNIS -- AM:ETO NFARFLi,WFLL�viOVNPAMNMWIVMNW, 14 <br /> TlttOtLEO 13 mTN�IENpIN^TOIYEN AHCE TO NIMIBi;Vµ[�•A YOJWJAIWN MWYNrtv NNiT_ 1� <br /> NOVNON} ($F,NpTII�. IEPpiN ^^r'MITN FSM 1AH0(Yp N(N1(ci;YAEt �A W FOVNOAT1014=IWMTttYWIL IQD <br /> LKFIYCXTB QOmit—NEC FUMO[A, ,gtiANC07010'AWLYI W(IL �IAUNDATWN�,®.,INY.fM1IYIWL Ci <br /> WVN 1]VADIM_IONTHRENNg4T.NkLTO HNMCTI WFI(­MUPMTpq�_^,_FTWRRTYUN <br /> gWL4INNN T]YAOTH�NNOTHOFITI�ryiiANCF 10 NE01(",MIL--POUKMTWNEvommuNB <br /> 1 wmy elm"THAT I"A"T"AWFIND, IN.ATI .OID THAT THE mNim"L HE*I IN MCOPgAIM1 VAI11 VANJWWIN000FITTeRDµMWE{µp LT TE IAWC.N1OMniB <br /> � ENDR(ODUTIONB OFTHLCNIJOAgONCOUNW.NON(OWxEROM1OCtFK0A6[NT'B BWNAIUA[CECTBILLiH[FOUAWINOI•IC[MXYTHATKTxIgMON41NC[pPt18lWNFOflyAYCi1 <br /> TWCRLANrt ICIBLVEO.I BBMIl LWT 1AIMCY AN lOVIO,- ICXAYAKFFR AP TO B[COAN 60BRCTTO VAFNNµ'LCpNPeFpAIpHlAW1 OFpANMANLB!CONFMCiOR'B H!MnO OR <br /> WB<OMMCTYW BIeNATV OIXTNN9 TX[WNfWdW1•ICfpIIry INATwiNLRMOANNICYOF MIwVNl F0141Ni1G1TMLMµ11i 181YNItp,FY1NL WMOYP(R[?NB 4UB.ILCT IO <br /> VAlff(NAN'B CON N6A WOOFCEyPORNq.'TN$ANIICANTMWT C0Ml 1{IgWINAWAXC(NB NLIIFOL01@INLROTPXF.GONFIBT(FNM'MRDMCgM, " <br /> Laxmx TRII!' PATE. <br /> ' wDr rIAN wAAwro PcuN UK(. �'u ' <br /> 1.NANE99F crµFlf OH AMOY MN[8i TO OflOWJIgrvO TIIt FAYYtflfT. 4,LOtAf10NOF NOYK YWALE qµ00µBYPIBN ORMpNBtp <br /> 3. <br /> ].THHENIWeNFeeYN0EUPiFtOlnMLeATMY,D WAY"01 <br /> LLAEEYWpNNONRMAND MINNb,O [NPANBpNBP NWAOE gBftlBAl PIN1lNy. <br /> LIgICPVRi4, i,LOCATIONOFNTW YAIINN MgU8000At NUNCREOFIATYIT.ON <br /> INCLUMNO COVFF20 NVAB BULH AO PATWe,OMVCWAYC.INC WAI%B, 1NE PPGFERty OR ADgIp1A MYFFFRY, <br /> too PAYMENI <br /> rot)., ?a '' SEP - 11995 <br /> 6UA MN <br /> "AL1F1 S_. <br /> \ • - . f2;WO Th/dK .:nv,fiFlyOIFN 4 ti rHY16F; <br /> 1.E. L EA(.iN bgq,. !: r <br /> I t � <br /> I H� 4A4 <br /> I ) <br /> rt <br /> e-- MAW � g <br /> iNq,MT OR NNPgiKOT"pCCN"BY UA/1 I PINA;WBIgT10NB aae fo, l31 9S <br /> A XEMMO .IMMINTB: OL <br /> 1 ACCKgTgOOHtYI AOI Y.Y:F <br /> I N000( FfIIKO M1bOVFi RPYTgtO\ rIN9 �AgPH. MC Iiv PAID N/FETNIT NPXKOI NF/MCEF <br /> vEk- <br /> I <br />