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APPLICATION FOR WELLIPUMP PERMIT <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> P,O. BOX 388,304 EAST WEBER AVENUE,STOCKTON,CA 95201388 <br /> 091468-3420 <br /> NON-REFUNDABLE PERMIT EXPIRES I YEAR FRDM DATE ISSUED <br /> (C."put"IN ir�D.IRI <br /> ARLCATNHNle RAPINE tY SEATS TO Fit BM'JOAgIM COURPY FON A RNAR TO CONEFNIICT AfDTN MCTALL THE WON(DESCWNFO.THIS A ATION le NAPE M COANPIJ Ct' 14 SAN <br /> AAWIM COVMY OIVII\ONABR iRIF,CNCAfFET&�♦1`115.8µA T/M\�E\EFµIUMDN Of BAN bAONM COUNTY RNUC NEKITN SEIMLEN,FNVTONMFMµNFALTM OfNtUX. � <br /> JOe ADORe69N AME y� \ \`W� —\� Cm ��OC1l.��YA, rANCEL&zvAMi p <br /> owHEn's NANF ��i�`M�wIO\� Ct AoolEss�-�. E�O ��Lrtlo� HT1 1MaNFe� 0``����11 <br /> 'CHO ETON �n1\�L�{��f.\ VAr\�ll AODNES.N\ % \Y. IlG0.CES�4\ NgNEF 1��9 <br /> H E,COMIVLTOR AOp1EN --� MCI Rg1EE <br /> TWF OF NfKM1AO: �E3 NEW WFII, ❑IEAAC E.NT WELL 0 MOMRONIIO N2LLI ❑OTNfl1 <br /> Iy MNFAWEFgN ❑WELL wREM WAIR ❑CNOBBCOHHEEC�r1�WASS ❑VAPOR FRTNACTION WfLL1 J <br /> �' ��� •jE/(�-EMM O RRHA HJ,�� OETN R1Ni SETE'�it"T. MISTWATNILEYEL O <br /> RY of rwn <br /> 0OUR-0FF£IIVICE WELL ❑ OfOMYBKK WELLI 13 IOL M)IWp <br /> 0 INCIFT UCf1ON' 1 <br /> INtp YK Oi WD1 EO TNVCTM)N IfN:ATIO A_ <br /> 13 INVIMFNAL EN��NNN�---ii.CAN.NOTTOM 1` I OIL OF WELL EXCAVATION M..".Mm GEIp <br /> 9(....ATI VE1 f`ACVBDf 1 V` T)R Of CAtMONTMF MA.Of CASINO <br /> 13MIlCRA1NICEµ XELL.�•IIgVVfN )ERN Of O110UF Mµ WSCINCATHNf R <br /> 0 e.SAm. ❑OTHER OW VT NGL MEFKLEO NY O101R NMIA N4AE F� <br /> ❑NOEM. ErovF REAL RENEtq O Y. 0 N eoM:IIErE rtoEerK wowutEeO V. Ow ! CCCCCC <br /> AEHIOA.D9M 30D' LOCMINO CNEETER ROXRFDVE NI4 V,.rol <br /> NIOMENS OOMFMf.FbNMEWXE MRWO' MIO RCTAw AIR MF.RV AVOER CABLE OrHFF <br /> I NFENY CNRm THAT 1 NAVE PREPARED THIS AMKATKFH AND THAT THIN WON(WILL NF DONE M ACCORDANCE WTI Bµ1 JOAGIAN EWMY OROMANCFE,STATE UW9.AND 11I A'0 <br /> ROMA.NN W THE SAN JOAOVIN COUNrv.H0HW p R ON LICENREO AOENf'E PONATUREC NTNFEFS THE fOILOWMO't ClMEY THAT IN THE PMOIMNIIE Of THE WVIN MR NHIDI <br /> THIN PRWR IR IISSI I SPALL NOT MROY PERSONS MJECT TO WgIWW'S COL .AMN LAWN Of CALFOANL'CONTRACTOR 9 IRNNOMBUpCOM11µTM0 SIONATIARE CE1RINq <br /> THE MO ABIO: -I COTTEY THAT IN THE POEOYAANCE OF THE MW MR NMNO1 THIS VLRMIT IS ISEUfO,I WALL WM Y PERSONS NRECT M Wg11 ME CORROBORATION LAWS Of <br /> CAlE0EW1A.' THE M AM MINT CALL EE IIOW IN ACANANCF MR ALL AMINEWS.110IISOCTIONS AT MOIN....COMPETE MMVMO AT LO NEIL AREA.f OED. <br /> A4—I'A. Q.Q� 4 ��C Tm. <br /> PUT PwN Iq..,n ew.l Nw. <br /> NMIf A Oi RMRs On gApe NEARER r0 oR wNAMO THE PEIPRFY. a. LOCATION OF MINESFWA E OH W C ANONµwECFM OR gMOBEO <br /> S.OUTUNF OFTMT.NW.AN LO.AION Of. AMTNCAN PROPOSE FXOANEON OF t flYAOE gSN BµwRFNN. <br /> ].gMNNWM, NCUPOI S ANO 1 ARE of X AS FA AND AIOFOtED R, F1 THE PN Of WELLS NTTNM MAUS pC ONE NUNp1Ep FIFTY R. <br /> BTgICIV1EB.IM:LVOWO COVDEO MEAS BUCN AS PATYB.ONMVAYS.AIO WALRN. ONTNF NOIERry p11 ADJOIMNO NbPRFY. <br /> Zo <br /> v' P <br /> W PAYM1EN! J n/ <br /> MAR 19 1996 P <br /> RUBJC HEAT IH SF-RVICE:;. �•E, i:.al <br /> cNVIRIONVENTAL HEALTH OIVISICT <br /> FQ�n1C CatL.p , l�cLwtJ <br /> r\a <br /> OFRMTMFNT.1 ONLY <br /> AN+N.Ir.Aw�r er oSH � Z <br /> O,oin L.wO�u,M O.N Pi+ni wes,wn Br ,(�� I}ni_��� <br /> OslwMn <br /> Ce..I A <br /> AccOVNnNO SRLY: A.w FACE <br /> R COO. F NAOWTRB.OFTm NB N:ux W. WTE FBMYTnEIMCN IEGIIbTNMw NVOICN <br />