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ENVIRO <br />1) <br />171:44 1•I 1iu_!A1214:7..1141 <br />SAN JoAoLm Cowry ENraaaumAL HEALTH DEPARTmea 1M6 EAST HAZELTON AvVvA-BTOCKToN CA 96209 - (209) Ia91420 <br />NON-REFUNDABLE PERMIT CALL (209) 953-7697 FOR INSPECTIONS <br />EXPIRES 1 YEAR FROM DATE ISSUED <br />Joe AcoR 5 aJ A r 1 --- CrTT7nr <br />AL <br />" "' T I1 I C <br />Cna.. f.uiT APN d� ' 3 j a - % �! P.6¢a ? t•l9LAw Lha Arn cATmN. <br />Gwtau NAM ; r I S) G n d5 e a 10 io o n I- <br />F,� <br />p� <br />OWNEm Awn" _ . v I� j e,1 a cffvmTAump <br />L c 1 r. CA <br />COMMACTOR .. r Q Mc.ine J Ass c Cic1 US <br />p,,,._G)1b-63 7-Q 7/1 <br />COWRACTOR ADOR M CffWSTAT V21r <br />SUSCOUrRACTOR uk1 <br />SUBOON'TRAcTOR ADORas. — cnyt3.nrzp <br />CO L CA LIS' <br />Llaaw9 7 C-61 o D40 r Odtr. N... <br />EarwATawOATS 7. �.) . <br />Dosmum WELL SA91 Prow D Oeta W hirwoYC ft m BecWb (439 1) n ilb Is <br />(4392) D Arent (4393) <br />a Dom*@GdPfkvw a br4aftvAWkdkxW c It I— NtdarOLOW Merdletil0 <br />S +off n <br />o Puok vww syarm - <br />adlaWmove.«d 6—OWNW Mr@"am N <br />News mm" <br />TYre GF Wam a Now YM o R.plaoanrrd wd a WM ASw9tloNModlcaron o Other <br />a Moo AmIbawN(sL- 9ofwdi DSol Bo*4s) 041680"V <br />C..Wdmkmi •'��"�` <br />a Out-� Well '- Out-0Fsrvroa wall Raw wd D Cro.► onnec6on <br />Rap.ir <br />itrq Mw1hod a Mud Rot�'i Ar Rotary �UBw M CaWa Toni Push Pob t a Othw_ <br />opowd Wal Da 47S_R E.. WA.. _ in a.,W is Open Bogan o Gmjw Padx"w sin .. In drrlatr <br />7 CorKkrcaor Ca@WV - In dhnwhr Conductor Cm ft Depth _ R <br />Wal Cast" ownwtr in Thklm.wKWAOWASTM ScA.d _ o Slow P%.6c c smki.a. S" Omw <br />Grout Saar D.plh�it X44 -W C.nww alt a bows f0ON""o Sand Carrmd Soa mid? 091 WOW <br />B.naoa(h (2M NOW t. Otter_ _ ...... _ -. <br />Rat9rdard I Ada waW <br />bwww By a Order a Pura Coroulor 1 Other, <br />ConcralaPadaaW oOerwrriorra: Wder^ a Lc eThk4 -i1 aChdaty0m olkwofte <br />P1al[ Subnrnda TubYw f- Othr HP Pura Sat a SWK% VVelor L.v.l R <br />I HEREISY CERTIFY THAT I HAVE PREPARED TMS APPLICATION AND THAT THE WORK WILL BE DONE IN ACCORDANCE WITH SAN <br />JOAQUIN COUNTY ORDINANCES, STATE LAWS, AND RULES AND REGULATIONS_ I ALSO CERTIFY THAT MY REQUIRED LK:ENSE IS <br />CURRENT AND ACTIVE VATH THE CALIFORNIA CONTRACTORS STATE LK:ENSE BOARD AND THAT 1 AAI IN COMPLLAWE MATH ALL <br />WORKERS COMPENSATION LAWS. <br />24 HOUR ADVANCE NOTICE RE FOF��#/tjSPECT)ONS - PLEASE CALL (209) 953-1697 <br />Zd�C��✓LC/L4�- Trru DATE <br />AppkWm A-apl d W <br />Gra kap"- By <br />EPARTMENT USE ONLY <br />4,— D.ra2 3- 4 <br />Dole <br />Deb <br />Sob BO&V iup.rlfm By /TeI� V";X n � D.17 L LO_�g <br />COMMENTS <br />Ame Li Ih Enpaym of <br />r ', SPEcIAL well Permit <br />C WAfVER Recehvd <br />Carrtrucled Wal Deptlr <br />Roo,N 118 <br />r�F�9RF�14N� <br />MF/v/. <br />AhMr U <br />_R <br />Do AM Mlim <br />W. 7,5-yy,.3. 2- S3 4 <br />