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WELL DESTRUCTION PERMIT <br /> PUBLIC WATER SYSTEM 0 Yos 0 No <br /> Su:JCAouN co;oi Y ENvototwv;rAL s,,ALrrt rept 1948 East Hazoltm Avenus•STDC"on CA 93206.62232•{208)661.3620 <br /> NON-REFUNDABLE PERMIT CAL 4093 953-7697 FOR iNSPEC-!IONS EXPIRES I YEAR FROu DATE fSSu£D <br /> 1 ' JxuAvnxEss 1940: S. DARLIN AVENGE Cmibp ZSCALONr CA 55320 <br /> Cgona S-wer <br /> AXCIL 5s� LAtb USE A�lkCAGt� <br /> AAAO <br /> TO1 F.PN C; RAVARO ALISC,R H. Pnt�e {205 484 1177.r NTLI( <br /> trATreit Abbitt8e to 6C:t $,t CiTyiSrAreltiw ESCALON,. CA 95321 _ <br /> ConTkA`Tok CANEPA AND SONS. TNC. pPpNa {209) 594 37F <br /> CeMMACTORACD Usa 19380 CUESTA COURT SONORA, c" 553,10 <br /> '' C•571WELLD;t'LkW. Lt.^'<r15ENuoit"t 4:.5'75 EXPtRAMIDA-M 713111$ <br /> t } PERYC1tArtON C�mx.^rixi PNC176' <br /> jl P1OQ;0*ATWft CbNtt+Aerort ao ss Cr,rJ37Arrt,7ro it <br /> I ".3 C-5I Wa4 DrPLi Linin"N=bar ExW2tiOn Data <br /> Bta'sau of Abgio,Toba„cn and Fa:ssrms.Utem of Hbh Esptevves Liwnso Nurnbw Expiiaiton Oats <br /> CHP Hazawous MaterialTrantporlaum for EXI:ijmlvas Lc*mo Number -Exptra3ion Dace <br /> I Sar;Jonasr:Cowty Shordf-C00ritr Expbarvss Appf cafmn and Psm* "rat SEL ntwr F_x-,uzd uy Data <br /> }( CaMomia O=pailonaa Safety Haatib-Btastat License Nuxnbrr Exp�r*lon I3314 <br /> REM.,yt r-"nE mIfenm Q Dry XRspiecem"mo 0 cmed An C7 PA w±it O inatlive 0 Test twee <br /> Datactsd r SLaps,'Zod watt Wmar Contarnfuara(s) <br /> ....._......_._....._..,.._. <br /> i Ad}acem proponywAti contsmina9an <br /> j Known So,!t Water contamtnavaa at oQAc#". p:dpen _ <br /> i <br /> ayssIM WELL-C/ar rx_Y?+oN c Tana Q Ow RxIam is C,iravN PA6 D iJ=Wed Y'Carer <br /> Vteil Loa u7Fy AtI3.71ed D ., <br /> Yes 0 ftBrost Sia{ 0 Nr 0 Yaa R 9etovr yrIIlitlfi liYlyef{IryL) Hots Dlitaalal .rtntaa <br /> wsq cwotxI=Casing s:! Yax 0 tics Depth w Carxinet eY ,.. __._ ft ao% s Dkowter of Cardatter Casinq...,...,.._..._...i,inctret <br /> g _.�2..__l s xoita Depot 73t to r .&,P R 3eym of rasing.._ 8.�.+It bas <br /> wets Clam C!Amow <br /> Sealing Matariat from ._-_ ...._..._Abe%tc !0b A:,,gs <br /> Wall casing so ba oertaratsd b7 oft of tis#totfowrna meehodc _ ._hom A b9s to n bCt <br /> i G Mina Knife Nunirt+of tuts#v" <br /> ❑ EaPlasivoit a .Oetonsftrg C�rJ wfhprojoctlotovery_. _._..._._rl Ct wahcut"ocra;a <br /> O Detansfing Cara and b"em O with pro$eertart avt+ry d wYJxit prajsci;w <br /> a other <br /> sealing MxuWat Naat Convert f.04)b bag/D.a pat weto Sand Consent _ ssrx mfr 17 621 water 940tarrlso Psifats <br /> Sentontu i2C"L solids) ceavr Spec X sot ds % Naris SVAtn on Far S,aCs Sksb"ftd <br /> Plaeetnerfttismod Firs Duwr i ' <br /> Seat Gomptst`onCcmp4 wln Ntustwoom Csp tt hgs Ccnvl&..s to exialing surlaea Pact <br /> 1 HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THAT THE WORK WILL 19£ DONE IN ACCORDANCE WITH SAN <br /> JOAQUIN COUNTY ORDINANCES.STATE LAWS,AND RULES AND REGULATIONS. l ALSO CERTIFY THAT YY ReMIRED LICENSE is <br /> CURRENT AND ACTIVE WrN THE CALIFORNIA CONTRACTORS STATE LICENSE BOARD AND THAT i AAA IN COMPLIANCE WITH ALL <br /> WORKERS COMPENSATION LAWS. <br /> '�INlM M 2.4�k ADVANCE NO-nC REWRED FOR iNsnc-n0NS j <br /> C09TRACTM SIOaA. / L Tt'ILE PR£.SX^Ft:T D>,m ?/9120!6 <br /> I-,-7r <br /> t <br /> 9 py <br /> J. <br /> - <br /> _ ;. <br /> }} ; <br /> t 1Y <br /> , <br /> �kP f'RTU9;NI USE D Y / n <br /> Ap0cwicoAocepwBy--- UK y- U, <br /> Destruction Inspoc! BY • D ✓� �, £^Cdeyas FDi1� <br /> C04MEWS � <br /> i PIs SC Reuivetl CheCtW Anttrtmt PanA1J <br /> Cada& rnlo Ctrsis Ramified Date <br /> S"Vic* uast Y Invoice 6 Wec1 log <br /> L2 I <br /> - 9 <br /> /� f <br /> E19D63p6 ! 07 [_'J :'Vc'ILDGSmocTIGN{�rAw <br /> 1(Y$07 <br />