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01, P,,*,Aft Ail Ph?wx. Environmental (714) 50-0012 P.02 <br />no ED <br />a JOAQUIN COUNTY <br />.&Volk <br />TW N T <br />ONMENTAL HEALTH DF <br />304 Rqst Webenkvwae, 3rd Fj Stookton, C"k 05202-2708 <br />"AA-11 HEAqAe-pjA.0pv, , 09) 40-�42 00r. hd <br />VIRONM . k2 40 Fax� (209) 464-0138 Web- V-.jW­%j80V-0T&'e "07 <br />pUT3j Lj ev <br />jr, RE, ro CATION <br />RDS RELEASE APP" <br />�IDDRE_08: 11-T 4L f -f -41, -1 U I <br />Flit Z 01).,19 �_a P'?HOME ',?):I <br />TENTATIffe" APPOINTMENT D.,4.T5- <br />-0rfQdy1,' 0774„ must <br />=5 <br />ENTE F.FQ. -3 PEEE <br />F_Q1jhiS7 FROCSSED, IN Z RVSINE55 PAY$ <br />-(CASH OR CHECK ONL�j P DATE <br />SIGNATURE OF APPLICANT-:'—" <br />.. 'AMIUM--r- <br />U%tDe7-Irlintlan: <br />IfOL <br />r <br />unit I <br />Lj <br />IUST <br />Unit 2 <br />f;'5 L_ <br />1i; nt 171, <br />`Unit 5 <br />NOV r <br />Unit a <br />ENVIRONMENTAL AEALTH OF-FARTMFUNT f-ILES <br />% / M 8(gjr. <br />V <br />Tho;xmAxAmigHT <br />C1 FOWFACKM M. WAsTtiTwp. <br />T <br />LRQ4fnVxr,. tvK M 4A31rqWATCfz FATMENT PLO -T <br />NPURMURWACTE GINUKATOR -7, CHMMN RANCH <br />-TURF_;D FmwMD FAC49-Frf ` MoToMamL <br />7) PUL PA TxrroV� Opy Pi 9d? 0 MWX(FLffME3KGW-y)__- <br />WELL AND SEPPC Pst-RMT RECORN Ami AVAJLAELF FOR RaMEW - MONDAY-FRIVA' M00 AM-StOOPM . &C-1-MNO HOLIDAY15, <br />U a ton %4drewaz 7r, Mo Sip" a4�vep3"glect the type($) of filgo "t t,412 jjg$t jgk�rrve by cMucking " appropriate <br />,T,>x(t At "&Mel WO MWi �e V 7� Z, r 0, po ( Z, � V S 0 a ft V <br />mngop, WW ncwt f,,I;p Alcreptv — r 'O.It FHD, Ap <br />,070.g- <br />isslWanco with file Rdd=FVV. <br />3.00 pra pili be Procsawd th's nex., twoqz3� dvv,,A, p be canfirm*d approidmately Wn (10) <br />'T. The END will q0tvy th@ opplig;Rnt If Any EWD flls� GA*'k Am 2PPOIntMfint fOr <br />days after receipt of appilration. T -W MW Viii held for a maximum of TIVR k,Aness daye for review, App intttlents <br />sbould be nit be Immudirp if Ires ay be <br />away gljjq kir IW: A. n4w application M <br />n <br />P,u:Dmftd w6l' �,Ia Pit �,.l aytdlablp, <br />0, �,,, .!� g_�� i <br />, � F�,Njeased will W. reorgantEed by D D *4 W,!T <br />4, Anyf'Pa not "'Aaw, <br />EHV USE ONL i' <br />Ll <br />0 <br />