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APPLICATION FOR LIQUID WASTE PERMIT <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> P.O.BOX 388,446 N.SAN JOAQUIN 6T,STOCKTON,CA 66201-0388 <br /> 1208)4883!20 <br /> RQ*NEFUNDABLE PERMIT EXIFIRIS I YEAR FROM DATE ISSUED <br /> PO "Y Tr"oW <br /> /Jgt.CIOV Y lE1FLY YApf TO TM\ JO. IN COYNTV FOR A FFn TO CO MO T AIOMn INET THE NO FN DE., TIM YIIICNION Y MAGE w LOY1UMIC[:MNI YNI <br /> ,O: COUNTY FmE iRIF.CW Y.1110.]N'D THE STNIOA OF YN AAMILI CW Nry VWJLIL.LLT11yy�SI/etWle.FN..//N--M--NlFIrAL 1EN.T11 oNIBI . <br /> Jo\JnwEewAAAI. cm �l�M1I�Ln\Ay.F.+ � Lm�e�/,��� <br /> OWHlT9 NAMl� tY •i0'�' /-fI' AI'/��I,.,�,,''MOILMI (t l.� P1aNE�J'll.l/'�LS� <br /> COMRMCMA�L�l[.•da/ ..r�r�iM1.FlAln./AfAmEM ®d B.r7i7 IICF.J7S(zz6 wlorE 3G -S/a5 <br /> YII COMTMCIOx_ MDIIY lK/ Pow <br /> TrFL OxFV11L lY0ML NIW IMT.YlAIaY❑ V COTIIVCFarI <br /> IM eCrtC LY\r!M FFMRED P FI MVIOr Y AVNAerF TNMw=O FFF OF\VL G.I r\\THI I I HYA MNY <br /> wSTAYATnY WNL\/NL RYeFNCX eoYAYTCIu O JJ aTHeA O <br /> Y1\Y OF VNi UNR.: I YIINP AY0IOOM\:�YWT G MIOYB: 'J <br /> CNFMCrFT OF WL TO AO OF 3 FEET: 44,L r RTlB MK CNAMI.TYI:� WATO1 TNIE DOrll /gi <br /> Mmc TMYImNLr FTr . Ef N/E5 crsAcm �(O�0 — Fn.cowrwrwart6 -2 <br /> IIII TIIY .FLANr 11 MT.".TO.., . _fa � FOOIOAT]H /O F IIaPfIm L:IE� <br /> UFT VTATIoxO N2E TM OF PIMF e D OILSPAMTM ENCLOem LYLrEMI _ <br /> LNOMM UM �xD.•LOaT11 of LlIE._ � - 90� wRAxcEro MUELr:wru_ae, wuxoA'roN_�nowllry Lwl��___ <br /> FLTp1Y® ❑NVfN LFNrrt x,�RPr11�MrtM1KcrO 16ARDt:NFu FOUnrMrgN�PIDFVRY LYE <br /> MOONO® ❑MOTx LlNOTx��CERN af.t TO FFAIdF:MFu Fw'NMTaF1 Fro I YNL <br /> L®110E FRE ❑CEIIH eQE N ft OMr .TO HFNFer:WJ —PJIIMA�waF LwE <br /> MMN ❑NOIN IFIMTH��oEFTN�.R TO xEA1Qr:WOl� FOUrWATax RYFFHTY LHE <br /> gYOFu roYOF CI MOTH LFIMIMDERN�NFT I TO xGRiT:WOL _POuMATMN MYROVMJF <br /> I xF Y CFIRIF/TI I HAV!RMPMFG TMS A Al AND TJ'ATTH!N91K K1L M DOOM w K OMANCE WRN SM JOAQl 00l OILYHA .MD LTAT!uwe.Aro IFAfE O <br /> AJY rtouuTax\MTNlSMI JOAOIIN cauxrv.NOMEowTLFLDxu wwo Nerrt'\elDxAiule cQTIFESTxEFWOWaa:-ICFArMYTxxrwTIEPBEOMSNLYOFTHFVAIKNDLwwcH <br /> TNM PRMR MIMueD.I BIW11ar EAgDV Y1Y IFnBO11wYMNA MMNEnNTO eECOw eLILRLT TO MVIFMN'Y CO\fYIeATNw u'M OF CAIfOMA' COMTxILrOXS HVM0 O11 <br /> 0.M MO SCOMPYONATUFL cORnYe 1F6wA.- TW:lcEAIMTM TIC TN!RMOIMIN OFTHEVJOIRr00NFFCx IN gMrMNMRo. SXJ.LLMROv RiWMI eL1\JECr ro <br /> NOINM.VfB COMRNLATgMIAWS OF LAVOIWA.' TIf AFFVCNT YUTCALLN HOIeM IM SOVIYCF I'OII.YL LdY1m 1YSIFDFarM. WYMATE LRAVEMO YfIDW. <br /> MFF x � o TRLE:=.edd- DATE. <br /> T M.YI YIIAw To SCAIJ xME T <br /> 1.NAME.OF frI1FFT\on roNe.0T TO OnB .WW TIE FMJI'EITY. s.WO Tan OF HDUR RWAOE MPOEK n'RFM OnMWtm <br /> T'DurLNe aTNe rrnrtmr.vm+wuEnwH.AlO xowx o.ECTYY. \xPMlwwl of swNc..m ererMJ.. <br /> J.LMRIYOND)OVILMeAMD LOLAW.OF ALL U 1017 p.RVIFVFEO mwCfLNE.. \. LOCATN)NOf'MlL WITMN MOIVE OFCVY HUIILMID fKiV R.ON `1. <br /> MLUDLMI COY MA\ ZN PAM$.dVVEWAM MIO WY TK TOKm ONAYIDIISr?MIOIOrTV. .p <br /> 3AB' <br /> ti <br /> 0 <br /> ,� <br /> . ra��EN <br /> RECEIVED <br /> N EIIVED .. <br /> .� <br /> . JI _ 2. . 1995 ... <br /> ..... .. <br /> _.. .. .... :...' . . .. ..... ... ... ... - PUBLIC HEALTH"SERVICES...... <br /> .. ' EN <br /> VIRONMEt.TACNEALTR'D1VISfOF <br /> ' RILDO.LF._a MMOF.. <br /> AFFucATaN FtcEFrzD Ar - DATE: .Fnu: �/ <br /> TEN..m On.Uw wwFclLnL sr DAT! l NNAL wwccTpN sv DMTE !o l.2 4r 9S <br /> ADDIraNM COMME,;TR. b S <br /> AaoxNTwo eNLv: PEM FACE <br /> FF coDE ri IND urrFaR� c A:A.x NCEvm.v DAT. FRwYr nurw Ixvacasp <br /> �O S <br /> az000b <br />