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APPLICATION FOR LIQUID WASTE PERMIT <br /> SAN'JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> P.O.BOX 381, 446 Al.SAN JOAQUIN ST,STOCKTON,CA 1629E-0388 <br /> (209)4683420 <br /> ROWNUU88AB4E PF YR ESFEIIES 1 YEAR FROM OAT[ISSUF0 <br /> IOENP1ElE 10 7rIFGrty <br /> MAW.ONIBNOM MIRNT THF SNI Ea0.CIXMN ME <br /> OF SAN TAW.WWT THE HED[6CN6ED.THM APRM.ATM &YMENCOFIIINi[NrTN SAN <br /> MAW.COUTY Al'ELOFMENf TRIOS.CNAPFEA 4.1110.1 ANO TIE FErWDAPD6 OF FIN JOApIN COUT'RI&IL N[KTN FEIMCF6.ENVMNYFIILK IEKTNCINYOIF. <br /> IDE ADDRFF6mn FEN• / F 2 7 G/A k o m A n! msra tK 7Dld <br /> C AAD�LANO *tOCI.�ADEKF MED3p <br /> 1.4, 9sto ZR10NF %LZ-3�4 <br /> TEs � T -719 bOml3 Rd. ' ZISO PD1l��. lL61, V4 <br /> cpAWTDR <br /> ADDKw uc• _NIDNE <br /> TrK EFEsne wo11Fc X,TY pnuunNl❑ 1FDAM/AOp1FOM 13 ptlTRueFWq <br /> ND FroTlt 6YFId 19FImEn F.Ut NYIFn M AVA11AelE MMIN 2LO FEEL OF 6uIDFa.I \ IYC TF[rw 1 I Now roar <br /> A/EESEa r <br /> NSlA1LFNN wTLL 6mE: KNOp['.[0 cDN A,O DTKII O <br /> NMIM OF uVXp Nns:_MFAYI CP OF WPNO B: <br /> G1MnKTENOF OOE.TO AMPMOF i FEET: RT/FUMPF CHAINCTEF WATER TAPE MFTN <br /> SNAG TYpgLL'A[[TMF ❑TrI4MFO CAPACRY NO.00MPFIRFRNT6 <br /> R6 TFEATMEM MIR❑ wnmm TO 1iNE6T: NFEL FOIXIOATgN FMrtr,Y IIIE <br /> LLT RATMIX O FILE TYPE OF NMP FNO OIL FEPAMTOn IFM'lOFED N6TOU <br /> Y1C1lp ME 0 MO.61ExoOl OF LNEE� p1FEANCFTO 1lA1ER:N91 Fp:IOATgN FR019ffYLK <br /> IEETM FEO 0 O EENOM_WPTN DISTANCE TO NFMEFT:V.91 fONOATN7H FIOMIRY MNE <br /> MOMXOPI 13 N'IOM MTIOTN__DEPT. pFr.1NCE TO xH11 'WF11 _roUNDATEW PIdLRV IOIE <br /> 6 A0[PRE 11 OFTEN WE NLw6Fn_p6F NC:E TO NFI/EiT:w4L__FOME ATRN P110PEIRV MNF <br /> NEME 17 W101X Lf M i1FITF1 DISTANCE TO NEMER:MAI_FOUIOTATIM MiFFR1Y MNE <br /> tl Gft FOFLV ❑HATH LFNOTN MFM p6T.VCF TO NEAREST:WE11FOONOATmo PNOR Me <br /> IFEIFFVCBRfYTHATI IAV[P AAM TINSAFPMAMN ANO TXAT nELWI[fNN1.6E fXMY.'NAL'COIFAINCF V,FM EAN pApINCWNTY OIEINANL[E/NO UAW IAM'6,Mb UTILES�. <br /> AND PEOINATM OF THE RAN MAgMI COUNTY.NOME O "M=NNO AOENT'S ENNATVIE CERTFI[ETN[FOMLMAIq:'I LHRFVTHAT NM PEFOIFI/dCE OF MlWFOAW1SCN(� <br /> TI0FN1MR It MENEM ISI4LE.NOT EANIOY ANY MAWN IN gICNA MANNER AE TO E SU&ECT TO WOWNLAN'S COSiOKATKM LAM OF CIEFFOFNIA.' COFT TOWS MINq OR <br /> FUSCOMWGfINO BbNATU1IE CF111FRFA THE FOMDWINO:'I CE11T1FY MAT NMC KKON.IAIICE OFTHEWOFR FOn W1CHTISERFNWt 161MED,1A MMY FEMME[UF.FCf TO� <br /> NdElMMI'G cOM awnox uwF a cMr.DPM. TIN AFNICANT Mwr cAM>A NOUM N Ap/ANCF roll Au FiDU®EMFirMIM. COARETE pNWNO F69W. <br /> wEDx ,RIE: -AborKEEPER DATE: 3-20-45 <br /> RDTmAm ITO WAIEI FCME_ <br /> 1.WAIFE OFNKET60n R0'MMEARRTOMFOUNS wfc EXPASEO OFNWKSEWME NM'OSALT'l OnFMWIfD <br /> i.DINNNSOE TNETME, ,WIF A.OF A MIO Mp1T ANto MN. C%PAXSgN OFSEWIYE dNOSK SYREMS, a <br /> i.p1.EM9OMFL 011f11IFE Nm IDCATI PACE ALL Fl1ETN0 ANO I WALKIEO SFFIKTUIS, f.EOCIrtION OF NEM1 VRTNN Mp11N OF p1f NUMOIEo FFTY FT.ON <br /> NCLUdNO MVEnfO MEAS SUCH AB PATIO&OMY4WAY6.YIII WMAE. TX[PIIDP9ITV 011 ADIONNO FMIEIRY. <br /> 70 <br /> . 3" '�K 2-.... <br /> PAYMENT <br /> fi <br /> 0 <br /> .. ... RECEIV9 .< <br /> ... <br /> -'APR 3...:1937 <br /> i ei.s¢ " � �6....... .. <br /> $l11N J�IACJUiN Gput11 7 }9}.7. <br /> � <br /> FAIJ MEA4Tlt 3THnCr+'. E . _ , <br /> E0.NIR M1I�t>jAL}ICALT'I➢" � !: <br /> wauo,na u' <br /> F0116iA11N1FNlr UE6 erar <br /> AFF NnON ACCEPTR%FY DATE: _AIFX <br /> TNF..Ri On W.w6KCT.NSV z <br /> �_OATEpNAL MFKCIION FV "Aglaazl� <br /> AOOIT N CONMORS: <br /> ACeovFtlxOOMlr: AW G•�n � FACT ab� W 1 <br /> N GOOF FEE. I AMDMI7RdEr1[D LN*V. /FENTMIIAFEI IMVOIC[r <br />