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AUG-05-1999 07:44 -IJNSEEDS IaCAMP'-! 2093671066 P.03/03 <br /> �- APPLICATION FOR LIQUID WASTE P14MA, <br /> SAH JOA(ldll COUNTY PUNLIC HEALTH OEOVICIS <br /> INVIOONMIENTAL MEALTH OIYISIAN <br /> F.Q. 107(JON. 416 N. IAN JOAD014 IT., IfTOCKTON,CA 16291-03tf <br /> till)44114421 <br /> r <br /> ArrLICATIOM q,l r ALAN[To THE AAM JOA041A CDurfty rOA A III-IT �~ Trj#iow <br /> AAS,A GDvIrPy O[KLCMyENI tJTi r.COMM!+!1 TO CON07 SIC'All MI TME WOO&A[SCI�[�O. hA <br /> AND TME f}r f APrIICAM*K MADE IN COt*UAAICK MRrr IAN <br /> At 4YPM1RaCNM1"-"1 42 <br /> 6 OF OAr,'aDAA4W.I50UIYrti'MLIC iSAlY1/ wMC[a,iAVNrDNArLM1.1L Mwa.Ttl DM<10rL Q,�,,� <br /> 09Y 014 RANI[ CJf°r LCT oet=T <br /> 0 <br /> CONIM1ACT r I—U2__ <br /> ADbI1Cii r <br /> aw COwtwMT91f �r C����w10N! •S��. <br /> ADOltoa <br /> �.y uCr ,_waDRc � <br /> TMM M at+'ra'vowA, rlrw INx/w►AA'elbrr — <br /> r/a Mrrlt <br /> rCwN7riMOmoN oMTRfR110M O <br /> ✓• w4TRO r r WK#C*"MR A AVAILABLE VATIMN M PUT Or arJRdaw, <br /> rpt Tnsu!� >,Caw IIaA�ri��- <br /> byTAu�flda xptloorvr, a[ilpglc commaCUt Arrwrw.• <br /> orMur <br /> $#mw*p LAfrro 601Ta w+fillwaDf10 �S J <br /> o; RlAlrrl or faaranrooa: ^,�+�._ .r1 <br /> UIfMc'1p!os alTO h DdPfl►Ar>' <br /> arFnc► T brypallfCtra: "AT"TANL(011 <br /> AfurKhalA�r!w cA1AOtTr� <br /> NM TIMfl,aMIT►(ANT d Ca14ANt!r0 NOA7rT. Yygl_ � r— fro copoomm Amm" <br /> llrtoTATrDM❑ ariE rPWOAT161r r10r[gTYuke <br /> �._y�T"rft Or PJW SAND OIL ofrIAAl 7 WCLO0KD rtpi lq <br /> l/AeNwO Ora >(-HO.i LfrNihr of LpmM M? <br /> OMf/rrSY TO waAAo✓RT;Vp ' igt~OATY1h—lQ�.gORiRi'v JMt, ` <br /> A'.rs rah Q Wa/>a <br /> umwxDo L[hlfl7i! 1r1�►1'��.oW**JCt TO all RAL) rDU110AIgL+�--ter <br /> OPEIrTr LN `—. <br /> 0 ruCrt►r-''r Amur Do►Tar DIfTANC[TO N[Al1FMi <br /> ArAn INTO �Oj �w/� VA .� buNO47gN PMOPrwv NM[ <br /> --x47a fit[ WlI MITARCt TO J00III . '1/ <br /> rNlrN Q WIDrM,_,�unaTM 0[Rk�_ rrc���aawaa*NfH_t�rweAtrrry uy-.-.--`_ <br /> Dwoafr,1Yk" ❑wren+ - VWAIWI To MASI WRs wUNwrloor s7�prtRr+uNt <br /> LM�+TM DfAH tyoT <br /> AMCE TO NIr111[oT:Wpj�_FOuNCLiTlcrl _ 11D1gRrY LINT <br /> l 1rbROY CEA11R'I TrrAT.RAVR F/[PArI/O T1No a.P1UC TlpN AIS T}I/LT Th[1aiOlO M1E:I!!OouEfN AtCOrvArrC[WrTN EAN JDAg1r1r1 CDAlf P11 Or[711'►wrlcto ANO W TE MAW 4 MUM <br /> +WAIN4ULAnOM/017M[6AfrJ0AQWNCOIJNrY110M[OWMEAOAi,ICdoK'Dla�r/'opDRATlMEG6AM,FtTN[i02104VIFle.'7CLIrrfTYTN.l1n.i}I[iS <br /> 1101 Klrrflr la ao«ICD.I ar+A..MOT oaAraW AAIv rdroOA W oue.r A IIrANM[A As T,6 MSOMf.uAJEC7 to aerFr�rr'i 641ar[MawiDq LAWS a»O p nAeN Howe Ox <br /> aNOCONTIIaLTIA4 MCNATWK ClIff"is CERTIFY THAT IN 74 FDOOfMIrAwt or"YAM PON WMICM 7!y WANT f0 NW[D.I MALL DArlGt oalOANi aue.lt[r rD <br /> Wo,EtNWH'o A <br /> COMMNIA?K?h uW! YIMIi1A.• TM AMftANt`MWT aAil i/NRt,[Is aM ADVANCE I111U.R[YJw�p <br /> ��\ �� [ MAORo. oDaah.tft LMYNMIM.RDW. <br /> VT/�, <br /> Llf <br /> rrru, Y <br /> RA1 O.A.rpnww TO SO*A&4t+4i__.N <br /> 1.rpM[a Of rTAa[To ow Fill AI[AA[!►TO aw oovmmm0 YM rapx�Ty --- — <br /> L.CVTUNt w Tli lwclrlMT "IS QrA1oAl ,Drcm Am KVWN DD"Towd. ♦. LOCATION Or AMME olWAGIF J>LrDaurt IrsrgM CA Flr MWO <br /> 7 Lataalo,raD OL VVMA MM(CATION OF AL IMM111KfD APO MW"MD/T^,CTuAEa, V(PANKIDk a/aloampow/'nmado <br /> iW"Moa COVMO NKAT oUC:M At/E ift,CMNUIwAVQ&NO WwjyL A-LMI"R OF 1M.Ls WRrtlp AADIUA OF aur+A kmo hrTH Fr.ON <br /> TR[a'aDrgR Y OR A4,1DIhrM JIMP 1TV, <br /> ! r PA rINILUNT <br /> � p�t'`Rtvr•ry <br /> 1 AUG 17 1995 <br /> "QAVurnr CUu,v rY <br /> PU&!C KEALTh <br /> tNVIRONI�IFN* $EAyICfS <br /> I AL HEALrS D16'15�G <br /> { e& t <br /> Cr <br /> M. <br /> TOTAL P 0 <br />