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SU0009347
EnvironmentalHealth
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PA-1200179
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SU0009347
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Entry Properties
Last modified
11/19/2024 3:48:15 PM
Creation date
9/9/2019 10:26:56 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0009347
PE
2690
FACILITY_NAME
PA-1200179
STREET_NUMBER
6671
Direction
E
STREET_NAME
STATE ROUTE 12
City
LODI
Zip
95240-
APN
04913052 53
ENTERED_DATE
9/14/2012 12:00:00 AM
SITE_LOCATION
6671 E HWY 12
RECEIVED_DATE
9/14/2012 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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FilePath
\MIGRATIONS\T\HWY 12\6671\PA-1200179\SU0009347\EH PERM.PDF
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EHD - Public
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1;30 <br /> APPLICATION FOR WELLIPUMP PERMIT <br /> RAN JUAOUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL <br /> ION <br /> P.O.BOX 388,304EAST HEALTH <br /> EBER AVENUE,ISTOCKTON,OA SMJU 88 <br /> 11091 4823410 <br /> NOR REFUNDABLE PERMIT EXPIRES I YEAR FROM NATE IREUEO <br /> T <br /> •REKAi MN1[M RFryMACFTO. BµbAWMMIM,V AtFWIT\OCOIN�1RI1LCi1 <br /> AFElpnIrM1 <br /> MpF\gpExr1115.3tAIL IME NgIK p[[CRIe[p,IIRt AiµKATpNIP IMLF MCOMRIAHCF VT IIsµ <br /> MAgMM tpVY pRLTE'R�1 NAR( <br /> FC /R�B� AMI 111E B, 6012 1 <br /> �A1NpAw[OF eµJpAOVIN[OVMY wRK InrLLlll RRNRF,ENVIIpHMExrAL N[AITN pMLMH. <br /> AeALORLLpfl AMI ( O / C' �� 1 E <br /> AINeWMfl,xAr._ 212 aE v rC,(rir E- <br /> DDMMCigI na sr JJa /3'+,L L71% <br /> w �Q�SZ CQ V 7S ADpx[ee EFDF 773IS tee[;3y-4�'L� <br /> e1n mNFMc, Abm" Loo i IK[ RiRl.3G�- 313q <br /> E3 OLW LAT O MFucerAEM WELL ❑Flpmolnx0 Wiu[ O <br /> ❑MrtALEATpx ❑WFu.vn[u l¢PAIR ❑clneccOHu[Cr ❑ TM. <br /> MPun <br /> ❑Y AgRExTMC\pHw[LL• i <br /> nVfF �alNs l7 Rq.E 11.P. pePrx wM1P efT�R. [MA W:LTM <br /> ❑pvTor.ATRTV .wiIL ❑O[pnnncu LYEu[ ❑ qR MoRM O <br /> ❑p[rtwcrMx <br /> MOVrtNu L❑,oRM epnOH DOL pr^WlU XCAVATMN n• t A <br /> OF cnlNpnrFRFVC p V OM <br /> �'OpM!liKAOVVATF Jp MAVIL PACkMEE MA'pF COxMrCTORCAeeb O <br /> TYR OR WnL eAAPq <br /> ❑IVH<IMIIr11Crou <br /> AT 11 OTHTN pFRN Or OROVIefµ t Q, eRCRIUTpx LL O O <br /> ❑IIFMI0i1/b ❑OTMR w1e1R RALMMRIEp eY Gl/..IFS PROM[MND IMM[ Ct/�IYtF� A <br /> ❑MOMtONNOpY014 1p [ <br /> Z;2-f, <br /> Rp <br /> •\ OVT[EAI RIMRD:p � CONCMFI,p[nAl eY pWLL[npYw QIN <br /> A..RPA ppiH 3 �7 Zd2✓ I $ <br /> LpcAlw cxnT[n mzmpv[rs[ <br /> IROro[m COMr11110TMRIA[L1Ma MnHOP.MUD rorAAY AIR ROTAIIY /ilM[II CAMA��O\xEll a <br /> I Mier""R`lRAT I HAV[ll IED TMe ARLMA,IMI IHO MAT\M NV Ht Wnl eL OOM w MCDIEMK!WRx sAx lJAdllx COLNTY aIOMNICn.erA\[lAws.AW RUIn I1p <br /> 11EOIMTMH[prTM[M1 bAWM COVNTY,NpM[DWy[II OR lKFN4O ADEMY MDMA\UM CmrMRe TM FOU"AO:,CFERRV THAI MTM RTIOMAANCI MTIRMOHt re11 WMRYF A'\ <br /> \NM SIR[r 1e MM1[p,IMFALL MIT EMROY IEIFM)M M161[CiMWO11YMAH'e COMFm[ATON UWe OFCAIROlO11A.'WMINCTQII NTMp OR eVRCOMMCT11p MOHATVNf F.M11R([ V <br /> TM PoLLOLNIO: C[MFY TNAT M TIR RRIONANFL[OF TM VgIR wn N11KH 1Me PFIIMR M IERIfp,l MIMG n.1ROY ITnmN[weJFCT 1p WdIpHµY OOMim[Mllp11 LAW!OF �1 <br /> CNIIOIM�1M��rRLM�AM MW T CNL N MOM1L M AOVAML[TLR 11LL R[MMImgRYritpN[AE MWI ANiLL.COMREIF PI.LMYM AY IOMCi1 AA[A wpyR'llp, p V <br /> 41P�F A_ ��-'_ \M1NSIE AJ.CiC.IL om S- L7� /- ` <br /> ROt RAx pew F MNM b.N Ff1 <br /> 1.NEiMEe OF eI11FFTeMMAp[MARpT IOOR BOUMIND INF PpM11tV. -- 4.LOCAIMOFM Uft, A,f MMO[ALeVFTEMOnR MO <br /> E.OVtIMIMtII TT'..A LOCAPON O[MM IMAM POLCTMM. MIMWMOH OF[IWMF Meip[AL[YMEM4. <br /> 1.pMINMOAEp eyiLM[CQ L Argj o FIL[SIMM k D RpwIEO [,IOCA\ROOI W[W WRMN Mplll[OI OM MMMFp IR1V R, y, <br /> ITMTill1(0.MCLWW<OVFIFO AIHAe IDC11 A[PATM[.ONVfWAYI,/JIp WAIk[, OHT"l[PM.1TYMIMlO11AFp Rpl.. C <br /> )r - <br /> t , <br /> 3aQu X the <br /> �•� Sr�es <br /> Oab v : L�A (jlMpi 4FA11E JGA.LiF,µT w.r,. 3.. <br /> 71} IJC NOAUH SERIQES: <br /> cNVIRONMENTAL.HEALTM OlU131Or. w•' <br /> ppM,rMxT Lu[pxLr <br /> A <br /> E Is/g7 Punt NNewIHn M �-`-e0 I H. 6f 1�-1 7 <br /> - D <br /> DH. <br /> CLa3-11p <br /> AccpVNrml pnLT: IYw rPLI 120 <br /> O,11L/ 3r <br /> R CO. iQ mM.LO <br /> O UIF RDAInm KA A4F1 Rmay.[Y eAT! iMRq\mFMei M[OVbT MIMm VIOVOIC( <br /> O D3 p <br /> q-0 <br /> Pub.HOWR I SAN.-Eb iro.173(3186) <br /> J <br />
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