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APPLICATION FOR LIQUID WASTE PEANUT <br /> SAN JOAOUIN COUNTY PUBUC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> r� 304 EAST WEBER AVENUE,STOCKTON,CA 9WO2 C7 <br /> (M)46a,3420 <br /> IA"wo 1.TefammNi <br /> APPLICATN 1./QMY MICE To TE SAN 40AOUM COURY FOR A PERLMT TO CONMfM C r AMC"MKTALL TIE WOW Dr0000 D.TMS APARCATLON IS NAD!N tbAi{)MM-/.VVRN SAN <br /> LO <br /> JDAOLIM COUMY DEI:6.OPNAMT TiiLL CHArM 9.1110.4 APA TM VTAW+�1vj OP am JOAO1/MI ENV4 <br /> CoLwry oV�UC 1RI1LT/1 k&=ITAL MMT"O NOON. <br /> JD.ADDIElSAR ADINfgel s` �5u>ti 1!/JGC/ Tl A a, L T 62z <br /> DVAAL'S NAL! 12 AD01[SS Z£SOS��- �'c s i2t� ,9SL 3 z • <br /> OdITN,CTOR - AOORM lice 1110!t <br /> SUS CONTRACTOR <br /> TTPM OP PP11C TPOIW: NMS NUTALLATOS MWAMADDITION 0 DaTMIl:TN011 a <br /> MO SHTC SYMTOA poWW EO F p%oje SEW M 0 AVASASIE YM M 200 RET OF WllAN10J 11.14 0-IF 1 1 NOVf YAMT <br /> WMALLATIMI W1LLsowe IEODOCL,W COhRE71CIAl❑ OTM}I❑ <br /> NnaWaL <br /> OF LAMLO L"'L t NnA.v1 OP nORDOWs 3 NAMSR OF EW"V=: , <br /> OP Moa To A OvfR of a+LxT:�� [' - ^'»u"P'9'L av _wATee TAKE <br /> T 111A/ ❑Tx�e�� +s SIS��a� �� TY 'i�� No.eoE�Amr�eLn o� <br /> 1o, <br /> TIEATIEST PSANT❑ w{TAIICS TO NdP16TT: VVEIl D'•+ fdJNDATI(»f _ PIIOPEJITY SALE <br /> VT MTAMN❑ @= TYPE Cf R1AP SAND Ot SEP*AATOn WNCLOWD SYSTI>A / <br /> LVAOAMO LPN )x N4 l LENOTN OP LSVEMj C10' /f%=-9 OHTANcS To NUSIEMT:WHL I�/ foUNOATIOMf110fOffYUME� <br /> Flaw NO 0 VVU M LgMTH_DWTIN =TANCE TD/fl11Ef[:HELL POUKOATgN PNDR11fY 124E <br /> Y0� 0 WWK LOWM OPlfl/ DRTAHM TO NEAMT:VAU��POLIIOATWNN rFopoRY Law , <br /> s�AOM Pmosm 2S t >@ '� Nwe1�_dsrwANx To 1�nun welly of sLa+iro4 !O ' rlaPvrtY LDe 4` <br /> waw O wtmN IEp ffM OERN OMTAMCETO IftllMT;VWML FOU1OATM PROP"LTV L**` <br /> a.MMAL 1040. O W WH UMM =VrN DRTAICETO WA1EST,wILL N01aLATTON PRopwrY1Da `►� <br /> I` 1 mvww cenllfY T/MT r NAVE ADAM1w TMM APKXATON AID THAI TME WOW WILL V DOW W AceorolaNce VMTN 4AN JDA01M/Comm dnWANra Arra STATE LAWS.AND notes � <br /> f AND TCPM Of Tm MNJOAOIMICOWTV.4012 ONMo10RLWOMD AGO"91"AT11K tl9RRSTR foLWVOr1O,-I CMRTFYTHAT WTM PIOOFMAO E OF TM N01R10NMMCN <br /> TISM NI 1 IAT ANY P[IIS011 w M1/C/1 A MbVlfJl AM TO MECOW WRJECT TO V00FIGAAVS COWPONATM 1 LAWS OF CALPOIM/lL-CONTRACTORS IEWIS 011 <br /> FOLLOW W11:1 CERMY TILA7 IN T1Ml PEWOAWA OF THE WOW PWA V*"TMPDOAR NI MMIED.I SHALL"RWY VE1'MN1 WL TO <br /> S OP TIE AJMLIDA4f AR2MT CALL'S.HOLM M AMA4CS POR ALL RSWiN MMPWT70NS•COAVLM ORMMA BROW. <br /> x �'- TTTLE. `�-�-, - DATE: 6- r S <br /> 0 <br /> PLAT MAN VRAW TO OCAteI.CALF m 9' <br /> 1.NAAEA OF LITPefs NF.AKST To On MOVNDWAM Toe MIMODY. 4,LOCATION OP/OUSE wwA M ON OSM MrSrM OR PRDPoSm s <br /> 2.ougm OF THE PIOPERTY.WRN D..M.IDN.AND POW"MI�,DN. �PANMDN e..RVAOE ONPOMAL.e.TMW a, <br /> S.OIAlLMON®Olf11JKS AND LOCATION b All PJOMTMIO AHD NIDPOYD MNIRCTUKA, S.LOCATION OP MEALS V"M RAMA Of ONE HUNOM PMTY VT.ON <br /> oWtUCOM COYEWD MEAS MUCH AS MTXW MYEWAND AYS.AWAIJ- 7ME PIONEIIfY OR ADJOE'wE IIb1lRY. <br /> ......:......:..... '...,. - .. ..:......... <br /> s <br /> :. .' <br /> ......e.....i...,.. ... '—_i............i.............:........... ...a., <br /> .............. . <br /> .... <br /> 4-�. ... ....:........... ........ ............ _ ... <br /> ...... ...... ........... <br /> ......v....�...........:_....n......t.....e......:...._...... <br /> :... <br /> ­-.1;.............- <br /> :......e... w._........_:..._........ .....: . <br /> ............ <br /> i <br /> ...t...... <br /> e__.:. ......»;...._r.........e....._._... <br /> .........__.......,.__ ....;.. ...... <br /> 1 , <br /> .. .r.....e.._..:...........�.... <br /> • i <br /> : <br /> ...1., h <br /> .....p..._..... <br /> i <br /> ., ... <br /> ....•.....s.......................... .d........ .'........:.....�...:,....i............_:.....i.... .. <br /> :. <br /> jw <br /> : . <br /> ........__,E <br /> .. Ai. <br /> ..............:• Y ;...... <br /> ......... <br /> ...... ......5.... .. <br /> • • ....., <br /> • <br /> : <br /> .......:......e.............-i.._......r..... <br /> ....................... <br /> .:. <br /> .............. <br /> nWuwowv <br /> DAT: <br /> APWJCATDN ACCEPT®MY <br /> T�,�f dI WlA.11l//fCi1011 DY OATE��F#/AL W.RCiIOPI MT TE•.�>-��,(c�� <br /> J <br /> A00"IONAL COAOA@iTE: <br /> AtXOLRLTa'A ONLY, Ap PACI <br /> Pe COOS Pa IMO AAAOVMTIaILtTt9 ICASH IELaVm MT MTS NSllPAMMT wSMtEt MIVOIOf/ <br /> p— D A)/ <br /> Pub.I WO Serv..Envim.174(3M) <br />