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APPLICATION FOR LIOUIO WASTE PERMIT <br /> SAN JOAOUIN COUNTY PUBLIC HEALTH SERVICES <br /> sHIN <br /> P.O,BOX 388,445 N.SANMHEALTHENTAL <br /> JOAOUINSTSTOCINTON,CA 962010388 <br /> (209)4883420 <br /> NONREFUNDABLE PERMIT EXPIRES 1 TEAR FROM DATE ISSU D <br /> nNE1CATpNle xEnEm'MAGE ro rxE BANlO <br /> eco1N,y EonA EEwalr To coxRNmErM,cr AxmwlNrtl <br /> auNcouwrY OEvnN��ejjEx��r mElE, NxwrEw 9-aoa,won R.A1xDywB OE EAx.loAaux<oEw¢umEce.TMrAwu<wrNNM <br /> be wOMClfi011SA v�. X17 W �/ xEurxr/S�a.EmAp,MNIf.M xEAETNN coAEwuictwErx lAx <br /> owxENS Nw.,E.Y EOKPS gre.F tb//PO/,Z ary Thvr.E,7Ear/ Dmw'x. <br /> coNrwEc �E,,,,� AeMeeE S'/S W •/ aTeox�A�.t�T <br /> 6L9�Rt6Aa4ei 1 „Nrn <br /> me coxrNA<Ton 7'{JT7r <br /> rt M<IS7 34/ „� r/a/9 Z <br /> rwf eE WIR MCIM: xEM EMrYEA110M �I NIOI4 <br /> roNV1K fYREM EEINIIT}m lEyy,N,.Ny„IXSAv 1,i•MI,/AeOlfpxp OYrNX.rxlx❑ <br /> EEByyy MIILtF MErMx rOOrtn aE NNgp.l <br /> METAWtpN wT1y N31vf: gEBgF12Ey IK'TIerNI11NoW.A,, <br /> N1Ned OE IMNO 4MTE: ` cOAEMElt14 p OTxf11 13 RBMwNn I_ <br /> L x w EeeFg'pOMB: <br /> cNAM<Rn MBO0.To A oo”OE]""Q' <br /> c A� MIMwI eF IAROYEO: <br /> 1p NVBVMv <br /> eV,F T.WngIfNE ln4 VTwF.W BIW CLE mR CNMAcifM wATEnr <br /> INo rwNmExT wANr❑ wiAxce re ��O"B"<^'� /600 AeIE <br /> uET eTAron❑ arsE xEANan w� moroAirnx—SMO'<owMrrMExre Z <br /> uwrwo IME �(xo.•IN,Mrx of IlExem� / u aE NNARAroR eNLEONo BYIrM rnortnry urN <br /> mTa Em <br /> ❑ <br /> �0.mrMCE ro - <br /> ynmx�l x T-wMt Q7Y <br /> Movxem pworx� �hlN�DPoMCEaxEAlMrt:wuaL�wuaATnx wlortnry llw SO <br /> IEuorN mwoAmx <br /> BmAOE wN ❑omrx "—�°E^x�_NarAxcE To nE,E1�rt:Mtu� �—NIONIm rN< <br /> euMIB p °xE MwNEw_�NRAxa To NE I°v"°Ano"—�,r,ortlmwE <br /> I[wTx- Iv[Ei:"'It— <br /> NBTlu rollpe p Wqr„ oEVfx- EolwpAipx-EIIorERV INE V <br /> LL�m_—�RII NerAMETO E,Etsr:Ewt,�_rol:nwTax_ <br /> �UBTANCE r0 NE/wrR:N{LL rPoEEwrr111E <br /> 1 NEq[8Y CEnfxy TNAi 1 NAyl rgyylEO rNi! ��rOVlpArgN-�NwfY INE <br /> N`V EEOVIATbNB OFTME e.W bAO11M<O�AilOx AxO TIMI iNE yawl y,RENPo ___ <br /> 61Ewbr xlEM/EO.IY,,yy NOT yA„y OMMEw On1ILENNe AOEM'I NOMATVR CF,wP,[ TE MEPoLL xeM1 AAgIM CO,pNy O,ax �. <br /> MbLOIIrM<T OMAi11nf CFlff B NMONNmCMA MNNFn Ae TO EaOME NbJFcr TO NOw[MANO'�tN:YCFIITNY TxATMrNE MATOINANLEOEn1Eu�"ANO MEB <br /> NOw(MAH'e ,RN At 11AW iaaWele:'CERIFY TMAi MTMr 1[lep,y/ANCE OFi OMfExeArgN INM OE CNF Y•VwlEqµrNCN <br /> 8A.•lxE VC LCwLLNMOWM xE WOIN all WEXLN TME iE,E.,RM OIN:A.'COMTRAOIon'a legxOOx 11 <br /> l <br /> AOVAN%!EMµl llfpynLp MCIECrMIO.MNNO.1 eNALL E1.gOY MRgpN881l.RCT to !1 <br /> el6MD n OM4[T[p,TWO,y MOW. <br /> 1.NNIEB OE RRETB On PoADB N[ARR t0 On eDVxpMO r,lE gprrgrY.�ALLI BCALE �rz' <br /> OVfVM OF TME wwRIT'.WTI gMENSpNB.WD MOII,'N OMECTpH. M <br /> NMEMebMED OVRNEB/.M aCATgN OE,Mt IXNReq /.aOATgx pr MCVR eFwAyE p,ePoEµEYRM On wgPoeED <br /> a_roluuxo covEw ArEwB EDcn As nATgB,ENenwAn.�No�eED RNxTNoe, E1VANwpl eE eewADE oroPoBAtEmMAE. G <br /> s.�A xeE WEUE ww,NE uuue os oNE IWNo:ao sxTV Ero <br /> 2[h' EIIDMnry oA^o+Dxnxo ENOMnry. " <br /> IL SHED <br /> 'G Iso, <br /> S�oro /,4Kc,ac <br /> -F <br /> PAYMENT <br /> RECEIVED <br /> MAR 2 1995 <br /> -- - SAN JOAQQUIN COUNTY <br /> - - PUBLIC HEALTH SERVICES <br /> ENVIRUNMEMAL HEALTH DIVISION <br /> A�INeriDN AccERm e. T7 f°n oaAwrwar,ME orwr -:._. <br /> TA:.N.m on mEry MIT.N�/—M-�.il. <br /> ADOxpxAL[OMMENTB. DATE MRA: <br /> _ ENAL R,eR<TIoiE <br /> AccovxrMD oNT: <br /> Non <br /> K com IM lr o AMooxr naxNm <br /> ux Nm n Rwrz <br /> In lExwer Fl"'Mx' Mvacen <br /> Tj <br />