Laserfiche WebLink
SAN JOAQUIN COUNTY PUBLIC HEALTH SE' `:ES <br /> ENVIRONMENTAL HEALTH DIVISIONS PAYMENT <br /> a.o. BOX 3M as FAST wE81-M AVENUE: STMYTOR C' 95201RMEIVED <br /> 8091 4$iy^4i0 <br /> LEY REF911DA8EE PERU R JUN 0 61997 <br /> AyiTJCATroN IB HERE BY YAOE TO THE 6AN JOAOUW COUiTY FOR A PEwRT TO CON ALL <br /> THE wom OESCRIem.TNTC GIT 16 MADE W COMIVANCE"TN SM <br /> JOAWW coD DEVELO~fw TIRE,CNAPTEN S-1115.3 AND TME STANDARDS OF sAM JOAOVW cou« weue NEKTN etTRVICEB.�H SEAL1p�RBION. �L /� <br /> ``__ TTS •, .1 [� ,/� � .n / c mRONM Nin1 HEAbTM.`1N.11dM-/L�! Vl. <br /> JOB AOORlSaIOn M•NF� / LF .�7fJL1/!/ /�/G�LCN2y //V CTIV //IiL/ /ll �.'vtCEl. y �i <br /> GWTIFxs MAMF CURT/fflCYff �' FPiNr�it�< <br /> �1 <br /> cowR OR J/G 1�5 '12 ,A,L •lOd¢�•^'�--`�Y J ` <br /> Ful cD %A To Ul 2.U N LL JL .�DonEF. 7�0 2 �L EY <br /> TYe{OF.YEiuw... ❑ «ewwFu ❑ .eiuerr[.rr wEu ❑ .a«nol..w Weu.. ❑ OTHvR <br /> ❑ n1STALLATro« ❑ VlELL SYSTEM REPMR ❑ cross.CO«NEcT %Er. ❑ VIPER Ezrw.cr,oN WELL i ' <br /> RP9T WATER IEVtl c <br /> ❑Nwv❑R.f.. Ml. p[9TH CVIAP ser—FT. '-77 <br /> RIFE OF wYq ❑ OFOFIIYGCAL WELL J J�T ®S.w"CHO T B <br /> ❑ OVT-0E-iF7lVICE WE31 <br /> ❑OFSTR C IOFY <br /> A <br /> IIITfmam USE TM OF WELL. CC«{TRUCTMM FPECPaCATMNf <br /> ❑ 11OUSTAAL ❑OPEN BOTTOM DIA.OF YIELL MCAVAMN O4.OP CONDUCTOR CASWO <br /> L <br /> ❑ DOMF8TIC.AVVATE OMVT 4FK 1❑�ORAVa PACJVST E TYPE OF CAIDNO/BTEELwsrALLED BYPVC [�,� dA OF WELL Ge1NG <br /> ❑ RIeIJC.YUNICIPAL ltl dBVEii DEPTH OF 3ROVT EEAE : I SPECVR:ATioN R <br /> ❑ OSSOATRHIIAO ,❑OTNEA GROUT BnAMD NAME E <br /> ' <br /> uoNTroRMa GFCUT TEAL pu P ❑Y.. 13 CnrtreETE ROFeTAL 8V ONLLER:❑Y. ❑«. <br /> 5 <br /> M'FnOL nvrH 7 � — COCtBM ciRerER BOFTsiovE F'KF <br /> FROMfm COM{TRUCTNIN/NVWNO METTCP. M1A RDTAM AW ROTARY AWER. CAOtl OTNffl +— <br /> I NEAEBY CEPRNY TNAT 1 NAVE RF➢M2D TTR4 APPUGTW«M+O TNAT THE NOiK�AnJ-BE DOME W M COMANCE WITN 3AN AAON«COVNTv O19U1.`MCES,fTATE N.9.ANO PUCE3'u <br /> MOVLATMM!OF THE SAN JOAOUIN COUMSY. HOME OWNER OR UCVN AOENT9 SMNATVPE CFRTINES THE MLLOVAMO:1 CERTIFY TNAT W THE FEMOIWAMCE OF �ATV�CERlIFlT <br /> .THIS Po ff Is ISSUm.I WALL NOT D PLOY PERBOHS FRRUECT TO WORMARM•{COMPeft"TMN LAVA OF CALIFOMAI.' CON ..Owl MIBHO OR SUe-0OHTRAC'WO <br /> THE TOILDYMNO: '1 cFITNY THAT W THE PEpFOM1MiCE OF THE WORK MR VA4C11 THIS pero mT Is ISSUED.I WALL EAPLOY PERSONS S Z=TO WOMW s cOFP "TION lA C <br /> CAtIFOPMA.' T APPVC MM CAIS 110URf WADVANCS iOR.LLL MOYRED 111fIlCTT mAT=WnN =. COMPLETE OMM+NO AT LOWER <br /> DMEA iMVIDm. <br /> D�% J, <br /> / /.A . �A.ti.9�.1—-- TNN EI uy�2ou/1/I--A'1 n►z L 1/G�LS$�U.v — <br /> FanT MH CIF«a <br /> 1. HA B OF STFCMS OR ROADS MFAPE6T TO OR pOVNOWf THE pROPERY, a. LOCATION OF HOUSE SEWAGE DIGM9 I SYSTEM OR PMMSm <br /> :. ND <br /> LINE OF THE PROFFJRY.OPI«M D1MEi16 "AMO mom"DPECTIOH- E%PAM4TGM OF SEY/ADE deMfu SYSTEMS. <br /> ]. OW W MmKD OURlf.S AMO LOCATION OF All ETTCTING ANO PROM FCD C. ROCATMH OFYIHli WTTMBT RMRUS Di ONE NUPMKD iM1TY R: <br /> OUT <br /> eTPST.S111Ee,RlCiltC1N0 COVERED MFRS SUCH K PATIOS.OMVEWAYe.AND WARRB. ON THE PROPERTY OR ADJdMNO PROPERTY. <br /> Ali _. . <br /> ...... <br /> MAP ON BAC <br /> OVARTmmT Vf[ONLY <br /> APW4PIM..n..ol�OY ---111 <br /> y <br /> dM iti�rl w <br /> ON. Powe ti.rlw ey DNF <br /> ON. <br /> D�SUCIHR Yw�olbn BY <br /> Cs+wvM�: <br /> KC0IMTIRO ONLY: NDI FACT <br /> iaADATEPEs1DTMOMCi IIEOVi{T MAlue1 SWOICE <br /> PF coo" iil.INFO AMOiMT m CNECYIICKN 1�K <br /> 0 0, �I 1 li <br />