Laserfiche WebLink
(9 ��f�licc/C &OADUIN COUNTYUBLIC HEALTH SERVICED <br /> �IQ"'�" °ENVIRONMENTAL HEALTH DIVISION <br /> Z � P.O. HOX -M& 304 EAST WEBER AVENUE, STOCXTON, CA 35201388 <br /> (ZOSI 438-2420 <br /> E6. Crr�>I.,el� >ro�•em1llo�ete re�Rrrt , <br /> 4=�AU N NY MADE TO THE a.AN AAOUN CDUNTY NOR A PCN01T TO CO—AIL THE WOPN RaC1Nam.THK APPLICATION IN MAof IN COMMAND[WREN <br /> OFNIFTINT TITLE.CHAPTER a-11�Z <br /> 1AMC 5.3 A TIE wr^NoAROa Of NAN ATAOAN COUNTY PVNUC IQALTN NlINAtfa,INYIRONMfNTAL HEALTH o ,,N. <br /> AW (.S J G IB- OZD -• !I CfIY ✓G C\� PARCEL fQVA,,, <br /> 8S .IOK i+.. 953a6 <br /> owweR•p NAAE ADOIENN 4c+-Rl'r "�TT'P�n�•c.,Tra.cTLf�mamma, ,oa 83 Z-jDoo <br /> S..,G-.....-��., <br /> CONTAAeroA <br /> c ron...J•.-'x ��Jws -.1 E<..}� _✓< Ana�u lyD/�„e 5-f� 9 y I I " Yts <br /> / 1 �'� NNONlT yiy-q4 oo <br /> NINCONlTRAI 1P'<4 � mT<"✓q Trr ADDRESS ISo }�o�-�c Rk„M...krci cA 9vss3� �e <br /> � LIG BS/6 S nRHe T. 313- SBoo <br /> TV"OF nm„P...r �f❑••yy New vmnu 13 Ie�Acererr weu � w'arowre WELL f�_ ❑ oTNa <br /> I lwwrf ATTON ❑ YmL rourvu wFam '0 oeaaeeRQer HARM ❑ VAP'011 ERTAAcno WELL I r <br /> ❑N. 0 ARAf IIP. DOWN NIM►RT fT. PRINT WATER LlVFL O <br /> fry"OF PI1Nn <br /> DINT NERNca wm ❑ OmfNvreAL WEu T ❑ NOA NONprR T <br /> ❑pTSTRI/CTDN; <br /> liRia[o!Al type of waL co"TwNCTIO"APtCTF1CAnONN A <br /> Cl wmuwr aAL �❑yyoP91 IOTTDY dA.Of WRL EXCAVATION OIA.Of eONOUCT011 CAs10 _ O <br /> ❑ OOWITTX EVATT J.:I,OIAVR 111 T1TE 0/CAMIRINIEEL�►rt �''1j i. <br /> DIAL OF WELL GNNG -l" O <br /> ❑ PVMICAYAPRCML ❑DAMN OB"OF aROIR!AL NNlC1ACATON E <br /> ❑ fN4O ATDWAO ❑OTHl11 01101R SUL NfTALLm NY YIOIR"PIAND NAM! E <br /> aMOMfO11NO awuT REAL NNIPTO: ❑Y— ❑N. CONCAET[pfDNR.I,L n OR1ER❑Y� ❑N. S <br /> Awlti GPTM 1�y I - <br /> LOQNO CH[Rl11 pOaTOK Plp[ 3�o.sc p,pe <br /> s <br /> NRNDNO AONaTRucTRMIONWaE AI III OI MUO FUTARY AEI NOTARY AMER_tlt CAME QTN[11 <br /> I N IFY CTIRIPY THAT I HAVE PREPARED THE APRJCATM"ANO TNAT TN!W NIL S&OONa W ACCOIOMIC!W T,NAN loAC NN COUNTY OMIIHANCEE.NTATE UWE.ANO IIUIEE uRf INOUTATONp Of TIE NAN IMTY JOAOINN CO . NOAE OWNNA on UCENN IN R TD ANT•E NNATUR M IW CRIES THE MUONST 1 CTRTpY FERMI IN TM FERM OF TM WON(FOR WHICH <br /> THIp IN RARE M 091 1 SHAIL NOT DI PER IONIa a ,,,TO WOINWIIIITp N:OAI/ENNATRM IAWa ON CAIAOINIA.• LyNTAACTOAY INa110 OR�ONTRACTNR NRNAlT11E CTRTN IfN THE MR O OF§r 'I CfATWY THAT N THE FTRMFNiAHCE Of THE WORE FOR WHICH THa FfEMT IN MWEO.I WAII,El/IDY PTA/ONO,NII,C![CT TO WOIIR111AN•N COI NNINNATDN "W'N on <br /> CALNOHIIA.•,TIN ARRANT NICAu]A NRVIa w AOVNT ALL AN ACE FOR N /NM wpRTRPN AT MINOR <br /> Aa• COMPIETT CAAMMN AT LOW VR AREA NIo M,,. <br /> •..•.1 �i� _ T. P ��� su�f �� <br /> Dw <br /> PERT R.PN Io-.w V vN NNY Y <br /> 1. NAM[N Of frnrm OA MAoN Nf/UENt To oo No1AlONR TPE fIpPB1ry. 4. LOCATION OF HCUNE SeWAON,OINONAL NYfT01 OR pRRORo <br /> I. OUTLINE OF TNf f mlowwwry.0NN00 camp aIOM ANO NORTH CORI WANNAIN Of SEWAGE OEONAL NYWTTMN. <br /> ]. OWIfNNIONEC OU a AND LOCATION Of ALL fJIRTIio AND FROPOpao N. LOCATION Of YRILa WITHIN RAOAIN OP ONE HUNDRED FIFTY FT. <br /> fn1UCTumm Mumma Cove"AREAS MACH AN PATDN,pEyfWAYN.AND WNAN. ON THE PIOrmy OR ADJOMaMN FROFEII <br /> -- PAYMENT'... ........ ..... :. <br /> :...... ............. <br /> RECEIVER....... .......:.....< . .... <br /> AUG 2 7 1998 <br /> SEE t✓o 21<P[ AN <br /> .....(... ......>......:...... SAN JOAQUINf'L'IUNTY..;......::......j......:i......'_.. <br /> .PUBLIC HEA4TH SERVICES ENVIRONMENTAI.HEALTH L Vi$19N <br /> D�ARTYEMT LAN OIIT 7^r(�� /^1(�� <br /> A1INN Nr Dw �� 'I " Nv O ILJ II <br /> N.N..NIIP..Nr oar Mw�Aw�Yw pT Ow <br /> `oho S F ZS <br /> ACCOUYTaR oNLr: AIDE FACT <br /> R GOON/ PM INPO AAMIVNT FRRTTID CHIRMO!YN I MMI■r DATE PEMITItE1V10E ROOU6NT NUIINa1 INVOICE <br /> 0 I i i a16P8� <br /> ' 2$Z I Ig 2 y8 I <br /> .ED <br />