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BEEF APPLICATION FOR WELUPUMP PERMIT <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,STOCKTON,CA 95202 <br /> RESS, (209)468-3420 <br /> NOW-REFUNDABLE PERMIT EXPIRES 1 YEAR FROM BATE ISSUED <br /> luABM1E M T14"A"EI <br /> RAPICATION 18 PAN BY MADE TO THE[AN MAWN COLMTY FOA A RPMR TO CONSTINCT AWMI INSTALL THE YIOR(OfSCAAM.THIS APPLOATpN IB M^OE IH COMRIANCE YTII SAN <br /> AAOVIN COUNTY CEVFLORAEW TITLE CHAPTER S.1`116-.�3 RHOS 1N}f{/[�1AF/N/p��A�ROB Of EAM pAONN COUNTY NBLK HFALTI SfnNCFe.ENNbxMEMTAL NEAl1N pMSION. <br /> RES, <br /> ME A.M.S..AMI /�.� /.(�'�['. l](�.41LA1/ .A 11 CRY -'L _kf( PARCEL SI[f/ARN <br /> OMMn'E NAME �Q II 11- FQL7F1 /li hl ADORESE I� "QED Y RpxE[.�•)T-•.'.��1 <br /> COATIUCTOR [Pc_ •1 Y�ELL <br /> `11Y1�,AoacaE ^(�) uc[ i:9c31 MORE,727--' �'� <br /> PRESA1IE C.RFAACIpR Aewese C r MoxE{ <br /> oP NSWPVMn ❑NAV N2LL ❑A[nACEM[NT WELL ❑uNRORW M'{LLA I .THEA <br /> rvK 1[ ❑NRAWTION O WELL SYSTEM REPAIR ❑T.H.Oxx[CT REPARI ❑..EXTRACT..WXLL S <br /> ❑x—A111rW ".P, .ERIN MMPSR—Fr. AnR WATER LEVEL o <br /> NERS nYM OF MMP$ <br /> ❑OV1AFEfRNCf YIELL 0 OM.YLOCA,,WELL F 0 BORE A. S <br /> ❑DERRUCTNIN <br /> IryffMO{O V[( 11,OF WELL CONRRICIIOM SPECINCATIONS q <br /> 0 Np11RRAL 0OF,A SOROM NA.OF WELL FXCAVATION CIA.OF CONOMMA CASINO p <br /> O OOMESTA:ANVATE 1:1 AAM PACF.e TYPE OF CAAA.RTEEIiAVC CA,OF WELL CASPAR p <br /> O AHLIC.; CAL ❑NAR. O[PINOF AOUT BEA, AFECHICATpN A <br /> 0 N{YOAININIAO ❑ b <br /> OTHER OVT REAL IRN <br /> NALLEO BY AVAM <br /> T MART NE F <br /> ❑MOMI.MAj OARrr SEAL NMI,P.0. 0. 0Ne S <br /> SPER APMOX.DFRNI LWRNO CMRE......VE RPF <br /> S <br /> RIOTSEO CONeTI111CT10N4,0111,010 MRHOO: MIA RoTAM AIR MIARI AWER CABI£ .IIOA <br /> IN[YBY CHIRPY THAT I NAVE PREPARED TMB APAXATgx ANO THAT THE NOM MIL SE OOH[Al MCOFOANCE MYTH SAN AAWIN COVMTV OIAINANCES.RATE UW S.ANp AVMB Ab <br /> R[OMIONS OF THE SAN AApYN COVATV.HOME OMPA OA LICENSED POEM'S RONAiURE CERTIFIES THE FOLLOWNO:'1 CERTIFY THAI Al THE 14AfO1MANC[OF III,NOM.FOII WINCH <br /> RESS IMS I,WARIe MbFO.I MAIL ACT(M0.OY PF...SLARACT TO WOROAAII-I..PlMATON LAWS OF CAUMAEEA.'COMMCIOR'E NASNO OA..B .HTMCTRNI..AT.CHAT". <br /> THE FOLLOMING! -1 CERTIFY""N III PEMOIOAANCE OF THP NOM MR NNICH THIS RNAR R IMPLIED,I MALL EMROY FIRM".SVOIECT TO WMW AN'.COMFENSATION UWB OF <br /> CAUFOIMA.' i MVS ALLN HOLFS Al AWAXCK MIS ALL REpWEp NS 1pPBA IA4.MES.COMRETE OPAAHSAT LOWER AREA"CARE"1T �j0,,� <br /> TI,1. <br /> PLOT". <br /> N.'.I e..I._ <br /> r 1.NAMES OF ATFFRE OA MAGE HEARST IO OA SOVNpW THE P ORRTV, [.LOCATION OF MUST SITYR.E T E OM SYREM OA RgIgRO <br /> i. O VFUNF OF TLA ROROY,.1.NM[NM.S AHO NOR"pRCTON. EXPANSION OF SEWAft pROEµEYREMS, <br /> ], CH"MEpHM-LFFUHA-ANO LOCAT9N OF ALL[AIRING AAO RbMRO S.LOCAL..OF YPLL UE TMH..OF OM.UNOMO FIRM R. <br /> STMECTUAES.PICLVNHS COYf1E:D AREAS BAC"AS PATOB.DRIVEWAYS,AND WAV.S, ON THE ROPEAR On ACMNNO R CKM. <br /> a <br /> k+ck �on2 <br /> R di J <br /> EDE <br /> I c�ii <br /> OCT 2 7 799E <br /> PUBLIC HEA_IH <br /> FNVNOnA1E?lTAL HEFT ..:_ . <br /> r <br /> / <br /> J <br /> I. ry <br /> ��/¢17���\ //� �� ! AFAF IL..ONLY V <br /> A .I <br /> y.BEER IN— .,I <br /> o-NR<wA E<A.tYan el o.,. <br /> C— <br /> ACC.-H.O ONLY; AOr RACl <br /> PE..... F[EINf. AMOVNI PEEL,[. MC COVED SY DATE MARATISPC <br /> NE ELMLMTMWSTA OI[F <br /> .. c' s <br /> `�L' S :--cU XgaN 1,147 <br /> RES, Pup Heacn Se" EIRDe.ITS(1R7l <br />