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!3/01/2004 16:45 2094683433 FIFTH FLOOR rrAelt u4 <br /> Fek� 24 04 10: 23a wat woodwar^d 1 -7 37' 77 P- 2 <br /> 02/24/04 TtJE 10:10 FAX916 29'00 URS <br /> 01120/2DD4 10:24 2994SS3493 FIFTH FLDQR PAGrZ 02 <br /> �J��j I [SELL PERMIT APPLICATION FORM SITE <br /> tVIMGA-nON <br /> FEB 2 7 2004.- SM JOAQUI N DEPMVASWT (EHU) umrr 1V <br /> EgIIIIMENTAL.HEAL 95202 <br /> ENVIRONMEIIT HEALTI:"E.WBber,Third VIcor,5fivcktan,CA,PERMIT/SEFRVICES pzg)468-3449 <br /> ..r^rarr a1sZiES T Trite is gpsde rn mrnppenve with San <br /> w a tr.ewt+cd+•��a• <br /> ppy�tion is hur�Y madC[a Sih�Ct7in f�unt7f lar a partHll W eoelsg+x S��q�L,����IS�i�?�}9m111+�P�°� <br /> �asquin county OavafnPmmtTitle.L'fra~P g 1175.3>�gle 5i3Nd <br /> $riot Ssy �I.titi..S C,ily �' �P^r�atnnllF <br /> • Y�h'.LL trotivn �b��,1��' I G l�G� �aI G[ G ,��eu•��a��e4 <br /> PRbv�itsfAwnar�"=[l� 14ddtr+.8��{aS`r t 5�-wcc+ Si 3oo <br /> a-ST canitadQr WeoC�u?a ��phorM#g `7�� <br /> Consulydnt/5u1i _ U <br /> Gis <br /> To•N+�NO F.7r+go <br /> V+14s2 SO g-�trtsFO pY}dER') �tiCT{oN(Atoaso���? ' <br /> D N�Ew w -+ c.FrQ SOIL c SUM GROW <br /> p WELLS [;Ir,�t 9P«iflcsfios.a• <br /> �C71har; - <br /> CQi�E1+1TS; IK� <br /> r.+u�TRl1CTIOlt Sy�S <br /> *�C!�..nt=wvEtt -�I ° NfUL7'IP44 CJ►sltJc�.,y(]YES�TIQ wei-ti.cas�v <br /> ♦ ora OF VOREMO vC+ Q Ol4i R: <br /> X-momrmPiHG .� EN G�SiNG7111t�KN1—Qe CCL riD TYPBaFGA5ING: 13 i �4tIr3E1t5 j}t{OSE <br /> AIR 'TYPE TD @E Lf5£G' Q <br /> IWAPM rof` It Q FI ROTARY o�r►1 c�F vRorn ser i Ycs !i Flo (NO'r .M+1A"UM MM-FALIL DEPTH YS 3W) <br /> U AIR SPARGE I3 PU-SH POINTxo{J r sExt.PUI►1PFv= Q <br /> GRalr!SPECIACATKM aolVF TitiFFIC eax or 4 srovlY PIPE <br /> p S[NIL 9C*VNG �]HAM At+dt:R gpPR07C mpARING <br /> OTN�R t3 *phl[=l%)a G/ISINtG P>zOPCS RC YES,btu SPcdC'e *am here) <br /> •GOMMEtIT�r,.,.r.� <br /> 1�o7E: O�FSITB BpRl�1G5 REFQ1 SIRE IN.ANNA CE FLJ 11x� <br /> OR AatJ!tt D IFuP soll5. <br /> irALL THtr Ufill tYINSPEGTDrt aiA WOR <br /> I hereby a ertify that 1 kleve prepared this application acrd that the work wiltpe none In aecordsrnee VISan Joaquin <br /> and ati LPP�61e t arState Laws. <br /> Cauntydrdinnees.Rulera dReguasl <br /> �yl� JdQ�fr' ti�v a/c ✓a <br /> MIM Nam¢ p ARTNIt=NT U5E OC1LY <br /> �L a <br /> j&e <br /> SITE VAP 114 UHrr W FILE, PRE <br /> b <br /> 5d GJ. 1 <br /> WORKPLAN DATED: 02 S AMA <br /> I3aDelsav 3 � � p�e��, <br /> Awrmtion AccePtI By, F kr+sPacdan ay <br /> Gro La inappMan BI/ Q r <br /> OcslrU,.I GxPecaoe By <br /> CA31JMEWS I CGNWy"PI A <br /> G�aoNtY: �tYlSERVttI=IaE4URST¢ <br /> QF.CGCFS ltrNFD A WJRYKEMrr ( S i[1 I <br /> -t D�- �0110 o z/2 � <br /> G-57 WG -WA�VFRy G 571.+±fi�r of Avt}rot' `icn to sign Pertnit,� ncroath+R►crrt doc' - <br />