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Y l e hone• <br /> Y• AP [CAY Iii ii GR UiE C 1 RUCT I X11 OR Pt1�t1� Pt `" <br /> ate Issued <br /> Application is h*reby #ad* to the San JoarW.-I Loea1 It OVI 015trict f"' arm=.c to construct <br /> Strutt <br /> and/or instoll the work herein describeii. This applicdtio'n J., made in e• :1w, tonce wtLh Say <br /> 410840n counter ofdonsnC! 'O. IDU and ." Ruiet and Regulatfons of ts<k. S,111 joi%auin Local rtceIth <br /> EXACT STREET [ Y J T 11W1V '� a <br /> 3 <br /> ' Address M31MU <br /> ' FM OF It <br /> ' � �GGtiDIf1� r_fli;.aE�,�at: i�N� <br /> TYPE OF (i ck)t; tU WELL W DE ® .t <br /> L.Pl" .tc tNAT��� DOWE <br /> WELL ABP[ _ �t t <br /> 01-ST&SE TO NFJUI STs SEPT f C TANK � ' SEIIF� L I <br /> SEMl10; D1S� i~EPA4t f.: : pT►t€� . <br /> ET E M3 T <br /> Dia, of bili 1 ea ,+, `► -- <br /> r, irri8atiorrerro1 lAdkftptls of §1:06t <br /> 4 �. <br /> Cathodic P"tectim ,,.,,��q tery �1+�POW #{ *►r, s r F -: _ <br /> PUMP [t IAL8T12S: ContivctAr <br /> Typo of PJ* <br /> P iP�RfP�M MIS: C3St4$t@ Wait # <br /> PumP MA I R: MSU(4 Wart kwo. <br /> oUMu,.TI6H_af . 1411 01 leer . ,,� ,.... <br /> D*sc�r41� ti�tor' oir� ��..�.f.�.�.�.�..w,..� �. .......�,..,�. <br /> I hereby cerVfy Lhit I hiYol prepamd thii A110401,140 #n1 041 V'c <br /> with San Joaquin Uunty Ordiniinms Stoto Lair$ AM Rulss� &m! 4vvjot , 0 t * 401 J0440" 0401 <br /> Health Ui stritt. Harte ownor or l itpo oda emit 09patur �:r�•:°s f r �f . k ' R ,o :�'w�t� ,: <br /> "I certify that in the porta+ ate of 1 r work for wna�r; eio. + ►t 1 <br /> not employ aro parson in such ftnnor 04 tea Wow *010tvt it <br /> ° laws of California," <br /> I WILL CALL FOR A RQUT WSP CT 100 PAM TO (440011A MID 1' 1 h�I <br /> SIGNED �' op TIIi.I IV <br /> SIG <br /> �4 ,)A11 � `.�/ <br /> PHASE [ <br /> t'8 . <br /> OMNI <br /> t'8 ,....�.....�.�_�-..�.r� <br /> ll'�C�?CLIN ACCEPTED DY � I�,iii` �-/ �� <br /> I-ADDITIONAL COMENTS: ..�. M <br /> PHASE Il_ �fir"INS - �--• _ , <br /> I BY T DATE INSPECTIM t <br /> ,Y INSPECTION ...... . .. �/y} �� �;1.�'"C;��.it� . . .•,{ 7 Ina tf :�'t r-� �+.w'�L�l'T" <br /> 1EH 1425 Rev. 12-77 <br /> 4 <br /> Molw > 2,' `` v- x t' s i t•..: .i 1 f b ...`"• <br />