Mobile Waste Hauler Discharge Permit - City of Watsonville
Mobile Waste Hauler Discharge Permit - City of Watsonville
Mobile Waste Hauler Discharge Permit - City of Watsonville
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CITY OF WATSONVILLEWATER RESOURCES CENTER500 CLEARWATER LANEWATSONVILLE, CA 95076(831) 768-3170 FAX (831) 763-1970CITY OF WATSONVILLEAPPLICATION FOR DISCHARGE PERMIT BY MOBILE WASTE HAULERI. APPLICANT INFORMATION1. APPLICANT (NAME OF BUSINESS):2. NAME(S) OF OWNER(S)3. FEDERAL TAX I.D. #:4. BUSINESS LOCATION: __________________________________________________5. MAILING ADDRESS:__________________________________________________6. BILLING ADDRESS:7. TELEPHONE NO.:FAX NO.:E-MAIL:8. GEOGRAPHIC AREA SERVED, SPECIFY:9. WASTE TRANSPORT VEHICLE INFORMATION:A.B.C.D.E.MODEL LICENSE NO. CAPACITY (GAL.) WASTE TYPECITY OF WATSONVILLE MOBILE WASTE HAULER DISCHARGE PERMIT APPLICATIONPage 2 <strong>of</strong> 5
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