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Dec 20 19 10:58a Purviance Drillers Inc 2098873574 p.3 <br /> 1IIIELLlPU1WP PERO i <br /> sxU JaAWUJCauTSYEN"aN-HEAuxDrPA9L@rr 1SGB EgSTRaza=NAVENLIE-SMCKMNCAg52Ba-{2lig)46B3d2➢ <br /> MON-REFUNDABLE PERMT C-AU 209 9S3-7697 FOR INSPECTIONS EXPIRES 4 YEAR FROM DATE ISSUED � <br /> Idas Aon <br /> 19600 E Ei h Mi ct>YrarLinden 95236j <br /> APN � PAAc�Sr��LANa LLSEAF7lJC.7TI@7� <br /> �CRCK55T7>=7' - <br /> OIyNL�?M4 s,E Biil 'Sara 1 P Pxai�9-470-Q747 <br /> `aisvrrra�aoncroa aaFss <br /> P.O. :-Box 7960 ct,,f�„3�Stockton Ca 95267 <br /> I ?urviance -Drillers, Inc pial,,. 209-8 37-3534 <br /> Ca <br /> Ca IXMMCMR ADDRESS PO Bog 64 crN>StA Linden, C� 9 23�i - <br /> ISLeCONTitACIIIR PHOt.G <br /> SI18CO.V7RAC7r}R ADaRFSS C'�l <br /> 3779?3 7J3T1 <br /> uCEt1sE KGS C C M -3D-W D alit NU&%Mzt WMA1411 DAT <br /> Oo �,yV ce,"b�mrr�Ga-neral Wne2VCa5rform Barber a(A341)=D-amrnoahlomPmPsnt(4392}=-AMento(4393) <br /> InnemeD Use Oom>sGrlFrivaie G WgalivNAgAmjtaral C IndustTtal G WaterCluaLlY Mvm'.aring O SvZ Sa�tpTctrgfCharatleaatiors <br /> I C Fubrtr-WaterSyslem emuaxn��mPreo-Nomas <br /> Ud�4cen11rJin artmr lt�vsystn�=' <br /> TVP20F1M0FJc C NarWea C Replarsne,t Well C W-HAlte.-.ieARSv>McaGon 3 0u>ff <br /> z ManlolingWe➢(s) aarv�Ls (:SoSHaiingls) :aiccdnns C 6eateGtttiral =afb° <br /> _outaPSenncvaell 'Out-0fSenkcaVMRenm-rat 3Ccnss-C0MMWQnRepar <br /> [,T NevrPum C Pmmp Re tocemenl fun Ra it :3 Raisevvau Casio <br /> 1,V L CaNSTAUCT1a1V <br /> 1VdIltngirlethad O Mod RaleMy G Rirftottry n Augrr O CablaTOal O Push Paint ? Otter <br /> Proposed Welf flaptlt_ It Enzvation in dBameter --Open Sartain G Gra�e1 ParlflG2traJ Sae in dranet <br /> G CandUdarCasing illdEvneler ! CondudarLassin_g!D%1h 1 <br /> 1 it ell!Casing ITrzatav_its Tnidwe-WGauge1ASTM Schad =Steel Z!PfMtic C St6m Sled 7 Other <br /> 1 GraurSeal Depth P. 3 Meat Camiail(94(bbpgT7ayafua124 3SmWCement sarl;rc]rRg!I:tata <br /> C Senlvnite{TGA solids) 3 Other <br /> G tPia=rsentMethad u PUMPed 0 Free FM 3 Other _RetardanYl eratar lr+a<r�) <br /> Pm�mt I— led 6y O OrLler 0 Pump Cmtador D 011ier <br /> LT CcRc2ta Pedestal[DfineJrsias�NfidVr P. Length ft Thick in 71 CMISW lin^ 3 SIVye Plpe_ <br /> 5Mmers!brel3 TuWjrz 7 Other HP _ PamPSal 7t Siar Tm.Q WaterLEVP1 .. fl <br /> t 1tER2$Y cEgtf,-v THAT 1 HAVE PPZPARM TRS APPlicATioN AND TFIA-r THE woRK vmt-HE DONE IN ACCORflMICE lft rM SAN <br /> JOAOIAN COUNTY ORDINANCES,STAT LAWS.AND RULES AND REGUl-Xn0N5- t ALSa CERTIFY THAT My RE11WRE0 LICENSE IS <br /> CURRENT AND ACTIVE VJIIH THE CALIFORMA CONTp tCTORS STATE 1SCE`!SE HOARD AND THAT t AM 1N COMPLIANCE WITH ALL <br /> 'NORIC- TlONW1':�R <br /> ND APGOE NOTICE RE12UIRED FOR 1NSPEGTIOWS-PLEASE CALL(209)953-763 <br /> sarr� tin��-� CorporaLe Seeretar�A, aU4I <br /> Li <br /> I I II I ( ! I I 1 I 1.41 <br /> II I I ! I Il II 11111 IIIE I f I I III I I I i <br /> III I ! I III I I I ! III llilll <br /> I l l i } I I I I I I I II 1 1 1 I I E <br /> 7-177, 1 II 1 1 1 1 1 1 ! I ] E Illi 1 If illl <br /> 11 ! i I IIII II ! E l ) I Illl + f <br /> 1 Illll 1 1 1 1 V If 1- II IIIIIIII I ( III <br /> illfl ! I I 1 11 I 11 II III ! I �� <br /> i t I I I l l I 1 1 1 1 1 1 1 I I [ { �4f <br /> I ! II 113 1I 1 111 111 1 1 1 ? i V <br /> III IIiIIIIIiIi ( , ,� <br /> ! I I I ! I f l l ( I I I I 1 1 I I ! l i l I I ! ,✓pq 3 ?919 <br /> I 11 I I I II jI 1 tjRo�iN <br /> 1 ! 1 y�p�H�� <br /> PA TMENT USE LY <br /> �y <br /> Apprta�tinAr�ptedBy ale / ( area_�� ErnployeelCY'--F�--"=" MF/Vj <br /> O <br /> Gout Ircpectivn By n Oate FECIAL IJUt II P@im9i <br /> V.�rC'--VrV)' _ (:P:k! Date o tflfA[UErZReCPJVEd <br /> PtnWinspecdonBr <br /> Sol Harlrr U=zcli nBy Data <br /> CatulractetlNtellDepth <br /> COMMENtiu^ <br /> Permit] <br /> PE SC Received Checls:f pu:ourct Dom-- I l lavaifz# ' - _Weil3EEr <br /> Co cs _. rhfa,._ _a _ -- tush ,---RemftlEd Senrirr.Reduest" <br /> I I <br /> I I I <br /> / p �1 !� :F-.L frL•:3 ti3Js <br /> Received Time Dec. 20, 2019 1047A No. 5755 <br />