Laserfiche WebLink
APPLICATION FOR LIQUID WASTE PERMIT <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICESf�{}1�(�� <br /> ENVIRONMENTAL HEALTH DIVISION CNI <br /> 304 EAST WEBER AVENUE,STOCKTON,CA 95202 <br /> (200)466%$120 <br /> 114MREFURRAE2E PFAMT EXPIRES 1 TUN FROM DATE HUED <br /> go"Iw k Trwiess 7 <br /> AFPLCATS]N LT MUMMY LSD[TO TIE SM JOAOUM COUNTY FOR A POW TO CONSTRUCT ANO,OR DWALL TM YW M MSCF fEO.THIS AMMATIOM N IAAIE N COMP"OX2 WRH SAN <br /> JOAOUEI COINrTY bEVE3A/IIUfpY Trtlt lC1Wf L 1110.1 ANOri�N,[{�/{gA,ND�A1�p OP MN A11N AOCOUMY PLMM NEMTH� W1 / <br /> /f MES.O 000, AL M.T. <br /> WOM1MON. <br /> JOGAMPO011A*I/F 1� 1 <br /> OVMERy NAPE G ADORE ^aNe—NlA <br /> CONTRACMN AOGIEY6 [` L.._-4A �1 L1CS RIOLIE r t ('' U <br /> M/f C9NTRACTO ti S�� C. AOORdsl L I C c n N1L.:[,:�.r -�I uc ZrZ !,IDN�u IO.7 -J 1 3 <br /> TVPN SP SOTIO voc", NEW MSTALLA— IEPAWADVITRMI La OOTRF ❑ <br /> MO SO`=VVITOA Flt ArTTED N PARK WWER IS VANASLE WITHIN 200 FWr OF{URDNW.I //f.Tid<TM L 1--MANY <br /> A/FWIIM i <br /> NSTAUATION LURA SERYL, RFIIDOI w .30AA MIAL❑ ER D <br /> UWAREI OF LPWNM WOTS:--L-NIM OF m9D"OOML: "'.OF ERlEAYEES: <br /> a*O*70 A 0EFTM OP] z' �� FITMAIMP OO CNAAACTOL� 014 wATOI TAKR <br /> T ❑ CAVMIfY 1 6500 No.COMFAPMAF9T�— <br /> TfOIT PLAN—TC) OYTAC!TO NGIlAT: WHL� �' FOUNDATION FROPlRTV 7JME <br /> UFT OTATgN❑ On TYVE Ci TNAP $ANO 01L fWAMTOR E14CLOS O SYSTEM 1 <br /> ) I ��4 5 ' <br /> LMICNIIN UM! lE7�Ylo.4 LEMGM OP EIE��� '' • _ OMMANC!TO NLAM$r:""io�FOUMDATpN 1M0F[REY UNE <br /> MLTSR M ❑YAUTH LOWTH_ OWTH OWTANC!TO N FAWAT:WHA FOLNOAT%M ""PHRY UHL <br /> he"WED ❑YMOTN LIl110TII _DEPTH PRANCE TO NEAACST;WHL FOJM DATION FFIDPO"LIVl�T <br /> fEVAm NTS --4— LRE �a��EAE6IOER OISTNTCI TO MAI!<1Ye Wlfli.�!'OUMOATEOM I E'ROPIIRY UW- <br /> ON10" ((!❑WOTI/ LA]ISrM _DTJT11 ONTAENCE TO NEAREST;VHA__FVUNDATWPN PROM"tN! <br /> ONTOSM PONOS ❑YVOTH LOOM am" oNTANCE TO FEAESr,mu--POLNDATIOM "ww""LSI! <br /> 1 HONKY COMFY THAT I NAV["WARM TWO APPLICATION AND THAT TW W40M WRL W DOME N ACCOMAECE WTTM AM JOAOLIM CouWY OFOIIIANLLN AND(TATE LAMM AND PLAYS <br /> AND IlNIAATWIM OF THE.SAM JOAOEIM COUNTY.NOW OMMMROPI UCEHSM AatWT'S 0101ATLNf CWTSKS 7NEILLLDYVSIS'.•1 COAIFYWAT MTNlPOSOMAAClOF M WOIR FORMASCM <br /> PRBIIMT N I SMALL NOT ANY PONON M SUCH A MAVIMR AS TO WCOSR SULRCT TO WORKMAN'S cMARDMATION LAWS OF CAL1O WA_'OONTNICTOWN HVIO N OR <br /> CERTrwS FOLLOWIM:-1 CERTIFY THAI`M TTN!PEFF0004AWA OF THE W01K FO'I VYWH THS PRINdfr IN ISSUED.I SHAM OAPLOY PERSONS KKLWT TO <br /> WORK LAWN OF A,• M MUST CALL f<NDINN M ADVANCE P".4U.RSSN1®M-ECTKWS. COMRETE DMWMO EDOW. <br /> I�"'_ RAI 8• S. <br /> ` PLOT RAN DMW TO NCAA]SCALL w <br /> L.NAAAM OF STPENTS OR FOAM WREST TO OR NOUNONNE THE PVM MTM. A.LOCATWN OF MOUSE SEWAOF ONPOSAL MTBE OR PEIOPOSm <br /> 7.OUTLINE Of TIE W4:w ",WITH OIMND NNgNN ANORTH ONIIM <br /> CTEDH. OL►AHMM OF MWPM OOVAL S(STWAlk <br /> i.VWAW SNNXUIFI®OUTLMS ANO LOCATW II OF ALA EANTNAO AND PROPCOM STRUCTURE& f.LOCATION OF WW"" PE WPTIEI RADRM OF OHLOM <br /> m IIFTY FT.ON <br /> NwW COVOm AREART/S SAS PATW4 LMPYEWAY4 AND WAUU. M FROPOLrY OR AOAONlO"wPOITY. <br /> 1 .... <br /> ...... ...... V w.....� <br /> .. .. ..:... .......'... �... .. .. 1 __. <br /> AL, <br /> .... ............ . .. ...' ......_... . . <br /> o� <br /> ............ ............ <br /> ...... .... <br /> .......... ......... <br /> ................ <br /> .............. .. � <br /> 5<� p <br /> Vit ,, / _ ....... ..... . <br /> ARJCATION ACCEPTW AY f{{OOMTII�IT LION OFR.Y <br /> DAl, ! l � �L �p�r� <br /> TAMC.PRT OR SUMP ONFECTION r/ "JJ DANT 1_ ! _ F70A1 L119PEC1WM OA7F v 1 I/I F7 <br /> AbOITgNAL COUMMTS- <br /> AOOOlMT11'a pIILY•. AWI PACU <br /> F[COON FS!SKO A/VNUITT 1 CRROcS/ A;N FACUVED■Y OAV IPEMAIT NlaiEN IIINORCN I <br /> Pleb.HSSAR SSrv.•ErM,O.174('JeE) <br />