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APPLICATION FOR LIQUID WASTE PERMIT <br /> SAN'JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> P.O.BOX 988,904 EAST WEBER AVENUE,STOCKTON,CA 95201588 <br /> (209)4113420 <br /> NONREFUNBABLE PERMIT EXPIRES I YEAR FUN DATE ISSUED <br /> rG hb IS Trybu) <br /> AIg1CATION IE H[%!Y MAR TO THE RAN AADUIN COUNTY FOA A MIO ST TO CONOTNIICT YOgfl MrtKL TIE V CE"IMI. TME IlA1CATgM HI MADE M COMMJAFIC[WTFH RAN <br /> AAOWN COUNTY UEKLOIMENT TDI£,CH,FTM 9.1110.3 AND THE OTAHOAND.OF SAN JDA W M COUNTY R%UC WALTN RFANC%.(NNgNMFNTAt.1.bUINN. <br /> . II ADMEawn AFNP.y342 AA A'f h F Nos. crrY�rFwl(' Eq.Eyl(]—LOT En_ <br /> .ENI NAMESIiya TY,I )Ck /A_, AUCIEBR <br /> ��T R4i( <br /> DDHNAI;ToR Wla''-f1 R L.( c,,,kL ADD%e. 3 So t MrRIJn LN:[ MIOH! 9�.ShJ�f <br /> SUN caNTlucroA Aoorc.e Lxl rxoR <br /> TM Of REDW WOW N!W WOTNIAININ� IpYIUApp}pri YI..� ObT1UOYlOw❑ <br /> M R%IC RYRTEM PEANDTED R"M lfW(A IE AVMApI WDNM MD FEU R SU.., EqO 1NlTi;1 I EIOW MMIT <br /> c>7/ N/.we• <br /> IMUALL/.TNIM WILLOEOT: IIFMRNCF❑ COAIM[IEIAL 01/UMETIC/"^ �� <br /> MWREIM WINO ISRlO: / NIMRb MSm1100MR. NIIEEPOFMRONTSS' / <br /> C"4 TM OF EOR TO A DEPTH OF]%ET: S/t',r.�n_gTJMEIP EOE.CNAM1tCTIF:—a�j T���WAYM TNIE R%N <br /> .Y <br /> .OTC Y...Yt TRA, o TY%YMi ,n J I r. eZLL- CYACfry /i(1/fiE./ NO.COMPAIDLnfTe <br /> RO...NY MNIO WIANCi TO IIFMtlT: N61 MAHOATION PgrUDY LDNE <br /> IETETATMNO SFU T Of ftIw IASp DIL SSFA14TOH IFNCLOND U Wl W <br /> IEAON HI RINE ❑ NO.I LMOTH OF Lpp' brtANCE TO NEAREST:MLL FOUNDATION MV%RFY WIF C <br /> DLTN.b ❑Ww,Ym iSNOTN__DEPTN pUANCE TONEYlST:Mttl FOINgATENI ITNISIRY RIE v..pp <br /> WORD. ❑.. LENGTH RTI WRY N ETO Nb%ET:VAL [OVMATpN MtlRTNTY LINT <br /> SEEE'ROE IRE ❑OEIDI SIZE NIReEAgrtINLi TO NEARIU:WILL_ M`NDATION PILTFEIIULN[ <br /> ORM% �WIOM .IflNTHl1[U11�'�gRANCETO NEA1Ert:WELL FOIINDATIONNON.ITY <br /> ONroIµFOND( QWbTN LINOM RRN�DISTA ff TO NFYNSr:WELL-_I%KSmT" MpFgTY MRE <br /> I H[IIFSY CETRSY THAT I NAYS FIRIARO THIS AI ATbN AND THAT THEW M11L SE DONE IN KCOIONK!'ASTH SAN bAOVIN COUNTY OFpNANC(E AND STATE UYH,MN ISN(R N <br /> AND S OUNTpHE RTNESNf JOAgANCWMY.RgEEOWRIIRIUCMBFU NNM'S EONATUM CIIRNESTNE MLLOWSq:IC(IMFYTHAT SITHE RROIMANCE Of TRWYIR MR"" <br /> THIS RERr IE NOWD,F WALL NOT IMROY ANY REASON IN SOON A MANNER AE TO bCOM!SUBJECT TO~400MS CONRNMTMMI LAM OF CALIM IA.' COMMCTOR'E HPgM <br /> BUS< TNO SXINATIAE CIIDEEETEPoILT�NNT1CMIFYTHATMTNFFFNOMANCEOf TIF WOW MR INWH THIS FIDW IE HORSED,I WNL FMROY ENSONE MKJ(CT TO <br /> SIWfD I[� <br /> S! INS <br /> FC:� \FN <br /> IT MUST CAN <br /> AM KNOW IN AOVYICI FVII YI RWANb AMFWTOIY.�[b1AVMO RIOW. <br /> THLD LN^/r nL/rv/ DAW: � <br /> M.OT PLAN( w,W TO SCNEI aou!_ 'N <br /> 1. HANES R UREETS OR ROADS NEAREST TO OR SOUNOAq TIF fMODRY. O_LOCNION Of IX)UR RWAOF DISFgRN rvrtd OFI MpFOSW <br /> R.OMLINT OF THE MO%NTY.WITN dM(MpNS AND WITH pR,,.H. IAEANEm R RWM!FAMOSLL SYUFMR. <br /> a, OMNEOFED OUTLINES AND LOCATION!R ALL EAIRSN NIO FYENObD SRYCTVFES. S.LOCNOHOF WTlI WTTMN AAOIUS Of OIE NIIORD FETY R.ON <br /> MCLUgNIi COUCHED AREAS SUCH AS PATIO,DNNWAYE.AND WAULS. TR fl014R1Y OR ApIOSAIO FMPDRY. <br /> SIR <br /> . . . .:. AAAA. <br /> hDcive :wgY r ' <br /> oilQ . <br /> '1- VdrF <br /> T PPCY-k I Ns <br /> t+F`sXaXB. RECEIVED <br /> l <br /> �+ . .. AUG 9? S97 <br /> SAN JOAQUIN pOUNW -. <br /> PUSUC NEAUHIERMCEb <br /> . . ... .'.. FJMRONNENTN.N,FALTN DNISIDN <br /> ..... AAAA_... _... -... mv. l_ i._ <br /> 111 MRDOARTNINT <br /> MrtcATbx Ae4U(Ory�PCLAL 4 L+LL!e7�-��' DATE: 2 ( I NIEA:_21RL <br /> TNK.IR OR 6W.iP MMEC1gN/ry 1 DAT! i I RfN MOrtCTIONry ATE19 <br /> MDDIONAL COMMENTS: I��✓PF� Iw/ )�.��. (y S F+•` C4CC,g/ <br /> ACCOIronNG ONLY: Alp I FALE ! <br /> FEE INTO MOMT AEATTp ET AT. OR 1 FENT n.MEI HNOIC[I <br /> (Ln Ic "7 <r -) c 1)l A ,qAn 'A1L i,112 naj� E <br />