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SU0003895 SSNL
Environmental Health - Public
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2600 - Land Use Program
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PA-0300498
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SU0003895 SSNL
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Entry Properties
Last modified
5/7/2020 11:30:16 AM
Creation date
9/9/2019 11:03:54 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SU0003895
PE
2622
FACILITY_NAME
PA-0300498
STREET_NUMBER
35088
Direction
S
STREET_NAME
WELTY
STREET_TYPE
RD
City
TRACY
ENTERED_DATE
5/11/2004 12:00:00 AM
SITE_LOCATION
35088 S WELTY RD
RECEIVED_DATE
9/26/2003 12:00:00 AM
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\W\WELTY\35088\PA-0300498\SU0003895\SS STDY.PDF
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EHD - Public
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l p.3o <br /> APPLICATION FON LIQUID WASTE PERMIT <br /> l dAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES %./ <br /> ENVIRONMENTAL HEALTH DIVISION <br /> P.O.BOX 388,446 N.SAN JOAQUIN ST,STOCKTON,CA 9620/0309 <br /> (209)4683420 <br /> _ <br /> MON REPUNOAULE PERMIT UPIRES 1 YEAR FROM DATE ISSUED <br /> IOfaNTpRTTteµTTriplicate) <br /> TME wN y) W.ca. THE . OfeCNOEp.1.6.l..TION IL MMENCOISHO. FMfM VN <br /> pMUHCOVNIY OEVEIOMFM rIELE[XNTEFI B-1110.9 NND TXE� OMKO M/.OaH COUNFY NYM:NELLTXy f6NMfMNMFMTX aNYJH. <br /> pox MAR66;0 'S17 S`" S l,EJ L/1„ �dM a,Y t��-T MT.�_ <br /> 11S. oWRfn'.rvNHEas M/-ate A.r.- °MOW <br /> Comrucr0 MOF <br /> ,Y.E xPSEPrp wpw: xEW IMT.WAIOM o- I®.MMa,Wx o pBMMRtepx o <br /> 1• SO ISR,SITFM PERSO,aaaw"Suc 6fYRR 16 AVMWLE`MrFIW 300 FEET OF 6Vl1➢IHO.I FW TEFTMII IMO'M M/JIY <br /> �// yEawllm E <br /> w6TM .WILL.: ..ONCE 13CTMMEKIX G DTX.13 <br /> NLOWWR <br /> TO"" <br /> IMT.:_"a"R am X®)MOW: XIMw OF wrF10Y®: <br /> CM.VMC aR OF B]n TO A OFVM OF I FIST MTMItlP WIL CNIMCTEl1: WATwrF81£OF'PrX <br /> r SEPTIC TMIHawVE TR.V a';RE,xO% •S_ cMMm .3POo .muvMTMvrta Z <br /> wa TFROWS Truxr❑WTAM.ToxFwr: wA1 PouwATpx rwvurtvuxE <br /> uT arATOx❑ .Iu /'- PYFE <br /> TOFwMP.7^' .vWO OIL OfYA1NTOR ERCLOORS.I <br /> MuM <br /> [r Ra. OF LxE6 C -/BO ' TOTuwE TO..00 SRSI7•FouxMTpx_MpPRRrr uFE <br /> MTw Sm E3 vnmX IENp*M TOPOR_OITMCfTO..0 Weu N_m <br /> FOUS OFORTI xa <br /> r M.Wom L3 MOTX IAII OEPTX_aT <br /> MCO TO NEUMT. <br /> vwEA_PouxwTwx vmlERry uw <br /> ME ma L3prq_,eM xuWw_MT TI HEANT: O FOUNDAmN RVRRTY uw <br /> 13..13..SuuM N IEWTXpETx_aTAxcEro xEwNTMu <br /> :MO_FOUNDATION_RpRTvuxE �T <br /> aWFM NNM ❑WI . .NCE TO HE/J¢T;WELL—FOUNMTION�MORTY um <br /> IFXOTI aTRW_ J-' <br /> E_ IXFIET CAT%TMATINAVE TVNIED TXIfi NRICATWH/.NO THRT TXE VAw NNLw WNE IM MCOM.VFEKRN MN MAOUIH COUNFYOP➢IHNFEfi YIO T/.R IAWY.WO WIEe <br /> µT ARWIITION6 OF THE TOHTROOIN COVRTY.XTMf OKNERORLCENY➢MAR'S YOHATUPF CFTIREfiTNEfO11TW1W:'ICFIRIFYTXATINTXEREY'OIMRIICEOFIXENOR[PoRKNI[H T'i1 <br /> TWO PROFIT IS SOLID,I SH.LLL HOT R.,I Ff..RMKNAMMN.K TO SI 6U6hCT TO W9ROLL"'6 COMrtN6F.TW14 IAW60F CMFOWA'CONTN GR'6 HIROW On V <br /> 6U6CTXIMCTINO SIGNATURE CERTIRSWIHE FOLMKTNO:'I CERTIFY THAT MTXE NNOW.IM'CE OF THE WOW FOn WMCR THIO RR.T IS ROWSLOW,I MML EMRTY RROON6 6WWa,T TO <br /> ,OROOOF CRLOMM:,JJIMMMFFF OFF,,a RSI CML'M IOUY a AWAKKE FOR YLyREOM110 SHROWTpM.CTMRETf—HR)ROW <br /> SOBS— <br /> M�iMRH6AT Q ''/� TTLG IYnNLY�_ WTE: S_ <br /> ISSOF <br /> ROT RM MAM1W TO CNF)EC.VF <br /> WMO NEAPFT TO OR EOO....TWE RWRRTY. •M{.LOCATOR Of XTUST TWME SROML11 NSSHTS OF STFaFTSO lY6TEM OXRIOTO® <br /> 2,OUTONE OF THE RRIY.'MTH aMLHS....ANT HOT.wPFCTOM. PIIPWOON OF a...."tTTFMO. <br /> Rp 6TMx:TVRE6. LOCATION OF WEu.. FTN....OF OHEXu.RFT'T.ON <br /> MCLUD OCOVL D MO AROW SOc.Ae PATOs,ONLVEWAYs^ 6.TIE ROROY On MMWINO POFFS". <br /> WNRe. <br /> X� V2 <br /> Q <br /> e° c <br /> 4L �, <br /> _ papl�r� eNYWP i�a� <br /> �3 �y9 a Ass <br /> F L nR HRALTHDIVISK N <br /> NRK TIpNAppE p Y °. A� NEPMEMp M. H1. Z I to <br /> TMN.FIORMWINSFOFORSIT SAW <br /> L I <br /> 1 RM WBROTOXCY TME � ,Ia;7c <br /> MwrpNN <br /> ....E . L- S411Ina <br /> ✓E R0.lIL G1;Ur'L/'O N' <br /> rK hRr— <br /> IFSO. <br /> IT <br /> REpR M.Y <br /> 4+ )Ela Fuio � ,o.' TSMW DATE OpE <br />
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