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bi' 97NON) 16 : 02 UNOCAL C'- NORTH RE TEL: 610 212509 P. 004 <br /> t <br /> }'4-0.7-1997 10.59AM FROM - P- 3 <br /> APPLICATION FOR WELL/PUMP PERMIT _ <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> / ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,STOCKTON, CA 96202 <br /> (209)468.4420 <br /> RAR•ARDRDAREE MMI\E IIIJ� ED I YEAR FROM DAM IDnED f <br /> DbmAYa to Tr@DuLAi <br /> Am1CAT10N M NISN NV MAD{TO TIE MN JOAOOIN COUN.V FOR A PIIAMT TO CONSTRICT ANDMI INSTALL TILE WORK DESCRIBED.11015 APPLICATION I WD{IN COMPLIANCE VAlll SAM <br /> JOAOUM COUNRV DEVBOHAINY TMA.e140EE�R,ELII 1192 AND THE STANOMD$OF OMI JDAOWM COUNTY P1NC NW.TN MRAMI,ENVDYNMURAL NCALTH MYRON. <br /> JOS MDPUIMR AFRO Q'170/ �'�^, slack/ <br /> O/) FAIIOM UWJAgM I <br /> eONrA.OraR P+IYa�c,CnpeEamrLSiong„ric. AOD+sM Bi iYdSIcS��r 6�/b G, <br /> � 3leGy4.. 5 �77aF <br /> � /0, <br /> 9VR9 <br /> "CONTRACTOR WP4K1C `�`�UYw �5..6 `il \o.5CG1"—AOOMC{0 $dR�AC. Lro. sbrG39 MorE.�7�71��'7-+{7 <br /> U IS <br /> meOFWEtwoMP, 13NEWELL 1302MACEMERTmtt Ea-.maawWILL a ❑q 0". -- { <br /> (3 OIFFS"TRN ❑WELL EVOTBM RIPAUI O Cmi,"ONNECT'NVCI VAMA EXTRACTIONWELL 0 J <br /> OTbN❑Rp.D M,P, r <br /> RYK OF wIR PTH 14 <br /> DEPUMP r— R, FIVRST WATER LSO <br /> ❑OwzI%MIINI:E NOL ❑ OWRWYOAL W1 a O SOILSONNO S <br /> I ❑DECTIWLTIONI <br /> E: <br /> f A <br /> ❑ WoucraN. ❑�/oPeN BOTTou ou.awnL eacAVAnoN— ,�/ CIA.or ooNouerow cAER+e �t/�_ o <br /> ❑ ooNEpTICPT ATE ILF-7,0PAM PACO IYE a�a T Ff OPCARWO/OTELLRVC_ PvC gA.OpW I:ADMO - ?A D <br /> ❑ MBLICOIUNIWAL r1]CNVLN OLI'TH OF SHOUT SEAL S/ TA[CUICATION Q.O/O -5/0/5 <br /> A <br /> O�,,l//maaATONIAO LJ orNEn GROW MAL O.BTALUVr�bvIv�-2—�n• n 10 GROUT BRAND NAME f ce e•�✓' $.�6/t�r�+/p <br /> LJIONRONMe GROUT MAL PVYKO, EWm ❑N. COMCRET{MOSSTALBV ONWRIDv�O�s <br /> AP.RPA.ROT" LDCRNO CANrt{11 RIS/SIOVO P B <br /> IROPRSLD OaRST11VOTIew1MSUJNO MFNODI MUD ROTARY NR RGTAIIV AVOIR CMIi OTIOIR <br /> 1 MCQBT CEINIFV TNAT I HAVE PREPARW TINS APPLICATION AND THAT TRE WORK HOU.it oOME IN FREEZE MRM SAM JoACU1N ee11MTv OROWAMam MATE UWP.AMD WIES AMO <br /> n[eULATmM OF TIE BAN JOAOUIN COUMM. NOMF OWNEp OR IIDMBN N1pR7 Y0NATURE QRTMEE TNi POLLOWNOI'I OEIR..THAT RF THC RNOWANCE OF TIRE WOW FDRYM1IC11 <br /> THIS IST RISOVBO,IYIALL NOT 1MPLOVFERPONS Wular TO WORMIAN'\OOMPMNLTIOR IAWSOPCAL )ftA.• COMMCFOA'e 101SN0ORSYCCOMMOTINO SIRNATUAE CORIIILS <br /> 1NL rcUOMAMO: •1 OEIKTIFV THAT 1N TRIP PCA;:CpMANoI OF TM WORK FOR WHICH 11MS PLAAR 11111114190,1 MALL SMIAOT{talleNl MAC?TO MMMPAAM'S OO WIMAnOM YN',or <br /> CAUFORMA.• TNI/APjPVC MWI CALL b AMG1 PoN ALL AlOUMe IIMP110TIDMS ATS/fir/,O/Sy/K.M./ID1. OaYPLEIACRANIMO AT IDWER AREA pbM0E0. <br /> PLOT NW IN.I.wN 11.M. •M_` <br /> I I. HAIRS OP 11TPi[T11 OR ROADS N{ARTIST Te aR 110VNCINR TIS PI0IERIV. l tOCATON oP"GUM SfWAOC WRIpSAL 1YrtEM en PIbFOTEe <br /> S. oOWMI OF TPI1 FROPEIIIT.aimm OMEMBIOM AND NCRrN DIIOCTIOIJ, IOANSIOM OF SEWAGE DISPOSAL WIPTEM11. <br /> 1 O. OIMMAOMCD OUTUNEC AM LOCATION*FALL EAIRIND AMO r.m.aOD S. LOCATION OF WITLS WITHIN RAOaS OF ONA mINOrQR PITY rt, <br /> RRUCTUMS.WOOING COVMEO AREAS SOON AS FATIOR,Csgr 1 VAVO.AND WALKS. ON TME PROPCRIY OR ADJORANO.TOMMY, <br /> { <br /> 1 I 1 f { <br /> ,... .! . � ..:. ....: .........:...._. ..;.. .... .. <br /> i <br /> ,.....x.....'.......1..... .,....1:..••,.. <br /> I ' <br /> r I <br /> , <br /> i <br /> 1. <br /> , <br /> r <br /> I 1 I 1 I { <br /> , <br /> • <br />