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PLICATION FOR LIDUID WASTE PERMIT <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERIIES 1' <br /> ENVIRONMENTAL HEALTH DIVISION _ <br /> 304 EAST WEBER AVENUE,STOCKTON,CA 95202 <br /> (209)458.9420 <br /> NON-REFUNDABLE PERMIT IMMUS I YEAR FROM DAH ISSUED <br /> Ra.sl.d In Tr�Madl <br /> I1Mp.LTpx Ip XERfTY WDF TOIXE eMl A•LdnM rouMTV TM M1 19MNi0 GONeIMpT ANONn WBINLTM!wOIK O[XCIeNm. TNIE MPLKAipN H M.NC MCOMiFYNCf WIiM e.W <br /> JO.FgIM GOUMY OFMOIMENT TFTFE.CMMER RT 10. Np 1NE rtM1pNeA pEeµNhWMCDUIT'MUG MFALTN efRNC! `Ct/VYMIHMdfX 1E:M1LTM dNepN. <br /> �lL�hj yV ,f�1f�^ CIiV <br /> t,)e- ` WTMlE <br /> .pe Mp1ViOnmR A4U (� ' `�Ex V , ` l �J � <br /> DwNE1P.NY.F sc�V, .OfFEOE' S�3 l/�1 1.x-1 nG d cy, 1 Npll�.�Fl 7- 24c� z <br /> CONIINCTOR MOO.. dC+ MpMF <br /> MNI COMILYTOR AO04E68 MO+ <br /> TVM.1 NISI MmM.H I...Ej IIBA.VMdIIOM ❑ 04t141CN0 <br /> IHD dRE:EfTEM 19NlIFOs PVXVC a Rd AVAMAME..N m0MOTOFONIDIMOA TMRT,11 IM!W MIWY <br /> AMMI <br /> MIALLATON WILL.. FAFMAM[E❑ COMMFIICIM 13 .,H'.❑ <br /> NIE.9M OF.....:_NIMMin OF...ww: X.OF MRDVH.: <br /> CMA OROF.ORTOAOmFNM3,OT:_ M,AMAp OOLCNMACRR: WATOITAMOERN <br /> .p1.0 TANNAi1FAFE lPAF OTYF£MFO CFFAC.IY .COWMRAEmE <br /> FnO TRG}MBIT Fl11NT13 d{rAXCETDNTFFIE I: MRll TWMOAI bM NpF4RIV LNR <br /> IF!{TAIpN❑ MZE TYR Cf NMP WIO gLAFPMATOR ENEwdO EYBEEMI <br /> .M.IWE ❑ x0-\MxprN OF 11Mm dCINJCE TO MMEiT:WELL MUMMTMXROFMT 1 E <br /> "LTNI.m ONYRX�dHOTX��OErlN�drtANCE TO NFAMMIT:WML�TOgOATOH`Np191TY11NE <br /> MO1MO[D OWpLX _OErRI�gBTAxCFNNEAMFT:wRL�mUWRrgN�NpMmVtgE <br /> FMAAOE M. E] QFm NUAIHxi sM.FTO IIMIR:WHL—mAMF.A—N�MOMMTYFME <br /> .YMp Ej.. dMMOBNX�drtAHC[TO HEARBT:WFLL��mUMDE.ROX �MORM0UNE <br /> OMMMAOOMM OMIM,. L[NOTM�.WIIM�deiMICE TO NF111ESli WILL_—EO.Anow MOMRIY. <br /> I MMRr CMTNY THAT 1MAY!MEPAIFO TNI.AFAI ..AND THAT TIN I W.EE OOMf d ACCOMAIM"MtIM'EME MAOAN COUNTY OIOd.ANO p.T!LAWNN-9 MRF. <br /> XO MOUTA.OFTME.ANAAW..O .1pMl OMMEnq.UCE.VEm AMMOTI MO —CENTIMEHiMTOYIF!•ICfIMIFY THAT W MN TNOIMAM"OF'HVA)MLPoNWIRtlI <br /> TN.MM.tlTIlIeM1LD.I EXALL WtkMROY ANY 141RONM MICMAM.YMEPMTD EKOME NIEJECT TO Y.OIMMAX'.WWEM.ATpX LFw.OFCALMMAA: COM.M`.X..NOOn <br /> MIRCOMRA —IMINATMPCE1RRIEE RIF OWIHO:TCEpNYiNAFIX dI[PEMOf.JYCEMTNCMON-[fORM1.dtT111l MPM1dMBUFp.IRIW1lMMOY MI®ON9 WIRIFCi TO <br /> MgFM.W'. TpN1AVA OFt 'WOMTKMTAAMM. ....A....... <br /> AMCE FON^AV....I..MG. COMREEFOrMFNNO XLOw�.)/� Q <br /> AMNO. (1/SM gl.n(+ TO.:_ f l w`PV� MTF: l0 Y�E Y •9 l <br /> MDT MAx d1AW TO..I.CAIF <br /> F- xWEA OF OTNFFTe On MAO.INAPErt To on eaNICUW TM fl.IPFRTY. ••ea LocATUxq rpVFE FEWAOE MUOML.YmfMOn v11CIOR0 <br /> 1. OUIUNE OF THE MOMN.Y..MTM pWFxepxeµD NOpx O1REErpx. FAMAMepx OF FMAFA p.IOeX Fr.RMM. <br /> T dMEN&OxwaVIUNEe MIO wcAigM OE ML F11erMO ANO MRP'IEFO NTNICTUPFA. La•tpM.I.` TFMNFAOMMOEOIEMMMMOH YFT.OH <br /> NCLVORIO coYERD AMAe M.CM Ae rATpe.ONYtwnre.IHO wALVs t TMPIpMR1YMADMNMIDMpM . ' v <br /> y eM@ H IS GNI ABATEMENT# <br /> U�2,3�2- / <br /> ' ` 5 <br /> -A)k *4 fq,QR C) <br /> ,I. <br /> nV LT� FOn OO TMfYT 11N DMY E�1 2 <br /> nn���IMCCm`rrcIc1��fm���O F�S[�/ MIE: ` NTEA: <br /> TAAi,"u�bAiAMU11Savr�_fINX Madcipx nv vATa . <br /> M1pdEgNXCOMMEIOO: <br /> AcmFmnrM eMr: Ap+ rnc+ <br /> MOOOE 1M1M0 AMOACTRBTIT. OI ICANI maxk., OATE M/FMMOT.m I NWdCEF <br /> 1 6' <br /> �— <br />