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SANJOAQUIN COUNTY ENVIRONMENTAL HEALTH DEP WELL/PUW PERNUT <br /> visiTwInT 3O4EWE1M3tAvE3'FL-S�ONCA95= (209)40,U20 <br /> NON-RzPvNmABLE PERMIT CALL(209)953-7697 MR INSPECTJONS EXPIRES I YEAR PRom DATE ISSUED <br /> J0111ADDREMS 14 <br /> - Crwmp <br /> Apmg41-jva - PA.S. L-2-7-5-V <br /> f — PHONE <br /> O"MAMMUiii Tr"r. <br /> \,C 11 2gy F/v ka d CD, 1) <br /> PHONE <br /> Cm/SrAT&OP <br /> LLICIMEE We--57 Mi a" 0 othor Num <br /> G�LINFORMAT[M. CMrdjM,, X Y_ <br /> INTEMIROUSE 0 DMOMUUTTi� rrip�Aecultumf 2 Indusui.1 13 WiM,Quility ldar�Ttcrq L"Soil <br /> 13 Pabli.Ww SwMr <br /> lfw" ------ <br /> rmawwoKyr IIIi pM,,,,,t Wa EI Well AlMiMbordModificatim 0 Tm Hole LI Odra <br /> Cl morowing wdl(.) CSDflBom&)_ 0 r�h.iml <br /> 0 wal Damuxtoo El Oot-af-Smm wou 1200-Of-Sorio,wel Rov-1 <br /> -0 No.PM, 0 Pwrp lUpluMmormat 0 Purngi Rt*r Cm=-CoM:otow AMNar <br /> WeL.Coliorra�m <br /> Drilling Memx,,I Cl MMI Rcuo, 13 Air Rmty 13 <br /> 'r ez�a�blo T., 13 Ph poim E3 Other <br /> I Prorpmed Wa ZMpth 02 9-n ft Sooi 2 0, u.,urrour 216�E—k000- CI C.�l Pool,I G.,C Si.—in dionver <br /> Adn-� iiid�— I CMdMwrC11fM,Drp,ln ul ft <br /> W-11 C'MI-9 D-rocza,,-Lfp-im TjuooxwuwwAm sched 4F6, Elk�TO Ploixi. 13SmirImSoMl C3 Odw, <br /> Grout Sea) nopth r2 I ft 0 NMt C000tmf jb bg 19-3rad 1Z <br /> 13 Borwrim(20%wilds) N. <br /> Gmm pluiroomt memw 12SMMfil. l3Spe,*Sbniiwd <br /> ClFrocFall MOI,, IMMIMM/Aamlemtor(�) <br /> pzoi=� lnlbklkd 0 Driller <br /> 0 C"AwMa,PedkMMI lmowud�- Width ft L=wh ft Thick LIChrUMB" ClSwimpho <br /> PImP 13 Sulrowrowi, Tb.. 00thor— mr— P..Psm—ft <br /> WE"D�r,poN In 0,,,, <br /> 0 uo,� a UmMRd 011,' <br /> wo'l�� <br /> E3 Nwt C MCMftwb:?oMw%lfmm_ftw <br /> Siall lidioarbd wroari941bbag1j.10gd�) E3 SIMC-C�—�mtr/7 Sal Wmer 0 Boovorift ptnow <br /> 0 3.vmtm C20% lids) Cl"Mooft"'M Sp-%RMW <br /> PiWoiMirot malzcxi 13 Poorpod 0 F�F.11 Oth,--,% N`oMi— OSpoo,,00Rk =SP.SoI,mtwd <br /> 0C-nPMM�H`MMh`ooMQ1 12 CoMPloft ro,FxUi Surtime,Pwl <br /> 1 HEREBY CERTIFY THAT I HAVE PREPARED TRIS APPLICATION AND-- <br /> JOAQUIN U ORDINAN TRAT THE WORK*ILL BE DONE N ACCORDANCE M(ITHI SAN <br /> CU W AND ACTIVE THE STATE LAWS'AND RULES AND RECULATIONS, I ALSO CERTIFY THAT'My REQUIRED LICENSE IS <br /> K�x m TION LAWIL CAUPORNIA COV11RACTORS STATE LICENSE BOARD AND TRAT I AM IN COMPLIANCE IWITH ALL <br /> N UV24 0 ADV NCE NOTICE REQUIRED FOR INSPECTIONS—PLEASE CALL(209)453-7697 <br /> TITLE 6��01 DATE <br /> LN <br /> DEPARTME�USE ON Y <br /> Applamai"Accepted Ely On, Ar. .731 Oct.* <br /> artnit Irmpaourn By wy=100 <br /> D.w E3 SpEc�Well perwjt <br /> Pv-p I-1NrQom BY DAM— 0 WAIVER Received <br /> Do"o,00mm lr-d�BY N <br /> COMMENTS M— <br /> .e,� 61 1 4'.FiNF-o <br /> Cook, Iff. ACIMMU f/ <br /> R"roww"d D"to S",,loo 6 14,4IM& W.11 1W <br /> Jr 'Pas <br /> SHD 43-M-006 q 'r/, <br /> 124= I WE"PEJAUT <br /> 9 5AZAv VC& ie� <br />