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0 0 <br /> Sao Joaquin Coaoty <br /> Environmental Health Departmmst SITE <br /> 600 E.Mgu SUcc%SWddm4 CA 95202-3029 iDTImim <br /> (209)469-3449 Fac(209)468-3433 Web:wwwsjgov-qWcbd / ] .. IUNITIV <br /> MN Permit Application <br /> NDW4MWUM MEFEMTEMMMIYEARFROROATEISSM-pis <br /> AppfgefmsA9eby aadeb Sai Ja4il CwxyTorapaeab emww sufti"sewat daxxaed This alptd OB,iI'p�Ae in ma�iwixwih sm <br /> �m CauM DwaloplaeiE Tie,Cheplr¢71153 ab ae Staidam dSan.Iaeae+cb�xAyExnaa�netel lieen�0 - <br /> ►.s.,.l.aer.IaL3731 <br /> lAa1S VA1p,0.a. V. ami ,�, 13731 N:I:Sl,,,.,,S—s*,,Le�: `tS2�r0 <br /> c.siowem�Dr�ll� <br /> AEaee. 0 A).G-at� St csaG�.e� �?ILiral Fn�ed3o_ X48- 124 <br /> Casrlaa I"Q* AE6de <br /> GO Ccodlaow X .Y Tom"* r1wop SaoEm <br /> &WWW= LIBONGi. Ovet� aw <br /> WOsaOF OCHI OTHBM � WM 4Wbdo.) <br /> 'MXWOORNG# t� <br /> RER <br /> v mmw @ PRESMMEGROUT <br /> 0moftmmGROUTSPECIWATIONS <br /> CONNEWS: <br /> TYPEOFaIHi. NMTALAA MTYPE ComsmwcnowaPECirrJli= <br /> OtlOW"K*WOG GHJILOWSTEM M&OF�TMEQsE GAIMTP1ECASMW UARXTREVEL Ya3LCASNGMk <br /> oEXFRM%TION VARWw*E3nORMM G1SM TH MIESS L� gg``��TYMOFCASBaa OS7m OPVO BOTHM. <br /> BVAPOR ®wDTIaTARY ora�IllaFcazalTr SEAL — TRBAETYPETOBEUSSk UMXXRS XHOW <br /> BARSPARGEiGOONE)4+U Pmfftw«CPi)GROUism KOFED: sym WjD(IKVE:UA)MWFREF�FALLnEpmes3n <br /> ®SOLDORM 1HMDAUGER GROUT SPECFKATKM <br /> gonIER: U(YffU APPR07LBOFWDEPRH�41- peQT TRAFRCBW ar ®STOVE P'PE <br /> CONO)CTORCASRGPROPOSED p YES.blalwoimaaa in cmMu E mamv <br /> CONUM . <br /> NOTE: OFFSflE BORINGS REQUIRE ACCESS AGREEMENT OR ENCROAC iT PER&M. <br /> 48 VIDOILG HOUR NOTM:E REQUMiED FOR WSPECUONS_ <br /> Imd*ON*-Md L baYa L <br /> praparod#As apOlCMM and dud"I wM be dogs in acaordanea w Mh sun.�o.yuM <br /> yldaLiolls and a0 appecabb CaWOndo stela Laws. <br /> gwwR Es and <br /> x I rElrce.o.y V.trTLQ.04d - Tt .+\q <br /> Plat hilae Ore �^ J <br /> OEPARTIWW USE ONLY <br /> sm K&P m uwr 1v <br /> WORK PLAN DATEa ° 2S , -2,00 <br /> 7 <br /> APpfKaim Aagftd Ey <br /> GMM i.persm ay orc Fin rrps6on By Ore <br /> DeWumm►aped nBY Daft <br /> Commulcom tou4 vW 1( <br /> AccalarrarGOILY: AWE FAa <br /> PECO� MM FO ATEOUKRIMM C*MMN RECD By aMTE FIRWISHIHCERNMIMs alwom <br /> 2`ioi 85 l?l " SM <br /> C-U WC -WAIV :R_ C-57 L.01W of Au"WKWtim to Sign pertait_Bwroodunepr&c <br />