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Fl QP?e- STOICKTON PUMP COMPANY FAX NO. : 209-931- <br /> 1828 Jan. 19 2001 12:28PM P2 <br /> PUBLIC HEALTH SERVICZTE <br /> SAN JOAQUIN (;OLJNTY <br /> ENVIRONMENTAL HEA1!Flj,!D?V'A10N <br /> Ka4h Furst; M.D., M-P.H., Health <br /> 0iricer <br /> 304 East Weber Avenue, Vurd Floor - Stockton, CA 9520� 40- <br /> 2091660-3420 <br /> ]by-PTN OF WELL SE'419;1., <br /> 0 WAIVER <br /> %i-I-PARMlTjqujaj3Fjt: <br /> 5P-60.2,5 _ 5 <br /> This applicati6h is jnade�"-a W00cr O%e nitnit"Ut" annular space Whit.lil':AL.DCPT.Ii rcquired by <br /> Sm Joaqu'i co W 11 1 ih1)j�fbWij1g louglimn: <br /> it <br /> A" <br /> This Waiver-re <br /> 4hed-due to the ruRowing circunIsttilicc <br /> C4 A <br /> 4,V, <br /> This Waiver IS approved based oil t1ju jiglowirr <br /> _C <br /> A- <br /> APPROVL-T)By: <br /> DATL <br /> The folloWing conditions are pla�e4d on LIM"rC11 codStruction pel-mit all d May no.9 be m6dillea. <br /> IN, The propcnY O% ider shall sdg4 qjis applicatioti'alldl"cknOwledPO.Ailut dic W411 consmx(ion deviales ,rap <br /> minifflum d0th Of wC11 sea',sw#Luds, <br /> 2. The ldnular scat shalt terrahiate in an imptryicl*tdyei. <br /> To vttify the watcr quality fjonj the well, water safr2ples 9611 be%halyzed for the following cheuji.zals o-f <br /> cunccm: <br /> IT, thOtuadersigned owuer, the pftoperty ideuttrxa-abuw, hereby request a Wativer from the <br /> minimum well sL-il depth standilrds of San Joaquin County based on the 11iformation muted <br /> above, 't-, Zkn,ow1c0gu that Mitis 'Waiver infa4mion Miould be diselmed to sub4tillent <br /> 1pi:6 y lcrs <br /> 'NA ILO' <br /> L1: OwNum <br /> _ DAM <br /> =pk <br /> %00 <br /> J/tny.STATE,Zj,,; <br /> I-ORM:L-m*37 <br /> 4113JIOW WO)Nut Waiyur.;kx <br /> A 1);vwipn P15.1it Joaquin County i4valtI,c--ro scryices <br />