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r <br /> t ' <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 East Hazelton Avenue (p. 0. Box 2009 <br /> Stockton, California 95201 �t <br /> APPLICATION FOR RENEWAL OF A REVOKABLE DISPOSAL <br /> To: District Health Officer FOR YEAR 1973 <br /> San Joaquin Local Health District DATE OF APPLICATION 11 21/72 <br /> PERMIT NO. <br /> Dear Sir: <br /> In pursuance of Section 144, San Joaquin County Ordinance No. 895, application is <br /> hereby made to renew the permit $Q gperate a disposal area site in the territory under <br /> your jurisdiction for the year l'9 7 3" <br /> This is a renewal application and all required plans and reports are on file with <br /> the Health District. <br /> Site Location Corral Hollow Roach <br /> Site Name Tracy-San Joaquin County Landfi' l Phone 0: -3167 <br /> Owner(s) Nam �'ty ®� Tracy-Sar, Joaquin County <br /> 330 East sLreQC. <br /> Owner(s) Address Phone <br /> Operators Name Same Phone <br /> Operators Address Same City <br /> psonion Gi tha S .E. �/� Ga � C;'as.�iA3 13® `233, <br /> Legal Site Description P <br /> R51-;® <br /> We hereby certify that all statements submitted are correct and accurate. We agree <br /> to conform to all conditions, orders, and directions issued pursuant to San Joaquin County <br /> Ordinance No. 877, No. 985, and all other applicable State or Local Laws or Ordinances. <br /> Signe <br /> City of Tracy — San Joaquin County Owners <br /> B Title Public Works Director <br /> By i y o Tracy <br /> } <br />