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APPLICATION FOR UOU1D WASTE PERMIT <br /> SAN JOAOUIN COUNTY PUBLIC HEALTH SERVICES <br /> A ENVIRONMENTAL HEALTH DIVISION �^ <br /> 304 EAST WEBER AVENUE2202 <br /> OCKTON,CA 95 <br /> AP PLZATgN N 4WENT MADE TO THE SAN JOAOUN COUNTY RM A PEPOST TO CONfrMXT NOON INSTALL TIM WOK MSCMWD.THIS APPLICATION 1f MADE N COLEUNRE WRN am <br /> AOAOIMI COUOTV tCy%O"WWT TILE.cK nn 9.11 70.1 AND THE IP ANDANDf OF SAN JOAOM N CDLWTY PIMIIC POALTN SEIIWCM OM MIOPTAL HEALTH DPAWON. <br /> JOS ADOREELROAPAP /7 9 ] D !�` rU:c 0 CITY .iC.� V,T RLE <br /> ON.ERY NAME_1")LAS l[] �L-'✓Q. ADDRESS <br /> coNrwAcTony?/��C S@�ii / Slws�-ADDRESS L+f�<J�l��+y'tt�� /\ ucE715- PwE.t7.5��j1 <br /> Slr Cowrr Amm ADOIESS LIC# iNOPR <br /> TYPE OF SVtIO WORK: NEW INSTALLATION MPANlAnormN❑ -_.--OESIROCTION❑ -- <br /> E0 90nr SYNTEM P WAITTED IF PMKX EWOI to AVALIARLE V ffnM 300 FEET OF NNIMING 0 PRIG TlSril[I WAW MANY <br /> APPaANPA <br /> NFTALLATNP Wu fETYC IENOONCE O comm eiAl IF OTma❑ <br /> MIAMI OF tPJM Uf g: MaY1E1 Q LE110MY: NIANYI p R/LA'7NJE: /// <br /> CHANACTOt OF KTf.TO A DEPTH OF J Fm: /_ "I M-KIP LDLL CNMACE �i�WA11M TARLIF DOMIL <br /> aMrM TAIRAO K"m TRAP 0TYIFL/S!9 } 4N.'1F-IC.rE^I'�. CAFACTTT ` d No.ODFMY4msTlra <br /> OW TEATNLErR PLANT El OMFANCE TO NSAARST: W611 FOUNDATION mwffpuY LIM <br /> trT STATION 11 LIRE rr"L`P UFpM�► SAND OIL SEPARATOR VOCWEED EYSTMO <br /> LLLOmm LIRE 11No.L LHFOTI DF LINES—O " g Cc O OWANCE TD NEANEm NEL ZLjQ r FOUNDATION,'9Q 09IOP9tTYLal <br /> REI 0411) ❑TL11QfH LLIMTN— DEPTH DISTANCE TO NFAIEST'WELL W <br /> fOMTEON PD <br /> PP6TTY I"- <br /> 13 <br /> MOlaim r WOTH LON" DEPTH DISTANCE TO MLWEST:WILL—#V1JNOATWN PSOFORY <br /> a�AaE PITS saE 3 ,' rANre1 afrANCE m NEAnEm NELl fb f NDIAOATnN�FwOFeLTv <br /> LAMPS 13 w orN LEwv" amm OMTANCE TO mumfrr WELL _POUN DATION r mci,it tV LAE <br /> afNOfAL PONDS 13 Worth L9MTH -OaPTN DISrALCE TD w-wArr.WEl1—_FOtNDATON PIOF[fTYUE <br /> 1 IIF/[tV UEfcetTtY THAT t INV[FIRMED TIM AMLICA71oN[NAPtD YNAPET THE WORK HALL Of DON ACCORDANCE NFIN UAN JOAOIIN COURV opwoo n AND STATE LAWS.AM PEARS <br /> AND NEfUtATrDIM OF THE MN JTAOIMN COUNTY.NOM!OIA M ORLICUMKO AOfF1F'S SMNATUK COME$THE F LLIPN OW JCiR"THAT N TE POWWWANCK Of THEWOPKPORWHIM <br /> TIM PT M @*K-4M r @-HA L NOT IKW WV AIH PON N SLLCH A MANNER AS TO SECMM BUSJICT TO NOPEUWIS COKWOMATNM LAME OF CALIORMA.-CONr1LACTOIPS"'I"ON <br /> SLID-CONTRACTING SIONATUE CNRTIPLES THE FOLLOWNA:T GRATIFY THAT N THE P'ERFOMAACE OF 7rE{A471K PD'A YIFaCH THIS PfJaaff M MNEO.L SILALL ELfEDY FE SONS alla�T TO <br /> NYNStA&MV COMPHMATO N LAWS OF CAL1N <br /> dA.- THE APPLICANT MUST CALL H IOW N ADVANCE fONN/7L Ne""N O NYBCrIC.".L'OMIRM ONAWING snow. <br /> TRLL�/1'O JN C/ MTL• �f� Z J <br /> j �LLPLOT FUN IDRMV TO WAUD KALE N <br /> 1.NARES OF f/1FRTt Ot110AOf IEJIIEET TO OR EOWCM THE PMPERTY. 4.LOCATION OF HOLM RFFAEf OWFWAL SYST9t ORPFOPOND <br /> i OVFINt OF TIE PROFMY.WITH DIMENSIONS AND NORTN DIRECTION. EXPANNIM OF MWAN6 DISPLMAL ITf1o119. <br /> S..OR�71wOMm TUIL A D LOCATION OF AIL.EWfrw,*AMC FIIOPOEO W"XTtIEc, f.LOCATION OF MELS VATNI N PMORM OF OFA NUO® W <br /> IM MON <br /> �Nflipl6 CO VOEDOVARl1i SUfJ1 M PATO0.DIEVEWAVS,AND YYALK&. THE PL9POLTY an AOJOMWRD <br /> PIOlERY. <br /> �1 4 1 <br /> f , <br /> A7 - <br /> : . <br /> . <br /> I <br /> d <br /> ... .... <br /> � .. ... .__......... � ` <br /> . 4 <br /> ym <br /> .... ::.:o-.:.... <br /> .gam � _ ._.. <br /> I <br /> t <br /> . �. <br /> 1 <br /> i I <br /> €........ i - <br /> I �..: <br /> ... ....... <br /> ! �� r\ FOI�MpAPrTIlE1T 1M[ONLY 1 o aS <br /> AFRICATON AC.SY bAl'E �f I <br /> TAW,FIT OR SILMP NAECTIOON��OY�� •T(� OATE FINALNSPECTID SY <br /> ADDITIONMl <br /> ALCOSETf: :1 P Ll LAY <br /> A�DNTIA Oflr: AIDI FACT <br /> NfC&..K pE RANO AMOUR NLN/tTm YN Rg6VE0 EY DATEM f PEMET NlfrEl ELVOOf S <br /> �. 25U ZED <br /> RC.Health Sam-ErrAro.174(3/DN) <br />