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DEFT. OF TOXIC SiJr;' r. jjj�' 7 <br /> REF 0—=J-9VE 'SAN JOAQUIN COU 4T <br /> )EAVIRONNIEN;AL HEALTH DEPARTMENT <br /> hu 1 L�06 Fast i-Ijeber Avutup, Td Moor, Stockton. f:'A 952M-2708' <br /> r Ai 1 HEALTH (209)469--342;, Fax:(209)464-0138)Yee.wwv-,s o}s,or <br /> .., r.;:. . 19.� ; <br /> ENVIR0NtL .:. <br /> PERMIT/SERVICES � i .Eet 8 RELEASE APPL1CA..10—JN <br /> S <br /> 3In ,grafi - 7 a �^ r _ . _trL",i ESSIACE:} , <br /> (.. -.+ �i�- <br /> _): .P,:is L!))f .6/'?�.�._.. .Sd.«..i._*._ .P3- T"-_�'...._7,--..s..F""`1'��seS�1•@ 1 �, .;'+•fisx✓ia S �`--q�..._....'�7.._..._._ �L..�_. �. `S�rSA.�(.C' , <br /> �s t='4� �P�^ ...�re.G. _���".,r 'Y:���=4S: — ._--..-...._-........_..-.."!'��,•��J�S�Itn-+".:��r j+S '�_�_�' _�� _,r__-' <br /> EN �;"t IVF'A aN ME D ATF: #11 ` _ __ Time, <br /> (N'gasB£.lIr'j'Fi day3. $r.%,-r rad o"ap,?<ip�9Qfi$itbmittRI Rw3t bq co"fi1BR!e;7v"r (-vCI,4;'90.X``TVyryo FXP 1TE R g-gUEST-$95.%C0 PEE(CASH CHECK ON Yt-32EQUES-f!+R0-,5,:(-,a FBF`E0 6#:3 E/ 1 <br /> 5 ATL-'RL- 0 S`--P;-,t,�'�'al S ._--.....�Y ,fi' ?_ _- •_— -.�.___....-_.- ..._I.A N'.;ii. .-,..17 <br /> - rTT4lHOw!R4-a tmnsaxai. 9t. a-i7+xfi <br /> ^. k`Lf7s:_E+is. dii :3fiEi�+4$iws J�J'Be-L- r �p_ E'essF;Iur+tlon <br /> m+nwn®r ..nm+n--a�a�a�uamacsas�.a.raxrr.�aaannan . .. .sve .z-a-�m-sa�ux. mmn�mn.�.mmwu, mmsuw.r: <br /> ADDRESS D' SE ONLY <br /> r"t Wass _ cit., <br /> dq t Us T- rt LA)�'k7 +;ice...._ r�; (r.-...... r._.-...............-... .. _...- -.�. <br /> G.@iY?°e.? <br /> i <br /> e T <br /> f: <br /> I: <br /> — PETS [ '• tJftix 5 <br /> �mx-.sus,�e.ecxe..�sa:.w.�.m�smrv-s.san..—r .. :-.am.- ...... .._ ._ �n-�ms3.^nuc+nr�avx.. xa�s�e+rme_->a:�.j,.�h•�i:.+x suers.+-.r,a,ma:xr <br /> CJfrf a Atfl Rat°airilx::'.r atlps-)Requsr`"/: + 1r4 _j <br /> HEALTH[3EFAFII AF!F r f'FILES <br /> f 3td3ERGROUND TANK(US-11^v_E.NUP SITE(LOP) '�'.-;(]USING ABATEMENT �$ALIS lAf��T£FA it.iTY1a<`kFrfi.%t <br /> 0T5t=-F,CLEANUP SITE(Ra"OWL1 P a=F000 FACiLITY 0 WASTF TSPS <br /> t VWMRGROUNDTANK(FtOVTORi. r€RFtrr-"r.L`. ''Dor,KEMEL P-'L,ge4' <br /> 1 LiiR.zopDou7 ;WASTE GEN--Rz.—,,Fz r 4Yir K._N RANCH 0 WMTEW9TF_P.TREeATiWEMT PLAN, <br /> t'+frCiL=.T'�Et�Wf'F'.cr��'1 tJ:f <br /> 13 MOT EUMOTFL r"pumPEE:'I•.?i.iCttit�ARNC�."hpmTOIL ETS <br /> S�1TT:'1�r 40i3Y FIFftC3+4C 0 1 COUSPA - <br /> t 'E Ayrd $Z A. kA`eONf S+TFJ <br /> ...�AFMCAL duo,.,.T f �i -' ''a`o.T"r9ER.(FILFASE SPECIFY) t0 a�;,� .,�rt�' <br /> V&L,.ARIA;Sf9?:rw'?E WT REICORM P.P.E A,,,.:,i LABLF FOR RamE4W 8:00 AM-,r'"::4GPM - ID <br /> L lst'::p to ton addroue r! .the space aboyea. SMect the type(a)of s'iina fmin the list above by Chocking giaa app'ropr4 to <br /> b4:,K(ets) fit i"r+.onz Me t .*W,"" T be elected. Fax to�2, � 9tt13 x.r 9e tc t4 s a:cera �les iC eco a9a�?'re , ci?IQ9a <br /> rngez utagf:not t?q R `B'6!'+fiL -`er additir nal 2+$S"'e�Ct:�4,Vjtul file addrtasisa-s.L4'IT'%cii'Us4 EM t App'%atf£bf'4 r,-3:87s•,<„*?'s�jrnr <br /> '•,i e r fii Ise err, e sd the raext businerasi;,-,Y- <br /> R <br /> t r t o RrBti rio't�the vp ftt�.anl If a-,IV E� fiis,r xist. An appointment Q eiL�,".r a r}k�a r r f'enied. pp'fuxbrel atfx!y e D 1?':J� <br /> zgeE'receir-E SF:; a y .iC_7 tie 5 ies w; l R:r. 17'el t for a!'fiax!rrurr! <br /> %haauld be srhar-Mmci <br /> A iii 4itaf c ac0.iwaG!tZr.in �Y s ed o�ry Fii3;stiff maw not be imrnrdiaWy available,fo.re.jIMT, ,FA new.3pplicKMOn a1-1V he <br /> .5uh rt:*isd whar.2ht `Its?g <br /> A ; f,;a rs qt retv. 1r +in ' :Hrn :;:a ditinn er,reiaas tt rrrilt rec:-cgi nixed ov E.�o: .aff at the ex,vestse of th <Fp?iv fret. <br /> Fr„trrre fitp,revier”!?y the ,zan't -'e-quire.&$95,00 <br /> teHD USE:ONLY <br />