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01272004 14: 16 E. E - 12094683433 <br />N0.029 o0s <br />06MIJ, CITY OF STOCKTON <br />MUNICIPAL UTILITIES DEPARTMENT <br />REGIONAL WASTEWATER CONTROL FACILITY Septic Tank Truck <br />2600 NAVY DRIVE Special Application/Permit <br />5fpCK70N, CALIfOFiNlA 8620e <br />(937.8760 <br />FAX: (V%YQ9) 937-9709 For Wastewater Discharge <br />PART B — BUSINESS DESCRIPTION <br />Applicant Business Name: <br />Address of promise dlsche <br />city S'f.,c K:L7n <br />zip:nS Za G <br />Business Addrssr <br />street 919 N, N.n�ecre�f <br />City St2L k +Qnzip <br />3�ZU <br />Mailing'` (9 A/. &,,34e• S+rre+ <br />FI4",s� <br />City 5-{-,c k4u <br />6tete C A zip <br />Chlef Executive tnticer. <br />Name Pef'tr 13k!fne-h-d.30 <br />TltinGcner4d n4na� <br />Mailing Addreee4 11. }{t n{tr_ S% <br />City S i .c k4., n State ^C A Zip -is' LQ Z <br />Poison to he contacted about this application: <br />� <br />NameJL�_ rrn;ir <br />/ <br />TltiaGeal�Ais'J Phonal 14C6L-2.3dc <br />Poison to he contacted In case of ergency; <br />Name t ik n d Cme <br />Tttle�ratls�i m'+w eef <br />�7 <br />Day Phone Ji ' x'36 <br />Night Phone <br />Buelneso Activity -�Vn J L cwrNd� <br />Type of Products: <br />�� i <br />-rhe L +ir soh;L Un, fi,,l <br />fa cId", a 3 C '%f' C <br />r W <br />FI4",s� <br />Description of tvastswotor generating operations: <br />"c- a i Cd r. <br />L <br />C }, <br />LL i <br />1n Y,V <br />! <br />r+ 6 <br />h / r. <br />a 1'� 1 Qf O+ <br />d 1 <br />Ln G <br />ctr Z J <br />Collis+T[4, <br />ro L <br />fie t in -.x 12.,ra4 �n4j --Ae(�ni�;+5� <br />�re c,'I_r f 'acro s. 13 <br />T•e-c_?n4E41'n izz. <br />{2�Sr{eJe— <br />