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APPLICATION FOR IIDUID WASTE PERMIT <br /> 0000 $! <br /> SAN'JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> P.O. BOX 390, 445 N. SAN JOAOUIN ST., STOCKTON, CA 952010301 <br /> (209) 468 3420 <br /> NON-REFUNDABLE PERMIT EXPIRES 1 YEAR FROM RATE ISSUED <br /> IDOmpIAn N TOPNEW <br /> APg1LATI0N IB IEIpY MKETOTNF Bµ bhONN COYNTYfOq A FERMR TO CONSTRVCT Mbbq INBFALL 1XENOIB!pfBCNBFD. 1n8 AMICATMN H MAR W COMNLIW2 WIEX BAN <br /> bAO111N COYMY RVFIOFMFNTTgLL CNAFL91&�1/1�10.3.WlD1TXE BTµ0ARO6 OF/JBµ 1b1AOVM COUN1Yg1BllC XFALTX BFA\9CE8,FXMMIX%BIIKMFALTN gNNpN. <br /> JOB ADOEESVP AFNF F L Q 9 eZ I 1 t•"f IQ r� Rd_ pT' r A.7 ROT�_L Pa <br /> MWEVe wwE �.�T T.a,a_m.il l� ,LnolEee s.�...� FXONE <br /> .macron y=mc -ADDRESS 1 Fmm-j6jL-Sja <br /> 6118 CONTRACTOR ApOlE68 uu gtlNE <br /> TYRUBEgm WOK: 1!W INBTN mw O g w"EF.w H mF%OCTOx❑ <br /> NO ESI SYSTEM RIMS11 O E RIBUC EANS IS AVABA01£WTTMX 2WFEET OF WS06a.1 FECmTbI l 1 NOW MKY <br /> AyFYSBm <br /> WR41A1WN K1LL BONF: EMOFXCE® COMMERCIK E] OTHER O <br /> NMIABfII OF".U.:_ NIMMI OPBbMMOYI�_lflW OF WWOY113; 0... / <br /> CNARI1CTFn OF WILTO AOfPIN OF9 FEEi: jal <br /> PT/BUMF BOLCNNMCTFIN II/Al9v'1 �y..��3 WATq TABIE OEFTN O✓ <br /> B90C TµN/WYE TR.V 13TY1 , �brCNKT! Np,COMPµTMENTS <br /> (EO iKATMwT PLANT O mRAXCE TO NWYI9T: VAL FOUNOATON MONNOF LAE <br /> LFTBTATIOM❑ SR TYPE OF RIMP BN4 OE EDAMTOR ami.asEn 0r0TFMl�< <br /> IL,CMXO UXE Ell NO. LENGTH OF UXES —2 Y -NO WEANCE TO NFNIFBT:N91y_FOUNOATJMSCI pMPERTYIWE /nEJAf <br /> FILTER B® 13wum IFNOTN RTI OWTAXCE TO NILFEET:WELL fOWbATWN gmRNTY Low <br /> MNNm 13wOTH LENETX DEPTH_MSTµM TO NFAEE:WRL,—MW TMX -�� g019OY. <br /> FETDAR WTB ®DFTI T BI3E yS•� XULtl91 pETANCETO NFAEE:WFLL yWbAlNM1_ ra=FIMIRFTYIEE 00 <br /> 4MP6 L]-WM MG711 RRH MffA E TO NFMEE:WELL_fOWD/OION�ROpFIRV L E <br /> ...FOX" Elwin LENGTI DEPTH EE.E TO XEAMST:WFLL FOWO,ATION�PAOPFgTYYR <br /> I KNEW CERTIFY THAT I HAVE FEPAPID THIS AWVCATWN AND THAT THE WORK N BE XNE WKCORp E WITH WI JOAALNN COWRY w OUNINCES µO EAW NWA NC IKEB <br /> AOPEOUTATM.OFTHE Sµ MA COUMY,NONE MEET OlkC- OASENT'e SIONATwE CENTEETHE FOUOWIHB;ICERTIFYTXATHTIE REOWAAXCEOFTRMgIK MRKMCH <br /> TEB WAFITIB WSUSHITALL NOTFMRDY µY{ERSOX IN SVCXF MµT IN A6TOBfLOMEWMELTE NOWMµ'8 CO THISN DN NWBOf CHEOExA.• CONIMCT SHRND OR <br /> WORKMAN-9 <br /> TIXp Bg1UTNE CFTFlEB THE WUONMO;YCERTIFY THAT WTHE 1£RFOEANOE oFT1ENtlIK F"WIICMTNBIFIMIR WIRIIFp,l WAILRMOY14nBONB WB.ER TO <br /> NOKMAN'B COMPfN6ATpN NWB�LIF C,�{fOKLT.' 1K AMCKT MI®T CALL BL NOW EAOVNWBFA RILL NFAIWVD NCYFCIMIK. COMRETF dMWINe EION. Q.T <br /> BCNFD% L///l11/`AJ/J//I (111.EM .U/�(L\'// 1jX�CWYI1J11I111 TRIE: �� �/�_Pl�L OATF: I I 1 <br /> 1 <br /> "TPANIDRAWTOWMEIWNE •. <br /> 1. HMAEBOF THEFF INnDA" 11MENTOORB DWAT TIEPM N. e. IOCAOWN OF HONEBEMFO IYATE S. On RIO{OBEp <br /> i. OVTYNE Of TXE RIOPFMY,WRX OMTBmNB µ0 NOTTN OKCTWN. RPµBCN OF BFWME pWBN.TYTEMB. <br /> 3. MEN...OIRUNFS µp LOCATION OF ALL E%IBTNO AND IN VER ESS BTRUCTURFB, B. IOCATION OF WFY.6 WTMN R MIN" Y khWil OF ONE Fff FT,ON <br /> INCLUMB COVERED ARFAB OUCH K PATMO.ORF WAYS,AND WN%8. THE PCP:RIY OR IOMWNp PEONERTY. <br /> I V) W <br /> �� - - ✓ PAYMENT 2 <br /> MAR 21 1997 <br /> cAN JUAUUIr1 "rL 4 T, <br /> y --'PUBLICHEALTH <br /> ENVIRONMENTAL HEAL_Ty <br /> F"D6FMTMwT uM oxLr <br /> APPICATNIN ACLEFTSD BY <br /> TAM,PgORBUMP INEKCTYON BY I OAT[�Ey'( / FINAL INEATM)N• DATE �I I �Q/ ! / <br /> ADDTmWJ.COMMFME: <br /> ACCOUxnXO oxLv; Npl fKE <br /> ECOOE FEE IXPo MTOIINT RFI.1RTw CXKM A64 N..BY Mr. WI1P NWWI NNNOF/ <br /> 0 1 It 1 131011ek7I R- <br />