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�e GUD�v <br /> i l00% 739 / <br /> I � <br /> WELLIPUMP PERMIT <br /> SAN JoAcum CotatrY ENV,ItDmumAL HEALTH DtyARTmCmi 1868 EAST HAUL lost AVEMM.StoncTom CA 95705-(209)463-UN <br /> NON-REFUNDABLE PEwuT CALL(209)953-7697 FOR IrtsPEcnaa EXPIRES 1 YEAR FROM DATE ISSUED u <br /> Jae AnOWAS %oo Wal Mossdalt_ .- -- - cm¢r -_[.ithtoD.CA 95330 p <br /> Chiossr,tfE-T 1ntCfStstC 5- -- --- APN—239-030-08 _PA,SCCL sm,,156.6 L-, use AmtwArsm s <br /> Ow,cr,MASK Brown Sand.Inc. <br /> C, �w AD,,O,, S P.O.Box 1429- - ---- -_.-- C1neSTAT30P Lathrop.CA 95330 --- _- <br /> CorrRACTm Woodward Drg4U _- _ _.. - _ _ rmm (707)374-4300 <br /> col,r,eA:,a„ 550 River Road/PO Box 336 _ cffymAT&mp Rio V fists.CA 94571 <br /> surCorrRAtrc _ ----_-- Pt W <br /> SUSCOKTRACroa ADDRE33_ _ ------- -_-- CIrTMTAR --- - <br /> L=Ex" JC•67 o C61 D-09 -OCW NutmFA 710079_ _ Exr.uuwDue 7/31/15 -_-- <br /> ca-o' ASIarJtl boo iAnim: Conrdt,lTSoX Y_ Township_ Range_ SaCbm <br /> 1NTC14Cp UeC _DanamdPn.rate ---bmlAgniRsa1 „LncaTsaal 11 Water a.mty Mvdlodrp Set smvlb-4chxw +�>^ <br /> -- <br /> ■OtAwlt�ewOr+r <br /> Tres Or W".( N--Wes -RsplacwrAMWd r 1 W4Altr'19tlaYAlOKatbn ❑Other_- --- - -_ <br /> MonWx"Weill a of—r.t 1,sal Bonmz)._ ' °nfP :45,., xral <br /> OW-0fSomoo Will O,A-0IScrACc Wd Renewd I1 Goaa-Cnemctian Repair <br /> - New Pvr�_- Pulp I FtrTF Repair — <br /> M mUL CoaaTwllCTlts1 <br /> D.11"ranrod ,Aid Rctmy Air Ru •r 1Acr9� t Cilia Tocl Fish Pot f Omer <br /> proposed WNI (>oPm.—Q-_n Ejor_6m- 2 _In c ww" -,open t e=,T, Lc.ravcl PnO,.'Crv.N 5; 03 Sand fn t�nely <br /> ConCudv Catrq h dartntw 1 Cor.L,cb..C V Depth <br /> Wal Cx.nq :,.TmAr 6 M Thain—yjlG—,*ASTM Sct-_Sfjl.40 J Stoll_Nr1-1-c I:SL'xn S:naf a ocw <br /> Gra,t Sw ;�r,-15---n V t+�Cenrt Ist rc Da9'S ro�✓.ire.; 1,s..t.l Ce*.a, __ _Sade modT PI wale <br /> rT..,c> 42m-A&,,, ::ot- 5 fret of bentonite before the 15 fent of neat cement <br /> Grout Floc—cro Y Pulped 2 Frcc Fail O Otter, t Retid3rt I Acdlcatw(rwne}— <br /> (PIDE31AL Irratallad By 1013rglor a Pu,p CorT'f=c Oew <br /> T -Concrsta Podasbl -Dknarubni:Width R Lo-Q, It Tht'Jc In -Chtfsty Bos Sbw P1pe <br /> Pura SuOmer-..de TWxw L,CC- HP PwTV Ser_6 SLmd*+9 Wyim L ewe+ _- t <br /> I KE EBY CERTIFY THAT 1 HAVE PREPARED TILS APPIJCAnOH AND THAT THE WORK MALL BE DONE IN ACCORDANCE WTTII SAN <br /> JOAQUIN COUNTY ORDLNANCES,STATE LAWS,AND RULES AND REGULATIONS I ALSO CERTIFY THAT MY REOILMREO UCEH5E tS <br /> CURRENT AND ACTIVE WRH THE CALIFORNIA CONTRACTORS STATE LICENSE BOARD AND THAT I AN IN COMPLIANCE WITH ALL <br /> WORKERS COMPENSATION LAWS. <br /> MlPM OU VANCE NOTICE REQUIRED FOR INSPIE ONS-PLEASE CALL(209)1953-7697 <br /> S,cr� � � ✓ J;->��L(�l� DATE <br /> 1 <br /> 1 - - <br /> .i <br /> i R��E vF0 <br /> sz <br /> ,�EMy T"hy <br /> - <br /> DEPARTMENTU ON <br /> Apps-mb—A000pl t- � Aloe" EmptaYao IDp�v W*�� <br /> cHDa 4,spemon - I i MPECIALCII Permit <br /> FVM bwpocson By Date WAIVER Received <br /> sea Rot;m — 0 e w4 vuct d W.0 <br /> COMMENTS <br /> Gadaa NYo _ Aamurad Do" Esnr{aa r• M�rulee 1 Well IDS <br /> / i200 7ZOE <br /> .� "Sit o opcaVri <br />