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SOL- <br /> AF <br /> IV r ACII_IIy PCPN11 ('PLICATION <br /> 1 ,., ••, r., .••, NL , I 1 VIiLI-MGNI AGENCY LI'_iL ONLY <br /> San Joaquin Local Health District I r It r_ Nur+nc� (PERMIT NUMIIQR, <br /> San Joaquin II DATE wPC1,fVP.D - - PILING PEK - - - -- —_ <br /> I,rE 0/' ArPl.lc wtloN IIr /// -�5.-7� <br /> 2. AVPLICATION I' D(((ATE ACCEPTRD -- - - RECEIPT NUMBER- -- <br /> 1"� OFF 1It PERMIT A OR VY l <br /> WAT6 7. APPLICATION <br /> UI DR MODIFICATION - -- --_- --_----- -- ------ _ <br /> ,I(`•X`JI . 1 J rACILIVY r� I--_-. <br /> NAl1N 1 f•f w1A 1T <br /> �, AF!I.NU w!I.NT I DATE PCRMIT 1l SUED CO SWMP REFERENCE P-A j J <br /> NO I L: This 'oi In hes been developed for rnuItIple Ines. It is the transmittal sheet for documents required <br /> to he sutnn,tir'd to the entoiccnlent ayenry, `A Report of Station or Disposal Site Information <br /> ul an anlcndinent thereto must be submitted with this form, r <br /> - - <br /> NAME OF FACILITY <br /> Austin Road Landfill Site <br /> - -- --- ------ - ' -- --_ - - ---.._ -. . _ --- ---- ------- -.....__------- <br /> LOCATION Of FACILITY (GIVE ADDRESS OR LOCATION DESCRIPTION BY SECTION, TOWNSHIP, RANGE, COUNTY) <br /> Section 39 T. 1-S. , R7E (MD&B) <br /> T,'VC 01- FACILITY <br /> __ <br /> i +4101-IU "A S7V '115POSAL !,ITE- l] - _ _-7RAN51 ER/PROCESSING STATION (INCLUDES REUOVRCE-RECOVERY) <br /> _—__----_ <br /> _ ....... .. ... .... - .. <br />` (.I 1�1 II AI_ TV1'E OF WAST C! 10 HE NL CEI V EU -- <br /> 111 ti,-1.11 I II)N RLSID t_NTIAL REFUSE LONSTRUCTION/UEMOLITION WASTES HA.AIF OO US WASTEi <br /> DV JJ <br /> 1 ?CILITV I� J CLµMEF(IAL SOLID WASTES iAI 9L-WAGE_ SLUDGE AGRIC VLT UR AL WAST(! <br /> 11jrt`' TIRES KKK-����LLL LIOVIUS/BLURRIES SEPTIC TANK PU MPINGS <br /> (SPECIFY( ...... _..-_---__-- <br /> CILN A710N f EFFECT IVC DPOSED CHANGE (CHECK ONE OR HOTH) 1 IFFECTIVEDATE DAT( <br /> DESIGNCCMµIhCF.DILL � OPERATION I <br /> C�M'rvCN OF PROPERTY�NAMC(--- _- - - I ADDRESS <br /> City of Stockton ; City Hall , Stockton, CA 95202 _ <br /> 111. OPCNAT OR (AAMC' - I ADDRESS - - <br /> AT0H John Giambastiani & Son ; 1155 W. Mariposa, Stockton, CA 95204 <br /> AU(r1:I.SS 1,'Hi.NE IL.-AL NUTICL MAY FIE SCRVI:D <br /> ( City Clerk, City of Stockton, City Hall, Stockton, CA 9520.2____ _ <br /> _ - FILING F LC ENCLOSED___. <br /> IV, <br /> 1 herchy acknowledge that I have read this application and the Report of Station or Disposal Site Inforina- <br /> i1un, and certify that the Oforrnation given is true and accurate to the best of my knowledge and belief. <br /> in clperating the solid waste facility. I agree to comply with the conditions of the permit and with state <br /> and local enactments. <br /> - --- -- ------ - -- <br /> ni,.nAlliLr ( I <br /> .I $1 011 A.LNT' SIGN ATgPERA O Ow wLEnT . _ <br /> 1 /L <br /> TYP D NAME <br /> , Gerald D Philambastiani <br /> P _ ..-- ... _. _. . __.. _ - -- - - -- - - - - <br /> L --- - ' DATE TITLE rDAT <br /> CITY MANAGER partner, J. Giambastiani & Son <br /> - --- - ' CHECK APPROPRIATE HOX--- - - - - -- - -- - <br /> I NroNCLN,ENT <br /> APF LIC AT ION APCNOV ED � APPLICATION DENIED _-_ --_— __ _ <br /> A,C.ENCY �___.___. _ _.__.._ __..____ __.___. ..._._ __. _ _. _!!! i .-_.. -.TITLDATE AND TE LF I; N <br /> SIGNATURE E AND PRINTED NAME <br /> USL ONLY <br /> DALE RELEIVED CHECK A111'NOPRIATE BOX <br /> '"LID C- UH)ECT <br /> PROPOSED PEMIT 70 <br /> I CONCUR WITHRpR0✓OSED PERMIT AGENCY DENIAL UP-SLD <br /> 1'iFST C <br /> ' 1L.J1 <br /> -L. <br /> I-uALD 1 <br /> SI�+n'A7VRC - -- - -- - �---� TITLE AND PRINTED NAME --_ -�-_� _ATC AND TELEPHONE__"' <br /> 0,[ CNLY I <br /> 1 - <br />