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SU0011722 SSNL
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SU0011722 SSNL
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Entry Properties
Last modified
5/7/2020 11:35:21 AM
Creation date
9/6/2019 10:12:55 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SU0011722
PE
2622
FACILITY_NAME
PA-1800065
STREET_NUMBER
22330
Direction
E
STREET_NAME
MILTON
STREET_TYPE
RD
City
LINDEN
Zip
95236-
APN
09304019
ENTERED_DATE
3/26/2018 12:00:00 AM
SITE_LOCATION
22330 E MILTON RD
RECEIVED_DATE
3/23/2018 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\M\MILTON\22330\PA-1800065\SU0011722\SS STUDY .PDF
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EHD - Public
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' APPLICATION FOR WELLIPUMP PERMIT <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> p ENVIRONMENTAL HEALTH DIVISION <br /> ' P,O.BOX 380,304 EAST WEBER AVENUE,STOCKTON.CA 9=1588 <br /> ��..� 1209!9653920 <br /> AAfIFL l•L Fj lExt .y,A/lµ/' NUN-REFUNUANLE PERMIT EXPIRES I YEAR FROM DATE ISSUED <br /> ,LM1VCATION M fIBIE eY MgOE lYl THE RW MAMUM COIMIY MR A PERMIT TO CONSTRICT ANOIOR INSTAL THE VADW DESCRIBES.THIS ARLCATEN Ie MADE IN COMPLIANCE ATO!BAN <br /> ,MAWIN COUNTS4VELOMAFM VD14 CNMRI B-I 113,3 AND THE( "A.:AIOIB Of BAN JpSSWIN COUNTY RIBA[REALTH BFRNCEB,ODARDNMFMAL WEAL"SAMOA. <br /> .roe AOO.IWOM.AFMIE mm! mF.v 9n 1 eF)- I/ •� >[�a9Q G71cmf av�/_y/ PAACR MsiAw,f—2 f}L,PlES" <br /> ' owveR•v EwF489-b274 <br /> �^TB/E Il gagogI Am.ea/'70!,�Ai nMA 114/1F-B <br /> roxTMnOR['�/A JarFO. QRI ei A/f_E'nllG ADDRESS 3Lb S KILRIX/Y7G1�(d�4A.�/y FlwxEf�/.7- ?7- <br /> RUp' CONTRACTOR ADDRESS <br /> gDDREpp IEI_—MORE i TYFE OE WE Affil: 0 NEW WELO PL CP,MFM WELL ❑MDMTOMND WELL I ❑ T. <br /> Cl INSTAWTEM ❑WELL.1"IM. E ❑CNwS,c.NNECT AETNA ❑VAPoR EMTAACTEH WFLLI J <br /> SuR ❑AAW(3w,wx xY /12 DEFTH FMMPavr / FT. FIRST WATER MM D <br /> RVR OF FOAM r1 <br /> ❑SVT-0FBLnvE@WELL UOFonnel[gL FAIL ❑ BOIL aONMO B <br /> ®oFelAUC1wN'. <br /> IxTEIOFD usB 1rRo GaxBTRUCT . INCAEwXB A <br /> El INDUSTRIAL ❑SRN BOROM OIA.OF WFELE <br /> "CAVATM /.2/AgE <br /> / MAOFCONTOHCAMNG6 <br /> ' <br /> .188 COMEBTEMPVATE 19 GRAVEL PACK/BGE /e Ll_ TVIEDRCABMDIBTEFIRVC PVL aA,6PWELLCASIHO�I�4 6 LJ M11C,MUMICIPAL ❑DOWN ONTHDIGHDDTWAL /fll)FT _ vRCIRCATEN :S/1 3G A <br /> ❑IMIMTgNIM ❑OTHER OAST,CF L INCTALLm BY MOUT FRANC NAME C47rY f <br /> ❑MUMORINGoroNr eEu wuRo:�A•s ❑N. CGNCRDINSCGSTMwvRIUREIn. R�. s <br /> .X.D101'..�QT�l i �N, /A/r LV V.IM CHESTER SONINTOVE FIR_ S <br /> ' POMSED CONeTNUOlMI1:111pWNO MRMG:SAND MTAXY_�AM IETAM AVOM CA OTMEP <br /> NE4W CflL(IFY iMT 1 NAVE iTfPARD TMB AIMICgTIOM WS TWT TIF WORL WIIl BF OONF IN ACCOIEMK.F WITH IFH JOwpUIN LWNry ORdNAME6,BATF UWB.AND ARM A <br /> 11,MAT.. OFTIFBANJOAOUINCOJN .SOW OWNER OR LEENNEO AUNT.SIGNATURE CERr01FNTHE WLLOWIM:'ICtFDMWTHATWTNFRRfOHMANCE OI TXF WT AS ISR VM IC <br /> TNM PERMIT RIMBUF0•IMIALL NOT MSKM REASONS SUBJECT TO W ONXMAM'S COMFFNSATON UWN OF CALFADA M.'COMMCTOIYB MIM OA 0= FITMCIWO FpNATUR GERfGI <br /> TNF FOLLWIMO: 'I CEURIMTNAT MTNE RNONAANCf Of THE NVM fOR VMICN TMIt RIMR IN ENID,I MALL iM0.0Y RMOW BYNECT TO WORENAl1Y 00MId1ATMN IAWB j 1 <br /> ' CAIIiOpNI T�/f/f,//�AFF{F/Fy�CANT M BT CALL M NOIAIB M A AVANCf FSR AY n...SN TONS A IIRBI AM OMRETE DFA.AO AT LW21!AREA PROVIDED. <br /> } BIF^M NJ �IlL- %nl/17� T10 <br /> i ROT TLAR U:ex I.IaKIBW._� <br /> 1.OOTU"AAM' <br /> OF BT E OA MADE RNEARESTM ISSF R OR eOUNOOR THE RERUNV, S.LOCATION Of NOVAE EFOIMM apMSTE BYNIFM oR RgPJBEC <br /> ],OVNNE HED OIJ ERRrv.D=ATMNeOROHe.Wp MHAH MRFCIwx, ENPAMRON M SEWAGE DR{RADR.O ERIN. <br /> ' ].aME TOM$, DIRVNEE AND LRED ARE OF ALL EXISTING PATI AM TMgpLO — A. LN THE PN OF WT1N WIfNM IRO OR ORIF XUNDRO iIRY R, <br /> ITMICTURA,IMLUp1110 COVERED AREAS EULM AS PATOp,dNVEWAVB,AND WALXS. ON THE FROPfHIYOR ADJOINIM mm M. <br /> Ml�Al VA <br /> Ap Y3 <br /> DO <br /> ' I!Ak 1 U Ifi 1 <br /> GFFAATMMTVBGOMLT <br /> Ayplx.Il.n AoogIP1 eA -44j-2 3 fj— <br /> ' aw FxpI.1IAAM L21r L.'Y.I[.[u"J V 10SM, 1 <br /> o.rnewn AryslHn aY D.eF <br /> AOCOUNTNO MY: A.D. IACF <br /> F[cooH FEE INFO AAMNST RMTTEC NFC EAI. ARMSS.eY vATe --TI "OASES, INVOICE <br /> �^ 0 0 11-55&9c <br /> ' 3 S 03589 <br />
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