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SHS A AVD: 8 610 'l.baA 1 a3a+� <br /> WELLIPUMP PERMIT `�l V D TED <br /> SanJa�auwCouemElrntmru+t�rx>_H�ut+➢�nimar�r �efiBEnsrNaza.�vNAvadus-SmcteraxCA9�S-f2e�4 <br /> iVON-REFUNDABLE P> anT CALL iu9 953 7697 FOFaNsPecNS EXPFMS 1 YEAR FRGr4 DATEISSUM � <br /> m�RsP L i n d.- 9 5 2 1 6 n <br /> Ja3AUa.R3a 5 c ,-. > <br /> CRo;sS�'RE+'r hY/.Lf/'G� � EPN � �� PaacaSt��Lrum lJsE AvvL[canolY <br /> ❑vraa=sEE21C <br /> PHorr`-559-259-8037 <br /> o�rrvrAonaEssl �,,, �Fresno CA U720 <br /> corrraAcmx Furviance Drillers , Inc PRON.- 209-887-355= <br /> ca-„ cRaao>m� <br /> FO box 64 CMSrA�inden, 1 95235 <br /> � ,n <br /> Flrah- <br /> SI13CatJiLlGTOR <br /> S1Sca}TRACMAArVRE5S CmdSrAW rzP <br /> uceIsE v Cs a C-bl 3 D-EQ- a Nuri <br /> 377923 <br /> E'RPAA710Ai DAT= 7/a i l 19 <br /> Oo+r�+�LN=�SArzPLu�u G neral AtineratlCo r�iorm Sacterfa(4381)_['ommochl0T'5MPane(4392}=Ars Ig (4343) <br /> Gdusloal <br /> rlPriale b IrriatonAgcLLuat amorng O SailSampfmglCharadetmlian <br /> Inamm USE O Oonas4 {! <br /> C Puhrre Water System er�rur na,�ur Pn�Nen tier I <br /> u�urnt[mmca:aer •.tacsysrmra� <br /> EoEwawc Nes.wea LReptamnerrlWetl cWaflAINr'1tanrMwooaian oma <br /> Mas6tadn9 WeQ(s1 Tafeletts L-500 8arin5{s) <br /> :at�,� c GealerlOTlcal ��`� i <br /> C Ou60fSer%i=Welt C Out-Qf-SeMW Web F��a, �CNSS CortneCGan RcD3Ir <br /> uNewpump jLKRumpReata�rnerrt i Purr c D R2se wzII t.asln P <br /> !uv�eon,smuenov A <br /> 'DTj <br /> )UngMetttad O MudRotary G AirRai2ry 7 Auger O. CsbteTaot :3 Push Rdat '? Orhar <br /> Proposed Welf Cep1h ft Ex=ua6en ur diameter _Opea satram C GraveE P�cWGravaJ Sb� n draneler c �i� <br /> _ �O <br /> indramaEW I ConducfarCesingOeplh <br /> G CbedudarCasing _ �Plitic _Sto-6rtesSte21 ]03her__E �16 <br /> Well C359n9 Dizntesei_in i rudteSS!(�u9�ASrndSchell �� _r ,d Cement sad add?g�,lgh 9 20� <br /> CrautSeal Depltr ]Neat CeInert(941b;bkaSYO gd vratej <br /> G Bentm-ae(70%saQds) -30U' <br /> CroetP1acmoentFLeihad aPumped OFreeFali OtherRetardmrElA�I��f�r+e) Q�/lll/L+ <br /> Pm>srAt �irefilendor D 0 <br /> naee PeessviCD[mslar :VWdL ften9� ft Thkk ,n 71 cr+rlscfBaz 3 Slave Plp �FPM�NT'gC �' <br /> PuarP >F Stbnersibleb Turbine :3 Omer FHP Pump Se! R Sling WalerLsc2! qRr yENr <br /> Z HEREBY CERTIFY THAT l 14AVE PREPARED THIS APPUMknON AMD THAT THE MRK WL'-BE DOME tN ACCORi3Afi1GE W[Tti SAN <br /> JOAQUIN COUNTY ORDINANCES,SrAic LAWS,AND RULES AND 1EGULATIONS_ I ALSO CERTIFY THAT MY REa[ARED LICENSE IS <br /> CURRENT AND ACTIVE VdrM THE CALIFORNIA C:OWMr-f M STATE LICENSE HOARD AND THAT I AM IN COINPLIANCE WITH ALL <br /> WORKERS COMPS NSATI - <br /> MI 2 0 1/ANCE NQTICE REQUIRED FOR INSPECTIONS-PLEASE CALL(2U4)95 J9 9 <br /> ,Corporate 5ecretargATE 1 <br /> 11f1 I I I 111 I I I <br /> E-A <br /> I ! I I I II II I � llillilll <br /> I l ! I i I I i I Illi 111 <br /> I I II I I nit V, Illll 11 llil <br /> ' ll ! ! 111 ' , II ! I 1111111 <br /> ll lI € 1I II I ! kl I ! I I1 111 ! <br /> I <br /> fill <br /> I it IItitII I , ! 11111111 f1 f ' <br /> 1 11 I I I 111 Il ! ' <br /> ! 1 till I ! 1111 ! I !- <br /> IIf I I I kl • IIIIIII ! I ! II II IIII <br /> ( I € ! 1 11 III I ! ! III l II ! I Ili <br /> k ! I flll I I ! I II II II 1111. 111 <br /> ! 11 <br /> PA ThiENT N <br /> r <br /> AppTicalanAccepted BY <br /> �1ejo� <br /> 71�FELLw-llpeffnit GtautInSµe�lanSy <br /> P,mzpIrisP�+By , rir�fiCly �- D� L InTAlvaxRece;vezi <br /> SatT Boring in-spaffan 69 <br /> Oatp Cons=cfedWER DePth <br /> COMMENTS <br /> PE SC Received Checll Amaunl PetmiU I hcuoice Weflt i <br /> Cash -_ __ muted Dale. <br /> S <br /> — I IJAI <br /> I I <br /> I �n•rv:lat�trr <br /> 9'd VZ9U9860Z oul saalll.lQ eouei/vind e00 90 61, lZ End <br />