Laserfiche WebLink
OAC���:JJO C:ggrrt rKtJnl r. , <br /> .�-� ' ..�..... .. x..�... .._. ..... • .. ... -++•T+r-..mow <br /> EERVICI gWlET (EN 00 615 Mevlasd 6/73/93 : . . <br /> PAtit.ITT i0 M RlCdlO ID 0 INVOICE 0 <br /> "'MCIL1TY MANE STT• fYL�tA Sr. �'� � fl iiLLlwa rARTY r / x <br /> wit kvikgss C�c, LAY" <br /> city J' _�-tc_lv' CJI xip � S'20�( •''i <br /> ouMEH/D►PRAtdt 0. `� tllllNo PARTY © / N n` <br /> VVIU\t,,�. P O frac 7a ` P"ME M1 (i22 ) 457 • MVQ <br /> ADDRESS F" �1 _ 1 � > .0 O} ProwE EZ <br /> 7 <br /> .M CITY !_�_C. ��'hV'\ .. -afAt■ � tip C( sol.C)7 .•. 1•, • <br /> C " IIVA <br /> E04 Diet Location Cede � ;• <br /> bwTRACtoI rdlor rr 11 <br /> stivitt "MM§TC1A l: 1e^cc�_�r �±=t-n Vc�l CarviC*ySt �^C. ■ILLIMD raeiY T / �• ;l ; <br /> c"/� <br /> pµ PHONE Nf (�`�> p�SFl •~:. <br /> (rr <br /> t1LINE ADDRESS ,•,���? �V" .�T�'C`C!�`-t- . PAY 6 ( )�Ci3`�.= �= .•,�'i <br /> CITY _S ETAra _�-al --- kir <br /> 6ILLI4a ACKNOILIICEMCNlf I, the Uiderslgned oWnwrl operator or went of scary acknowledge that ail altoie 41y�,O`ct speclflo •%:,� <br /> `plijitya hourly thwge, ssaociated wlth thli facility or activity mitt be 61114 to the Party Idantlfld 0•art PARTY on <br /> Fill/•l i1 thIa ibrtt, <br /> JUS �9 •) t t <br /> 1 it" WWI; that I hwe prrpered this spoiltatlon unJ that the work to be Wfotm.d mill be done In accertksteal08Ill EAII <br /> •'Jd4WIM camitT Urdin nca Cd" and stinderdi Mate and Pederal law: S41, <br /> ;. <br /> / ENVIR vMc'HP LITH SEUNly i <br /> LICAM S EICNATURE t a{L" <br /> /� '.H DIVIS)p r.X�• <br /> Vitti:. (/Rrs der Datet L/9�95 <br /> AWilMjTATIOII Td RELEASE IMPORMATi0111 In addition to the above, when eppllceble, 1, the omner, operator or agent of save, of <br /> 16praf.rty intatd at the ab" alts addreaa hereby ,uthorl:a the relesaa of any aid all rvsUlta, geotacinicat data army/or <br /> hlrJlivl:eentel/alta oeseeament Wishaltian to SAN JOAQIUIN COUNTY KRILiF MEALi4 SFJIVICO ENVtltONNENTAI HEALTH DIVISION ae noon ae <br /> it Ii, ivallable and at thi snow tlW It Ii pruvldd to ew or cry raprvsihtstlw. <br /> NEtUrs if bervlts Aegtieaki `- service Cede •.J <br /> I . <br /> J <br /> •AWgried to - � 4PI�,�IG.1-!_ Eaptoyea 0 Date <br /> bsN §eevloa Completed _j / Further Aotlon Requlred: Y / 4s "CORAM ELEMENT <br /> the Aa tAewMlnt ►aid Date of reym t owvi nt Type keoeipt M Check O Avow Ry <br /> r. <br /> / O.•.. . <br /> RII9 I ISL/ P l l _—/_.._I AMT I i —/--J— UNIT CLR <br /> K) 39Vd IVIN-IMONIAN3 1HDI&I Z9T9ZE860LT 9660 B66T/6Z/90 <br />