Laserfiche WebLink
F!0BADJDPJM <br /> WELL/PUMP PEFMIT �EI�N�iQ WlNCOUNTY PUBLIC HEALTH SERVICES ENVRtONMENTAL HEALTH DIVIWO 304E.WEBRpAV[., STOCKTONCA95202 (2W)468-3420 f 1 , Ct�o <br /> ��: <br /> c.�pa�NON-RIMUNDABLE PERMIT EXPIRES I YEAR FROWN DATE BSUED <br /> ! <br /> gr <br /> PARCELSrW �»p <br /> GW'MltE+SK__sA_ y� DDRFSS /�yllpw71 <br /> Ck7Y2tP +� <br /> PH <br /> ` <br /> CONTRA GlO DRESS <br /> cK vaw C� +3 _PHONE <br /> k OCG <br /> AL FNPOR]NATION: COORDINATES _ y ON + <br /> TYPE OF jFM_W W= 0 PMACM40r'WE" 11[ ONMRIN4 WELL N <br /> ! b OTI�R <br /> ' 1NS4Ald A ON: O WELL 5YSTI<M REPAIR a CROSSCONNECT REPAIR Q VAPOR EXTRACTION vjRL <br /> t TYPE OF MP: a NEW dREPAIR H_P. Dfi1'i71 PUMP SET <br /> FT. FIRST WATER LEVEL— T <br /> CI OUT4pP ERVICB WE1. O GEaMCf3MCAL N 0 SOIL BORING <br /> Q AEg'IRUCFION. <br /> ixulot-w" <br /> IIQDU$ 0 OPEN BC+TTOM WELL EXCAVATION, �jy f <br /> �"++_.ERS__ CONDITCTOR CASINO DIAAi� <br /> O DO C PRIVATE �[GRAVr E PAC1U5l7E 13 WELL CASINO TYPE GCS W <br /> YM ca3]Nc DIA , <br /> O PUBU UNICIPAL D DRIVEN � � GROUT SEAL D&PTFI <br /> �W41r� SPPCIFICATIOh[�*uE+1p <br /> I l Ido NO OTBER GROUC BRAND NAME_Aa!'_&�� <br /> GROVE SEAL PUMPED: ALM M NO <br /> C]Ci1RF5 BOX ©sTDV�PIPE GROVE <br /> PEDESTAL BY DRHLER. 13 YFS 1pO <br /> AMO MATE WELL DEPTK <br /> PROPW CONS RUCTIONHIRILLING METHOD:MUD ROTARY,A ADt RCrARY AUGER CABLE <br /> I Y CER WV THAT F FILM'PREPARED THIS APPI.ICAIJON AND THAT TM WORK WILL BE DONE IN ACCORDANCQ W1TQ SAN <br /> IOAQU�i COUNTY ORDIANC&4 S 1AT6 LAWB,AND RU g AND REGULATIONS OP 8AN dOAQUIN COUNTY- <br /> SIc1 <br /> TfI'1.E: L <br /> DATE' <br /> i <br /> � - I <br /> pplievioa Acaepled By <br /> I Inapa.•bon Ey Dare d .2 <br /> Dave Pomp Frtspected$y <br /> on On By <br /> ' - <br /> SC AMOUNT CI1ECIt1A• RBCBIVED DATE.�•v <br /> CODES gffr) REM11TM0 CASA BY PERbf=ERVICE TO IirM <br /> .737000 <br /> I <br />