APPLICATION FOR LIQUID WASTE P'EMI
<br />SAN JOAOUtN COUNTY PUBLIC HEALTH SERVICES
<br />ENVIRONMENTAL HEALTH DIVISJON
<br />304 EAST WESER AVENUE, STOCKTON, CA 95202
<br />(209) 468-3420
<br />M Ultlfi4 It
<br />MOT ","M 1 WAN F#08 AAii M
<br />u ib 7tw bw
<br />;V WilC,t7lnk M NEgEOr MMX Yo YNE +Wu JOAC A C *UW V A" 1, W*Al 10 CoWi AMT Auuax INA' AM TM V QW l7RYMcoMm. TM A Mlt oM ii MAA M �.s, WN am
<br />JOACMIM COUWV 09V%X 1W0�ff YOM COAMMM *-4916..! AMM! TWC UIMX AtM'MS OP VM JOAOUMA CCUWY ftMUC abAITN *MOM 9MVAWAMMaAL WALT" iY1 WM.
<br />Jbb r»DOWwrnM AfMtCAM t
<br />GS ttA' mzE >
<br />AbowerM 9542 So- ?f �ctaO"1A"1'` L5
<br />CCMMatgAOTasx �It7t,1�R.. AbGTFwiM ifOM PNtlRME
<br />mm CfWMi11:YOA Ab6�AM tlOi YMwWE
<br />YYFA Cls M3f7CfE taiw JWALLATWM 0 bawAwTWU C�^•,,^"-"^-•_....._....�.r.......W..�..�.....�...
<br />Wb "PM MMUiMMAA'YitlO wtMMixe 0 AV UASU Y1� fWA lob #*rT iM"�WMMU ) :YMI3 YbiY"Nl l) II�CAV MYi1MY
<br />,,
<br />A�wYYMMY i
<br />WSTA"IMW MAL MOhM, A94K*"OE Ve Wil. D oywA
<br />ouwm bP&PA"UWM-4— WuKft M CWlowww"t,�..: ,..,.. NYMOM OP WlB'IYidt:,„,.,,.,,.,
<br />CMA/'WM OF bbAL TO A DOM Of A M MAMP MCAL CN1UWrt:M WACiw TA NA MvTlJ
<br />WPM TAOWWWAMM ANAP PT'YPMNsrM CAPACtaY L.i.� "C..�.� f.��1Yt.. MO, 91#ftXlY(tb i� _
<br />w o TwiA wwt Morar D wmAm" Yo w wav, Wal- f*W VATA'fW ,,,,,. loe—
<br />'WrOTAVAN13AN I3 an TYPE *.N' "AA. $APO (Ak WAMAYOK &WC bWb *V*'AN y+
<br />tt*4w MO log#O�i, tY3q'/M os t1M29 tl�MffA"" Y9 aIEfU m. Y4131� �� PagtMU[1Y aYME �"'71
<br />Milian O wbTw UU&04 Ott OWAk=TO MAMWr: WC1L VM*0AU* iMOMM LMMi
<br />"ookm 0 WIbTM LECAb114bePCM OKtCAitlb" TO MLAM 1 Wtit....... rt' s,7Mx,1xwM,,,,,,,,_,,,,,,,,,, PNtlIM]Iry s3Mie
<br />MINVAOw sm CI CiE/rM MMTS �MMNq'AKCY t» wAm-, wax3. atlMtAM�.MMgPEiCtY lMKEW,,„�, ,,,
<br />fum" Cl wAnR ,,,_,,,,,,,,,,,,, Low)Y book,,,,,,,_,,,,, awAow:t to wAiwa, WELL. _ PcuWnAY",,,,,_,,,,,,,,,,,, w4v v e
<br />bkavo A sbww D VAYM ,,,,,,,W_ LMNbTN —CwsCM..... owmo" MWaYME vwu,,,Y,...,,._....
<br />t NM k tY CiXnPY TMM t MM POWAR M 11W AMPUtWOM AND TNAT TN[ WOOK WAL M COW * ACCC10046 WO *M JOAAMM COWY 0000"M AND bTAn LAWAL AWM MU
<br />,aan�aarTwlwAwauwtavr�v, wr�aie'4saraprr�rurm�mrww+r�sarr�Awcs�rMew�»�E�s ��'r�Ttigtt�r�ra�w�a�earTsytsr�M!�trr�wvar�at
<br />TM M'EYbMfY wl IWJ MX 14"A" $Or WPLOY AW MMION MM MCHA WVdMIMEA AM TO.WMMt "N" WCWOMMW4 T:OMAPMMAMATIDK L*" OF tAj0VIMAA.* ODN" ACTCYM'AMW W 04
<br />M W" ACTSM VA KATUMM t b"WMb "d #6UMOAW I C MVV nW M i3MY VE oftWNGE tlP p*vmw pant/ am "Mb PMMAT a *Vxo. 100" t*ogb #avow gWawl TO
<br />vwbrA fA" LWAS SRM CA LNVA" .* M A M!UMOT MUST CALL YM "WMM Ot AbsAWOM MMiw Au, 044WAV *NMM"WW CO M1Ml K"m A"W,
<br />www X
<br />Ga PUN MAN WAW to tliCAa.a.: fIOAI.E ` w�,,,,
<br />C. WAM" OF UMMS 04 MWOO MAMNAt TO OR MYSiFi "TW ~*MMY. 4. Lo"'TWOOF NOW! OrAOM VdW*"L =f wCDA 00000MO b
<br />M. MYtt" of TM "AMM" MMCN U*MMM*" AMO MMMKCta D"OU ON4 "WALVOW bP MIM"%" Owb MMiYLiti.
<br />M. 00APAM" bUnA4MIi. AAD LOCAYwNM OF ALL OUV Mib A" AUMMtO WldXnMMW, M, LOCAY" OP WMMM WOMMt *A*" bP OtM MOMM PMKY Pt. 00
<br />MO1MMUlb WY VM AMEN A" AN fAT" 1NyM1CKItAYU. AM WAMM.A. Ysax a�fYa'1 fKMiAAAilMwr M.Mx.MMlty_
<br />Uh. MQ&lh $mv. • &W*, 174 MW
<br />
|