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-e.Q n? <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> FOIi,0E—Cr E USE: 1601 E. Hazelton -Ave. , Stockton, Calif. • ' <br /> Telephone: (209) 466-6781 <br /> APPLICATION FOR WELL CONSTRUCTION OR PUMP PERMIT Permit No. .I713�0 <br /> IS PERMIT EXPIRES 1 YEAR FROM DATE ISSUED Date Issued <br /> v7 <br /> 110 (Complete In Triplicate) <br /> Application is hereby made the San Joaquin Local Health District for a permit to construct <br /> and/or install the work heroin described. This application is made in compliance with San Joaquin' <br /> County Ordinance No, 1.862 aci <br />