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APPIICATION FRS VVEUIPUMP PERMIT <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIL. <br /> ENVIRONMENTAL HEALTH DIVISION <br /> P.O,BOX 388,904 EAST WEBER AVENUE,STOCKTON,CA 95201588 <br /> 12091488 3420 <br /> NON REFUNOABIE PERMIT EXPIRES I YEAR FROM DATE 135UE0 <br /> APRbATION IR HETI,RY MADE 1O 111E MN"AWIN COUNTY FOR A PERMIT TO CONSVRIf,T ANDAIRI 1NOIMl111,W R,DESCRIES..TIE]AMICA110NIB MAGE IN LOMRIMCF WIIII BAN <br /> MAOUIN COUNTY KNELOPFAEM TNLP.CRAMER 31,1113.]MD 111E S I ANDAMB OFSAN JOAQUIN COUNry RIME:IIFAIIII MflVICffi.ENVFITICA NIS ADE RINSMN. <br /> ITR <br /> .NI.AWREeSMn AR/ILI / /._PET CI t1C /{y{, <br /> ti F �rc OL (M^� PASCEI MNARK 097-21-/g <br /> oKYgge NAME J-� //E Aw%x66 n od 4odt YMI E (l0(� RpHL 4�YO�Tr-6t68 <br /> cONTMctpn (-PTV IY05 Tin FY, AD... D,o• BO-x ,'t,Sy fpk/u-NCI ) r�{J�Cy <br /> � I RMNFI IO7 /3jjyfp <br /> eUO COMMCTOq b priIIME MIMFB99So niy Ad1 t-JM/]LIC, C/((���� <br /> pa <br /> JALyE1L RMNE/QO'a13'-S$.00 <br /> ILTf R.N[W WELL 13 R[MCEMENE WfIL O N4111_alW`y_ 11 ON.. <br /> ❑"TMIAMN ❑ML eYStf.SERLM ❑LPaB[LOMJECT m AM <br /> ❑VAPOR F%1 MCibN WENT I <br /> �N.vr❑MW <br /> IIYR OF NMR N'p' Of ETHMIMP..__R. FIRST WAIMS NE <br /> /I D <br /> ❑DUE-OF-Cf AVCS WELL ❑OEf1R1YMCN.WFII 1 1y,M1 RUS bRNO FAhMI.IIF�.- <br /> INTENDED USE tYpE OF ELL OO {1gUCl ON AID I Y <br /> ❑IDORMIRAL M❑SRN BOROM THA. FMD,f%LAVAN.. pIl A <br /> ❑DOMEFICAWVATE 09OgAVEI PACN/F.F LL II��,..�1�,J/ OAA.OF...CAIOR[AMNO l O <br /> �y W.IW- I'M.1 OF SwUll 1 Ef1ANC_pVL SDAA MCIFNT11 CASINO all <br /> ❑WBLICAIVNICIPAL ❑ONVFN D <br /> nfmll OFOMnE[EM ]I•ECIflclt ON 5[A {fO <br /> MNOAIpN/M ❑.TITER OIbVT HAIHAIM]TAl1ED <br /> to MOOY oj[ffi Jf <br /> 1M NITONNO OMNAME E <br /> OMUI BIAL WMI4O:[I,. [IN.Yw N. CONCRATECIIFTE M PFMIIAL[Y pP1LLfn:®Yw ISN. S <br /> APTOA.DRIN IOCNINO CIIFM[q[O%/]IDV[RiF <br /> MOroeSE COWRVCIIONIMWNO METRUD:MAD MTMYI <br /> AIR MTAD_Y AWffl ✓ CAME OIIIFq <br /> 1 EgBFRY CFgiµY 11MT I NAVE PRFMRO TI%9 AI'g1CATbN AM RIAT FNE YMR(Wql[F MNF M ACCOMANtf WREN SAN MAOI/W COVMY OpgNAMfe.RAL(UWe.ANO MIEe AMO <br /> DIRZININS OFTHE SAN JAUUM COURy.HOME OWNM On LICENSEDAOENI'e WGHAI URE CERT WES TIME FOUONMU'I CU., TIMIININEMWOIMANCfE I IIf WONT TOAKlAD. <br /> THIS PERMIT le ISSUES"SIN{NOT EMMOY MESONS SUBJECT TO WOANMAN'[COMMN,AROM IA OF CM6OMIA,'CONTRUD, 'e IIIRNOOq BVeiOMMCIOF EUAWFTUDS CERIIKII <br /> 111E fMLOWMpI 'I CEMI%TIIAT M TIIE PEMOMAME OF TIq W M FOR MOCII TIIIS MNJN IS ISIVEO.I UNTIL IM .Y MgbN.MMRCT TO WOANMAN'S COMIO'MAVON TAWS Of <br /> C"ORMA.' INE AASKCA�NT�MUST CALLA MLge IN Ap ANCL FOR ALL AEOIAMO 1NSMy UCIM AT IE/OR A]SN]S.COMM"E MMWIM AT 1.W Il AREA PRO l.l.. <br /> elemax �.IA/�L/.E.Gri NU.�WZ�, /S7_ 30 JNry�r <br /> D.1. <br /> MOT RAN pl.n p MHI 4y._ <br /> I.NAM ES OF BIMMS OR MADS NEAREST IO OR MON....111E PMMnry. I LOCAT...I1 MUeE..UEMMD.,SYSTEM OR RCM,E. <br /> E.O UItINf OFEIIER Mq .O1NNOOIMFNPIONSMDMEEIIDIMCYpN. f%PANeION OF SFWAOF MBMSN IYMFM/. <br /> ].pMENepNFO OUEIINM AND LOCATION OF AIL[%INTIM AND MUSED IED [. <br /> SCLOCAMMN OF WFIIS WII111N MMIM OF ONE IIYNORO IIfIY Fl, <br /> SIfl11LI VRB. LUUIM COVERED AMA.SUCH AB PAl1O8.OR VRVAVS.ANO WAI%S. ON Tllf RIOPEMY OR AO1.111111.EMM IN. <br /> 7 <br /> OFIMIM[NI ML ONLY <br /> nFNN.nnn A...pIN eF mN • I '� � pm <br /> Or.0 SnlmlNn eF IOM Rms M..mJm.V ON. <br /> IlnrnelNn N.nmllm BVL <br /> L•�^r^ _M��5�1 b0✓'E�s 6v1. SLaP ---- D.. <br /> AIMINUI M..Ll: A1D/ FACT <br /> I <br /> FE COD" Fit INTO AMOUNT FUND I[O CHECRIMARI .... 9.[Y DATE PBMIITSERWC[RFOIIF TNMAe[R INVOIc[ <br /> Pub.HeelW Sew.-EnNro.173(3/96) <br />