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'Pauiiy`�. <br /> SAN JOA U I N Environmental Health Department <br /> �In —COUNTY <br /> �y Greatness grows her- <br /> Well Exemption Statement <br /> Pursuant to California Water Code, Section 13808, all new wells that do not meet the exemption criteria must submit <br /> additional information prior to the issuance of a permit by the Environmental Health Department. This form must be <br /> completed to document the exemption criteria applicable for the new well application. <br /> WELL LOCATION AND OWNER INFORMATION <br /> Well Location Address: 1'�y 3C, City: L6 <br /> Well Location APN: C% <br />