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ARCHIVED REPORTS_XR0004525
EnvironmentalHealth
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2900 - Site Mitigation Program
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PR0506186
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ARCHIVED REPORTS_XR0004525
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Entry Properties
Last modified
3/6/2020 3:52:51 PM
Creation date
3/6/2020 2:53:41 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004525
RECORD_ID
PR0506186
PE
2950
FACILITY_ID
FA0007258
FACILITY_NAME
RIPON SHELL
STREET_NUMBER
341
Direction
E
STREET_NAME
MAIN
STREET_TYPE
ST
City
RIPON
Zip
95366
APN
26114007
CURRENT_STATUS
01
SITE_LOCATION
341 E MAIN ST
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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04/27/56 09 10 GREGGDRILLING+INSITU y 510 420 9170 NO 160 902 <br /> y r'r APPLICATION FOR WELLIPUMP PERMIT <br /> i SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENV]RONMENTAI.HEALTH DIVISION <br /> 304 EAST WEBER AVONUE,STOCKTON,CA 95202 <br /> - (20W4U-3420 <br /> 1 BnJLRuuIEyA8LEh'f jJRRINES 1 YEAR OCIA VJITEi888E8 <br /> M,wq HK In TT`Ir.F.I <br /> AP11KA7104 IG mrd DV MADE To nrt SAN JOACUM COUWV FON A 14RMIT TO CONtTRUCT ANDMn 11/STALL THE MONK OSSCIKSEO TfilB ArOMATION O WADE 1N COM UANCF W1111 SAN <br /> JOAa1AN OOIIIRY D[Y[LO�FM�IEfNr Tn/7`{l/,,CHAPTER G 1 116 AN0 THE STANOAMS DF GAN JOAWW COUMY M@UCWAL7H W VPMG.[NNMMUNITAL IRMTH ORrISION <br /> Jas ADMOSMR Ano so ' AI.6 r CITY__91r p O` <br /> �. <br /> �1./ _ rnnen ElxerArHr M�OWNHI7�K MIF 'Y <br /> �.�Fy10�E�7 Jp�¢oop�� AOORl9Y p`l M�/�00 �.0/1� •• ONONi,(6Pq) -y� <br /> CTJ/RMET Ti- d9rT_�'�1F! AOpOL6I/JP klFa �IsN f Fr1 f C ' PWNE <br /> lonvs. N R Cie E3R�k �V 1r►t�IONM$iV !f �f 5 <br /> hem <br /> OF WFLIAUMF ®NFIN WFf,L.Y__ 11 RFRACEMENF WEL6 ❑MOMT01VNa WFLL• = c L.1 aTI1TR <br /> -f �11rr,-��1`OiOTALLArlI NJ•—❑W(LL MTEM REPAIR ❑CNOO-CONNECT REPAIR ❑VAPOR EXTRACTION WFLL F <br /> E3 w.—13 Pwo b H.P Dean PVMr GKT _ TT FONT WATER LEVFI O <br /> i RYOE 00 hIMF1 <br /> ii ❑ovr�a F*ERVIGENIElL D 0E010I4VaKN,WaL/ E3 00-LBonwo <br /> [€ ❑aESrINICrMN r <br /> v SfBum= A <br /> H <br /> ❑INOURIYAL 0a"FOTTOM D1A.OFWERLfxCAVATWH_ OIA.ar COMUCTORCAOINO IvA, 0 <br /> ❑oomoneATSVATE %aRAVEL PACK/0128 TYrE OF CAf11104tt"N'VC TAA OF WELL CASINO " �^ 0 <br /> ❑PNGLeCeMUNIC—WAL ❑OIIVEN OWrHOFaROVTWAIL ACIFICATIO �Ioi d4o e-- • <br /> ❑W*KA7NMeAa I:1 O7H7A ONRIT.FAL NST SY P174 1.4..rG 114.' bROUr wAka NAME 0 <br /> w�MONIrOISNO y F Y OMVr SEAL PUWIPEOt Y- ❑rN CONCALTE hEOEsrAI OY OKKLf0. Y.. ❑W S <br /> ! ArrnvL DF7TX J + Loe1t,3NOCHEYFERga erowwrim a <br /> iOW7NUCTIOKfipWNO METIn01 IAVo POTAM AIN NOTARY AUOIN CASLIL OTHEIEi <br /> C�11IS KU r0�1/ N <br /> w pir r16Lo <br /> I Moray CMTSY THAT I IMVE F1IEPAREB THIS AAPLrATION AND THAT IM WOM WILL BE DONE N ACCORDANCt WITH SAN JOAOUW COUNrY OTUMNAWCfO FrATE LAWS AND rAtLf0 ANO <br /> REGUA.TIONS OF TIfF GAN JOAMIf COUNTY HOME OWNER OR UCDMW"OR'S SKINATURE CETITIFIFG TNF POUWMHO 1 CFRTIFV TIIAT N THE OENFORLLANCE OF TIIF WORK FOR WIOCH <br /> Tills RNMIT H ISOMD I SHALL HOT EMKOV PERSONG VJWWT TO W90XN"6 COMFWITSATION LAWS OF CALMORMA WRITNACTOR G/11PINo OR SUS-COHTNACTING SIGNATURE C3NTIFfIS <br /> TWEFa4,L0WN9I 1 CETITIFY THAT IN THE"ORMANCf OF TNF WOM FORW111CN WAS PERMIT It pOVED 1 SHALL EMPLOY FfTGONS SUSJECT To WORKMAN S COMPENSATION LAWS OF <br /> CALIF` TII ArPUC f? T PALL N URS 1N ADVANCE FON AU.RSOURFD INSOOCTIONS AT 17001 ASG}SXE COMPLETE DMV#M AT LOVWEN APRA FROVIOE0 <br /> eyn,e t e TMI � —/dl �'I�CY D+n_ &� 7,( 1 -2 <br /> I NAMED Or STREITS ON NOADS REARREST 70 ON SOV"OW0 111E Pib1,Nr7 A LOCATION nF HOUSE SEWAGE OISIpSJ,L SYSTEM OR F110ATSED <br /> E OVTLNE OF THE 1"w" FY ORnNd PPAFNMQN0 AWo NORTH aIRMNECTIOM. EKPAM OF WWAOF IFFPOSAL GT <br /> GY [M% <br /> D11AETt09N10 OVTUNOS ANO LOCATION OF ALL iXIGTNO AND FbPOFKD S LOCATION OF WLIAG WTMnN MD1VK or ONE HU UMD FNTY R <br /> STRUCTURES,1NELUOINa COVERM ARIAS SUCK AS FATIOS,tWV[WAYS,AND WALKW ON THF FNOFCRTYORADJONINO HOFSIITY <br /> - <br /> ' <br /> i I I v <br /> i r <br /> - t - <br /> {� 0S17 <br /> StlWT VN ONLY <br /> " 1 <br /> Ow rw"UrFrtls.ST oNa <br /> OwcF.IMn Ir.Frtl.w NF�^- per„ +1 <br /> i <br /> Cr.tF..Mc <br /> ACCO%F4rWS ONLY "I FA.CF 3 k <br /> r <br /> PE Cates "mIWO AAKPA"NOW"" CHECKItCASIr Rf1,am ST VATS 1-0MITtI01VICF omwnT"em W[VOKF <br /> 301 All R? T <br /> r <br /> Pub HGGI1h Sery ErMro 173(1f8Ty <br />
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