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UeSb - <br /> APPLICATION FOR WELLIPUMP PERMIT <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,STOCKTON,CA 95202 <br /> (209)4683420 <br /> RUR-REFURDARE PERMIT EXPIRES 1 YEAR FROM DATE ISSUED <br /> ICEmpYrR In TIipDMHI <br /> APR :ATgN 19 MEPP eY MAOF TO THE SAN XIAWM MO FOR A PEMAN TO CONSTRUCT ANOgR INSTALL THE WORK DESCRIBED.71119 AMMAMN M MADE IN COMRIANCF VATH BAN <br /> `N <br /> AAWM COUNTY OEVTIOMAEW ITT E.CHAPTER 9-1116.0 ANO THE STANDAIO9 OF SAN MAOMM CODMY FORM HEALTH 60nMER.ENVIHDNMEMA;HE.LLTH pN9bN. <br /> me ADDllEaeeR APNF 2514 East Juliet Road Stockton vArca uzMAvxA <br /> Reuben Costillo ADDMee Same p„D„EA465-8004 <br /> owxER'E xAAE <br /> `. COMPACTOR Clark Well, Inc. ADOM,,M2025 -E Charter 1AA 371560MAw, 462-7676 <br /> MAB D..TOP AOdlM IICI RbML/ <br /> TYPE OF WFLLNUMP O Nfw wELL ❑1ERACEMEW wFLL ❑MOMrOMNO wfu• ❑OTWM <br /> ❑..A",.. �.I WSL'?A1EEA RCFAM ❑CROB CRREWT FEPAM ❑VMOM E..TM MHE W E J <br /> Ju� ❑N.M�RgMr N.F. I• OFFTN M.E,BET FT- FRM,WATER LEVEL O <br /> OYFE OF FVMM <br /> ❑OVT#-BEPVX:F WELL ❑OEORIYSCAL NRLL! ❑ SIR eOWNO I <br /> ❑O16 OMTEOR <br /> INTMOED USE rTrf OF WFLL COXf1RVCl1ON SPf.WCA.... A <br /> ❑EEMSRTMAL 11 ORE.BOTTOM DIA.OF VIML EICAV m MA.OF COMOMTOR CASINO O <br /> ❑OOMESTR:MSVATf 0OM4EL IACN/BITE TYPE OF C.R./ATFDD MA OF MLL CAMNO O <br /> ❑MEEM ,NICMAL ❑DMVEN DEFT.OF.P SEAL M4CIMATION A <br /> ❑...T... ❑OTMD, OMW BFµMS.eY MOW NMND NAME F ( <br /> ❑MOMTOMND OEAST REAL MDEME:0 Y- ❑N. COHCPETFMSERr.LLRYD ..D'. ON. s <br /> Arnez.aCOt."CNE...RFM 2 RFE s <br /> PROPOSED CONETHMIMAIRMDUMO MVM0:MIA ROTARY AM ROTARY AMER CASE OTHER J <br /> KK4RY CE W NAT 1 NAVE MO TMR I ATMN ANO THAT TM WORE W M MME M MCOMAMCE WUH SAN bA N COUNfYMOMN ES.VATE TAWS.AMD.RES AHI <br /> M01RATbMi BATH MA DO OWMER MERGED AOEM'e ERRATME COWRIE.THE FOLLOWMO:'I CEWMY THAT M THE MMOMMMICf OF THE WOM MRWNON L <br /> iMR RMARH O.I MIALL i OV P FMA TO WMRMM'R COMFMRATOM TAWS OF CADFOIMA-COWMCTOP'S...OR MIRLONIMCTMO MOMTUM CEMINEi j <br /> THE FqL ,CfTnY TMA E P S NCE OF ME WORK FOR WM H TRUE PERAW M FORUED.1 ANAL EMM➢Y MRRONR SIRIECT TO WOMOAAN'e COMr9ISATON LAWO Of <br /> CNFOPMA. t I.IV ] ADV :1f R ALL MGG M IXSR MMS AT IEMI AMYD.c UM E OMWINO AT LOWER AM:A PMN . r <br /> W.-E. IME Sec-Tres O.I. 21 May 98 <br /> X..R}.n b MM.14.1._ H <br /> I, NAMEAOFATMFTRORMA NEAMBT TO OR F.WFMME THE fPoRITY. ALOCATMH OF RW.E AFWAOE MRMSA SYSTEM OR RO1MDS r <br /> OUTLME OF.ROMRTY. MMENMNR ANO NORTH MMCTON. E)I..0'..F ORMRA RTETf Mi. T <br /> ]. SMENW WO.WEE AM LOCATED.OF ALL EARTHED ANO ROM.F. S.LOCATED.OF.WTTRN Md VR OF ONE MVNOMO FRIT fI. <br /> OTRVCTUMS.MCLUMHO COVU4D AMA.SIC.AR PATO6.MV AYS,AND WAU(R. ON THE FEOPERTY Ofl ADJO.FOMRTY. <br /> � S( <br /> KRq)P�aq C5 <br /> R,bA-J <br /> �1 �h PA4EMEN`f <br /> F!FnFF6j!F_[) <br /> MAY 2 21998 <br /> SAN JACIVIN 0, " <br /> PUUUC H.tZ 6R1Av S <br /> VIRONMEMAL HEALTH DIVISION <br /> � o.E.041 DRE ONLY <br /> iL].E�1n_y � _ :� �n Dm `'l ���E� w..o.I•�J(J <br /> ACCOUNTMO OHtr: AAE FAcf <br /> R� <br /> 1EcoD4 I FMixfO AAOLMr11Q.SrTfD 1RCIJ M RECBVFp er DATE FSOAIrHMWCE nMUEM KIM <br /> INNER <br />