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i <br /> APPLICATION FOR LIQUID WASTE PERMIT <br /> SAN'JOAOUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> P.O.BOX 388, 446 N. SAN JOAOUIN ST., STOCNTON,CA 96701 0388 <br /> (209)4683420 <br /> Z NDN REFUNDABLE PERMIT EXPIRES 1 YEAR FROM DATE ISSUER <br /> J IGnpwu b TEjOFRm) <br /> N AnON IS XETESY SHADE TO TIRE THEN.pAOdN COUNTY FOR A PEWR TO CONSTRUCT. AAI THEN WREEKED.THIS APFLCATSEN 0 Y80E ON MYRWICE VAIN SW <br /> JOAW IN COUNTY OFYEIOA/EM TITM CHAPTER 9-1110.3 AND THE STylppgp6 OF SAH JOAIGLAN COON V W aIC HF TN 6491=18,pNRONMFNfY 10ALTN WRENN- <br /> r AJ/ADOREfiilon APFu Q _^�' TAN�Al P RCL cm�0�y A EXIT fes_ <br /> OPAI NAME „I�j IL�, Ae Ss.—SAI PH..367- 12D 6 <br /> CONIMCTOfl `LI ♦ <I AppREee . <br /> I�We co«rRAcron TMP4(1�liJa v .Drip ADOREa11_J�D<S S', 4mk)ba L-Y- St.44 317,k <br /> TTK OF ipFX:wOIY(: N.M'TN6TAL1AnOX 1 AoeOLMpOTROx O mFRNR N]X 0 <br /> Ib F"T""V OIA PDMtlTTED H W 6 C iEWER Ii AV .WRXIN}SO FEET OF 811XDNSI i L'TOfEg 1)ROSS <br /> ElEXP <br /> AFP11 d� / <br /> _ixiTRLyAnOX vnu savF. RtaowcF G�cora+EECIAL❑ OTNEn[] Qsd <br /> MIMBEI OFINXO IAYIl6. MIiYE1 L`(F 11OWOWY:��Xw/iR OF E11bT6A; ' <br /> CHM4lER OF SOIL TO A DEPTH OF 3 FEET:y J'(E(J�:Ee PFFM.WIL CHMUCT.- .0 ^ WATER TATE OVEN <br /> FFFFIC TANX/OIIEYE nRY ❑T'PDMFgJ'-SL LUM�//IpI�wk CAPAtm W! NO.COMRIMYENF�� ..�� �L IJ <br /> NtO TREATMENT FONT EJ WTANCF TO MERRIEST, --Ag -let FOUNDATXIN AQ F't' AIOPERTY IRIS UR <br /> EFT STATION 0 SEE Two OF PERI SAND OR.SEPARATOR IENCLDeEp SYSRNI Cw L l <br /> :RACNNO UNE O NO.f LBNDTH...... 1� INSTANCE TO NFAKAT:VRLy4tjffL_POEWMTION <br /> WTER SES LJ WTDTN LFW.TN DERX OSFNN.E TO NFIAEST:V E4 p,,NVAMN�PIp91FE'LSSi <br /> MOVbEo <br /> 13 T.-- IE1gTN MSTANCE TO NEAREST;SELL {�(FOUXOATpNHOFIRIY MNE Z <br /> S�AOE wTi ❑OFPT,N K M aE:_1,((_NUMeG— dBTAHX TO NFARERF:WEL FOUNDITYTN REITYENF 1 { <br /> A.. ❑WIOTX IENGTH fIFPFN dRPNCE TO NENEBT:SEIL WYMATNIN a1014RTY UlE L.� <br /> .]ISPOGLL FONOS ❑NADT" LEEgI« [SPIN dST.Ol TO HEUEBT:WE1 FOUNDI.TICNI PROPERTY 1811! <br /> (HERESY CEFRIFV THAT I HAVE PREPARE.TXIB MV AIPN OND THAT TXF NAIL WILL BF TOFBWACCOWFJICE WITH—.MTAOIIW COUN[Y OR'S"ANCE8/JID i ELAS RSSS <br /> AND FEGUUTWNS OF THE SAN JOAWIN CDw .XN <br /> OF O\M'ER OR UDENSED AOEM'8 ENEENATUO CENTIMES TEE FOIL 141:'I CQVT1UT IN aFTHEPERFONAANCF OF TXES WFOR WIK« <br /> THIS FERIAE 16ISSUED,ISHAL NOT EAFOY.VLV PI IN...AM.WIE,M TO 6ECOME 61ASIE2I TO M'ONLMAN'8 COMPFNBATpH.OFCWfOPEBA.' CONTRACTONB HWM.M F' <br /> UU&COMMLTINO 96NA71PE CERTIFIES TIFF RIoO HO.'I CWRn THAT IN 1'NEFFIFORMµCE0FIXE NTNR FOR WXFN THIS PfFOE IB wWIED,I NFNL EAPLOY IEA6ON.INATFCT W IC <br /> WORAMAN-S COMPENSATION LAW6 OF'CAAl1FFOPRIA.' TIE ygICAMT M.MT 6A1(II IMIW IX AOVAMOf FOII ALL RfOyRET W61R'TIpIN, COMM1ETE 011,RW WD RFIDW <br /> SIGNFDz TITLF.� � <br /> /L q <br /> /�LI �.. Oi. L _ NN <br /> ` YWT EIUW TO SCEI Wf <br /> NAMFUOFSTREEFSOn WADSNF VTOORWUNLVNOTHEAOPEITV. LF4.LOCATION OF HOUSE BEWAOE SIMON.BVSTEM OR MgMIED <br /> 1. OUTUHE OF THE PROPERTY,NTTH ONEFIWONB YJD WRFX d1E .. ETPANEON OF 6EWMiE I..""HEARS <br /> s. OIMENRKINEO OUHINEB AND LOCATION OF,LLL FL8TW6 ANO PROM.S}g11Ol., E.LOCATION OF WT.IWTHIN MdUS DF ONE HIIHdED FXTV FT.ON <br /> INCLUdN COVERED AREAS iUCH AB PAM.,ORNEWAY6,SNO WAINe, THE PROPERTY OR AOJOWNO PORRTV. <br /> L �� <br /> S e-� <br /> � m <br /> It, <br /> � <br /> YAYMENY <br /> 1 usE RFr� v� <br /> SEP 1 7995 <br /> PN JGAJL h <br /> ._ _. 'Cu <br /> cTvVNLIO.HEALIH$E'RV7 c' <br /> ' fLIT ` ' <br /> < ROM41R..' AL i1EALTH'DIVOON <br /> CFDX.VAR MfNr UU OXLY O V YY <br /> \PCIJCATION.CCEVfED.Y pATf: 2 f!L-yy���� <br /> OR EUMPINPPEGION BV WT I EWK XOKLTION BV 'WTF y /.J (-I'C <br /> c.'nAT.lFP: <br /> ACCOL:NTNO OMLV. �L�� -7----9F.C. <br /> q <br /> 11 <br /> INFO )-I U.�a -7a Ai« REC�Y 91,E <br /> • 1- ( M,PNXT111XYX1 dWX:EF / <br />