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06/29/2014 23:17 2098873574 PAGE 04/07 <br /> WELL/Pump PERMIT <br /> SAr+Jwasr Cothrn EMW WW"WAL HEALTH DEv,.T.a, IS93 EAIrT HAZELM%AvenrE-.9TPCKTCM CA 952ns. <br /> NON-RERYNDABLEPFFWT Imo} ° 4ZQ <br /> CALL 953.7697 FOR WSPEcnon EXPIRES 1 YEAR MOM DATE IssUSD <br /> JOE Aovweta 2665 _N Murray fid CrrYfbVLinden 95236 <br /> Daae sTn>gr / zG- wPN f ✓L L r L.' P— r + L.rm Uw ArwcAna�s <br /> o.welw,M Dan & Janet Alford _{- <br /> --wAoommim 6.906 Shepherds Glen CrrrrsTATyjmColle villa TK 7603 F <br /> CCWMACnM Purviance Drillers, Inc- - - 209- - <br /> CZWMACTM ADWE" P. O. 6 aY 6 4n e n, <br /> CrrYM-AT G'ZP <br /> 8W�lfTRJ1C71� <br /> PNpNiE <br /> '.3USC0!(TAACRR ALp.Qt C—MTATErbP <br /> Of u G81 ❑D o9 q Omer Nuae.R 377923 <br /> D6Tq►TION DAm 7/31 /1 5 <br /> OWOKOW-AL DAOIaATKW- CoarA rietes X y <br /> Ta.rxNP— Ronpa 9.etlorL, <br /> L�Ste cDv+k�ro .IRhe�As�� o Inoue G WSLer QwY,y Mon,htiing n soa s.r+vA�y�furaemr�on <br /> 0 P gD+tc water Stearn <br /> o.ns <br /> rrpeOFMbRx G*W Wel ❑RW'ac�WWI C Wild AkTir* +IMWMC0tbn0 Otlur <br /> CIMomw*v Wef(a) A OFYw--k L'SON Borkq(A) aor nam C C3aMd�n <br /> ❑Ott o&serv"Vlan 0 WhOh.erKoe fuse Rene.wl O QossCarU aeon pivl — <br /> 7❑New Dunn a Pu ❑PumvPcpoir 0 Rg1ee x'eil Caa}t <br /> hMlohodud Rgli- ❑Ak Rmary 0 wager rt Case Tool a Push Polnt ❑ OtherA1Oven Botretn O Gravel PadVGnvnl Stre_ In dbmeterOndudbrCtalnyIndfi*"V r I ConductarCubgDaVn n <br /> tt�er �gltflCsv 3xi n Otnntlt n 0 MW Cwnertt(SI m aew,ys7o qw meted ❑Sarrd Cement aanr mere gar raylr <br /> 0 BotTturrl0a(2tr%-me) 0 OV»r <br /> S—A Ptecw.wrt Mashed C Prm9041 u Free Fab D Ovm, ❑Retarmnt r Accofaraeor(name) <br /> Pf F76i kga.11ed BY D DrOw ❑Pump Cae Acer, ❑ Othc <br /> C Crnrctes P.A.stal('IDkilaR!(Ort♦;Wlmti_R R1TrkJt M ❑Chrtety Bm(MW ❑6'tava Ptpe <br /> G atlxnerafb 04 T-UrbMe D Wier HP 1 Pump P I► Ste Weser LcrN R <br /> I NEREEY CERTIFY THAT 1 HAYI; PFUYARED THS APPL CAT10N AND THAT THE MRx WILL me DONE rN ACCORVANCE 7VTTT1 9AN <br /> JOApUfN CGi1NTY 01DIIIANCt:9, STATE LAYY9,AND RItLM AND REOULATIOW I ALSO CMIIFY THAT If1Y REOIaRM LACENSE IS <br /> CU'""NNT A)M ACTIVE MATH THE CAUFORMLA COWRACTT,IRS STATE LICENSE BOARD AND THAT I AM N C WLIANCE *TM ALL <br /> WOMCM CONIFEUSATION LAWS. <br /> ( UHAUM 7A VANCE NOTICE REQUIRED FOR"WECTIONS-PLEASE CALL 209)963-7697 <br /> srorra� Ti .,Corporate Secreta <br /> FX <br /> f ' <br /> I <br /> I <br /> MENr <br /> EKED <br /> ` 2014 <br /> nt <br /> 0 4EWTAL M�7j' <br /> � I <br /> — I <br /> ` DEPARTMEN�TU <br /> -SE ONLY <br /> AopaRY <br /> ArsesC. <br /> (_1 I En,plvYeelQa._j�S�L'tX <br /> G ar Dat" rJ SPECIALW211 PaTmtt <br /> Ftan�In.Oecevn© Dann tj E C WAIVER Raa►hred <br /> Sc?;t)omrg Ind lyy Dip Cooeevcted WNI <br /> Depth <br /> zG .�uLG a <br /> COMMENTSr "�_ ' <br /> PF L <br /> Rac'.M+d P101 DW <br /> wr»ovR <br /> Coda rrf0BY Canfi RernMrod OaOa 3eevlw ftwp.,t s Invoice a won nae <br /> Received Time Jun, 30. -2014-11 . 23Vi'Jo, <br /> Ganz W1L m Lw mmnr <br />