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MAW Par-a <br />DATE IR I FININT IMMO% 'NOM f II DOGE FM INFO, PAMIR! RATA ITER RECOVED DT <br />42-1 0 <br />t <br />it; /c-0 °— *-jr91-7 ?ig/q9 0 V/4g7/r) <br />Pub, Health Sore, - Enviro. 174(3/96) <br />AMA: DATE: <br />trEw comm. PUBLICITIVa Ttl SI*TICSF <br />%TON' MINIM.. ItfALTII •' , 7,1014 <br />Ediki• PEtMa <br />Jilt IC ANON ACCIEFILD NY Lievzs.a --r-Lw <br />TUE. Po' OIL SUP INSTECTIORI DATE .1 I <br />del. TA . — 21/471 <br />irOsr <br />ACOITIONAL COMINUATIN <br />... APPLICATION FOR LOAM WAIMMOLT:Tr. czi "...,T,.' . r07,I,Tr, Tror,t.TH Sumas <br />SAN JOAQUIN COUNTY ,PUBLIC MEALTIME/3MM' S ''. • !':'-'.k ' '1 :' 5' '''''T°24 <br />304 EAST WEBER AVENUE, STOCICTIM*4614111.L <br />PERMIT ENVIRONMENTAL_ HEALTH 0 <br />N '1. <br />(209)e84420 <br />ROEIVUNDAKE PEWIT UPIPPEITIAN MP BATE IMP ' <br />ICespilts IN Triplhinal <br />APPUCATION le WNW NATE TO THE IAN JOATTO4coustre ran A moor TO CONDENUCT AMON sweriui. THE mow OESCIATED. THIS moor-Allow IS MACS IN cowimuct WITH SAN <br />Jammu mom. ovetormert -mu. cuppren 9-1110.3 No THE MANDAN* PAN JOAQUIN cowry rue= IITJANH omen. AL HEALTH oemeou. . <br />Job Am:mamas am, 4E? 41314/ 9- 2 $4V(0 5.74 7L 15;z. CRY LTA SIZI/I60, 7•5"-' <br /> <br />A-7.1c-de-1 PDCAIESs 7b37 -ASP, 0 did //i -T4:4 641 fc_faig. rHolif/47- 'N./ - <br />OWNERS NANEaLsc 'Pl. - <br />corinvc700% .../1.1-0-14-29."- `01VD 5---e- memo at £. CIA.0.-r-A.stt 'ask 4 - tic, rx,-•440A 4423"-S-3 q 7 <br />SEPT <br />ONO CoNIRACTOk AMIGOS DC* FHONE <br /> <br />?WI or SUNG WORK: INK WS7041.A11011 Cl pipszvADEnTof <br />O *MR PINSEITTED FLUE SEWER IS ANNULUS WITHIN 200 FEET OF SUIL0002.1 <br />oseraucruni <br /> <br />/WC TERN I WAN WAY <br />Aftilulan <br /> <br />TAKTAIAA110111 VIM SAME REINDENCE COINAIRCIAA El o-norA Cl <br />owns OP LRAM MU; 4, RUNRER OP SEDROOTAS 41301,.. RINCSII OP IMPLOTILIM • <br />CHARACTER OF 11011, TO A DOWN oP a perfe:a140t4apmeetar sot cupsocreeir4/ (ODA", YAWS, VOLE pernin. <br />SUM TAITTAIIIIIAIN TRAP 0 TWEASIO CAPACITY NO. CoINEINTLIENTO <br />NW TINATIRDIT NAM 0 MINCE TO INARIAT WELL 4:1 'A) FOUNDAYPON poopErrry EDE V l_ _ <br />LTT STATION 0 SIZE TyPE OF ROMP SANO OS SEPARATOR IENCLITIED HUM <br /> <br />LITMUS UNE Cl pea. a Lamm or um, NUANCE TO 4EA1Its7, WEL MUTATION RADVIRTY UNE <br />DEPT 0 mum <br />WHAM <br />001514C1 TO NEAREST: WELL _ PPONCIATION PROPIERTTMMEWY UPIELIME <br />NEM ND MAWR H earrAeme TO IMEAREST: WELL KANDATION <br />MOITICED D wpm mum Germ <br />wrens NTS 13 perm DISTANCE TO NEAPIDEN WEIL AXINDIGION_ MoPonlY IDA <br />uiDo .>irnionl-f---C? LETATTP0-14177,_C, &POEM__ CESTANCE TO FILNINIT: rerea Piocul POIOCATION ( C.) PROPERTY UPT <br />INSPOSAL TWOS 0 SWIM LRCM [SPIN TISTANCE 70 ITAREST: rese, . FOILOIDATON PROPIPPMV UNE <br />.A.,„ 211 <br />etor KIN PENN TO scAua acme <br />4. LOCATION OP MOMS SILVANII 011.0002. SYTIVA OR WITIOND <br />IMPAIINION OP SENATE 11111001101 INIETWAS. <br />S. LOCATION MMUS RAMS Or OM PLEADIED PWTY FT. ON <br />THE PIOPERTY OR ADAMANT PEOPERTY. <br />UMW COMM THAT I HAVE <br />ANONSINIATIONIS ALAN <br />moor is SHALL <br />VirSii%•%k` <br />1112%. k <br />,. NAMES ICAO* HEARES7 TO OR ocusolia RN POOPERTY. <br />2. OMUNE OF PPOPOITy. 55TH DOSENSIONS 4440 *405TH DIPECTION, <br />a. tamtaiatouto ammo, AND LOCATOR Of ALL EXHITINCL ANO PROPOSED sToucTuATE. <br />540EL00161 COMET ARIAS SUMAS PATIOS. OVIVIONAYS. AND WILMS. <br />NWT) THIS APPLICATION AND INAT THE WORK WILL SI 044*54 ACCORDANCE PATH SAN !DAMON COUNTY 01111ANANCES APO STATE LAW% AND <br />courerr. sumo orusewou mimeo MOWS SIONAMINE CORMS Tss mitowsoN logirwv-tuAr ammuermeeemeeoe Imam% eauremu <br />ANT PERIN* PI SUCH A MANNER AS TO SCOW SULJECT 70 WONINIAMI CONITOSIANON LAWS OF CALGONNA.• cONIRACTONIININGNI OR <br />THE FOLLOWING: 1 Mirror THA ND THE PRINNINANCE 0* 14* won( PoA PONCA TOO POW 4051)00.4 OVAL EMPLOY PERMED SUSSECT TO <br />ALWOMlA 14* APWIcANT MIST CALL 144404545 IN ADVANCE tom ALL. VRISMIMI . corrimcommis IGDW.