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E APPLICATION FOR LIQUID WASTE PERMIT <br /> �o SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> P.O,BOX 388,446 N.BAR JOAQUIN ST,STOCKTON,CA 362010388 <br /> (202)4883420 <br /> . ROMREFUADIRLE PERMIT EXPIRES F YNR FRDEI GATE ISSUED ' <br /> I ARI4 TllipIWt.) <br /> AIg1CATION W XERERY FIRM TO THE SARI JOAOYN COUNTY FOR A EDBAR TO CON6iNICT ANDpX W FIALL THE NOIR DEICIY6ED,TIRE AVg1LATkON K MADE W COMPLIANCE tM118M1 <br /> JOAOUIN COUNTY DEVDOPMEN!TRLF,CRAMER 9-1110,3 ANO THE 6TMDMOB OF 6.W IOAWIN COUNTY M1114 HEALTH IRAN 6,ORMASENARI HEALER SN'Ski <br /> JOB ADYLE..AAwu <br /> 101 77{ a77 L/14aI, m �A-JrD,tFEDWNMELTb. yyapS��M95 GG _IDr as <br /> ..NTRACTon 1`1Jv„r TTr_�JA„1I�� ti.RXPE7f�Woase SIDE FL 414- LlL A5Q+7 wr r,74134 SK 3w"o <br /> 6U4CONfgA . AOMLE86 UCF NONE <br /> TEPCOFSFIRC WOR; xFw AARTAwTax OR NAEAA MN❑ oprwcTlw Cl <br /> Yq SEPTIC SYSTEM RWA TEED IF P WC E.F.AVAXALLE WITMX ISO FEET OF 6VM1OING 1 F9C Tb1 1 MYW YAMY <br /> IfF AgYrAR I <br /> IN[TNIAiION WILL E6NL RE910E CE❑ OMNEPLIII q OTIIEq Q TBlC' <br /> r. SA,kN NO UTA7k,e"._Hwa SRE.O.: OF wxLorea: f3(J C` <br /> CHARACTER.1.111.A OFPTX.1 S FEFl: MT,BUMP.1..TER, WATa TAN1 Oui -f <br /> AvgC TANKaNFga rR.. ❑TwFAAFc <MNRY LVOO f MO.LAB.PFLltlMElA 1 <br /> FEO TREATMENT FIANfO tlfTMCE IO REAR\EFT: W61 Y/bbO rT EO UNOATION IMFFl111'IIi <br /> .EkT,".0 61].E TY140F iVMP GARB OLSEPAMTOA IENC,SAO"'STOR <br /> WCNNO UNF ❑ N0.6 LFNOTN OF UNE._ gMMCE TO NEARI UAL_FUVNOATIDX_AOHPM1"Al <br /> XLTER EEO ❑WIOTM�IENDTX�Of%X�DI.TANCE TO NEAREST:�FOwOAIllx�RVRMY wF <br /> NOwOFO ❑W:DTX OEM. OIETAVCE TO.,.AT UAL_FOtMDATION NEO,LMF IF. <br /> .EEFAOC NT{ Q OEPTAI IEE NUMBER CRATANCE TO NEN lOT:NEIL}(m6FrFOVMATEIX�FIOEEATY UNE+-f 7 0� L' <br /> .WPf ❑WI.TX kARGTN OEITH 016TMCE TO HENYR:N4LL_FOIA10ATON-RGWRYUXF ” <br /> Wp4L PONOI ❑WIDTH LpOT1��OFITN G6TA.NCE TO. .T:WFLLfDYHOATCN PRORRI'F EAIF > <br /> L. <br /> I HEREBY CERTIFY THAT I NAVE i APEO THIS AWIIGTION,WO THAT THE WDIR N1LL AE MAEW ACC..'M!MFAHAA--WUNIY OMNANCEfi AHD RATE",MOIUIfA <br /> MOPFCUTAECN60FTHESANAAOVIN COwIY MOMEOVMEq OgUCp6E0 AffNFB NOXATUH CFRTIFEBTNEFOLLOWIIq:'LCTAIIF1'THATINTNFPWpWA`CFOFiHEW01RFMNMKM <br /> LNI6 iERNR I6166UEO,ISX.4I NOT FAIROY MYFDMONMBVCNAMMNER wB TO.ECONE SUBJECT TO WJIRMM'ECOMFFNMTgN l.1W.0i CAlYOpK' CERRPILIOR'B XEiAi Oq <br /> SIIbCOMPACTIN451LNgTVRE CEMINF6TNETOEIAWINB:'ICaIIFY THAT IN THE FEPFO RMMLE OF THE NORLWI.NNICXTXK PERNR 19188 WA.IYWIFMROY PMI�H6 WA.SCT TO <br /> NCANNI.6 COMRNSA OlR UW.OF CIRSENIA' !N[MR1CANf MVFT CALL iA MW Ix ADVMCE fOx AJl REOWIED IM./ECTOxf.COMRETE CRAINO-Aki <br /> J - /l TRLE: OAT E: <br /> .KHEDN � �v /:_�. _ .t��u�rt1=- s-mss' <br /> ROT PL,W IOMW TO S SAEF]SCALE <br /> wMC90F SEhEi6OXPOAOS HFAMM TO Oq BOVNpNO TXE ROFRRY. A.LOCATKIN OF NOAH FEN'AOF Oki AYETEM OR MOFOFFO <br /> OUTUNF OF THE HFAMMY.WITH pMpW,Y NL IRONER DIRECTION, FIFMAIOX OF BEW,MIF pBPoSN EYBTFMS. <br /> ]�OINFNAICWT DVTUR'I S MO WCATION OF N1 EXISTING ANO RVFOOM eaVCTSOS A.LOCATION OF...1.MHW OF CEL MMOIW MPTP IT,ON <br /> 1...1.CDVf 0A..SUCH A. Tq6,CSNRVAAYO,pD WALA., TNEPPOI4RTYOq ADANNAAOFM9ITY. <br /> O K <br /> aw <br /> f 01 fill;r to ml'v. <br /> ✓�� all <br /> 5./� � SANpItQUlN00UN[T-lO�IdCAEALTH <br /> YNyIRQIlA{EN[AL.smm misloN <br /> rq DaMlMpllf[oxLY <br /> ANA{CV"W B`: � i YWiPNi OAT[: 1� � <br /> "AW„RTONWMPINANCTWNBY SATE I I wNINRCTION." TE <br /> AOIXIMNN COMMFMB: <br /> o <br /> c...E.-OXLv: N0. IFACA <br /> • rtCOO6 FFEIMO FMx gym BY 9RLT XLFAEa xIVOMIfA <br />