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3-zI-1.55/ !-1:53AM FROM WESTERN STATES 805 589 1458 r b <br /> 1 9:t)dpM FRW TO 55891456 P.02 <br /> ' I u .aaemaA e1■ eliiyrvnw ��.m�ma. <br /> SAX JQA=COVEY PUKX AMTU*E$Ms <br /> ' U MRGtiil NAL WA TU OiYIGiGN <br /> P 4 84% IM 445 X'SM JOA4UU1 n,STOCUON.CA SUDI I4S <br /> Q� <br /> �� � i reE�r�>!� 1 TEAw Ktorl oA'{�is�Fo <br /> iLiSia+'is here tit arae to tiM �� <br /> i oegWin COOKY for a i Permit =Vt"mt NWIr instali the wort described. This aWtication is <br /> cede in GaTtiante with San Joewin County ecrot F T{CLO, 014pter 9.1113.3 std the: Staid rds of sm Jor.*jin Can" "tic Health <br /> Services, liwi,mine tat Nmatth Oivisien. <br /> job Adarestl/or 40 city hrcel Siz%fApv* <br /> Jwner`7 1lllpawr 3 <br /> .ant <br /> {, �ddrws O <br /> rQ 'M. <br /> - <br /> 361b Conti, ar .'rel fI �r.'I f. AddrM tic*(p �i I P41. 991/6 SVr� <br /> 'YfEPF W1<Gt/M 1: °s'[WIL 0 ;A?UCIW WU &0duiTORtm tztt ! tl OTVE <br /> it ss--=Tlow t7 WT•<W-SPTIC6 WU 0 GBPNMCAL MaL f 13 SOCL 3CRI11C <br /> 1 <br /> Q M,174tATIIM p WP—]-31al fJETitllt 0 Ca[Oii-CMKCT AFFAIR 0 VA7r} DCTL .'TION L"t-' I <br /> l 0 Aw C1 Repair R.P. MTN Am tai 1T, IIRST WATER LEVEL <br /> ,TYPE OF PINPy <br /> � I <br /> tls S T"t OF'ME;L COtilTROCT10t1_S r1Tt011! <br /> IMDuST3iAL i 13 OP" =TOO OIA. OF WIL WAVATI9Y_^ OtA. OF =OXTOR CASING <br /> _] =49S?1.A4* l�rArE (7 W;•'JU PAWSI2E TYPE OF MCA. OF WELL CASING, <br /> PVeLIC/lllultC:>PL Q DR:7Ei1 MTN OF a= 7EAl S►fCiF1GT1Cai(lter`1' C><�++ �� Y <br /> 1 <br /> :1 LIIZIUT OKNG 0 9T}._92 GMT r4a IAfTAUAD " ' . t— Gi3dIT f#AYD NAl1E <br /> )(-ANITOR ya ; GUM VAL Amm, 11 Tag Jd ra =QJM Pwsiru Rs 01ILLa. VTas 0 no <br /> �iGPOiElt 11STIIII�SiOhl ULD111 IIIIMU: 1Rq WrAU_AIR WrARY_a=J L-,CilYLS— Alva— <br /> egrSi'v that 1 have prqmrqw this eppt rattan snd etas the wort Vitt be done in w4ordenca virA San josquin W++�7 Gdinarusy, <br /> an and les ani :eptatioa at the sn Aaaquin Covitty. "M owner or tteanied IM941 suture aertiftes the foitwinp It <br /> cerll�Y Ihsr in a pwlwmmrew of the werlc for%hick dais peewit is ieaw.d, t tbatt MC aptay persona Subisct to-WIXOM'S COVELSATlam <br /> maul of C& I forn e.• Caltrector'■ hirift er isb-aamtraatinE sireture Certifies Lha faltwinae • 1 Cmi?�I that in the perfsrwmnc■ <br /> a: ewe sow eh this permit is issued, 1 0..31% ogAQV perSom subject to WDVXUF$CCPNEASArim Lswe of Caltfornia.' THE ApptitAUT <br /> uuST CSU,2; OU, Ni ARTANC9 FIKlE MXS AT MM Nf'M. Campt@T@ drWtTQ at tower was pravided. <br /> �a'r:z s•e. .Vr. <br /> TICif eF Date3"' •. <br /> 'f LJ <br /> I 1 <br /> �Allrlfsr Ira[O LT <br /> lopt[Casie� a-toted tp Oaf �k/fZ_ Arfe <br /> rvur rnsp;c_iautl�sY alai ,p�p4 lagsettm sY oate <br /> 1 <br /> )esrrWgti inapFctivrs h Oatf Carplets• <br /> I <br /> i 0>IT AIDS PAG <br /> 16 C00 F�M" Allgii�[RdifTZB ILEO/1 Gan tllDi W mum mom <br /> � I <br /> 719 <br /> TOTAL P.02 <br />