Laserfiche WebLink
�ti9� '°N WdZ� (iIUZ 'Zl 'AO N quail 1) Aiaaa� <br /> 111JEFLUPrUMP PERMIT <br /> SwtJaFaauuC0uu1YF1rnaontaarrat_HPALER DEPAWTMU tSs &5THaza7oNAvauuE-Sluctc=CA95205-J09)aIM-WO <br /> NON-RFkuNQ P CALL 209 953.7687 FDRIWSPEcn0PI5 EXPIRES 1 YEAR FROM DA7EISS[m <br /> N <br /> wy CrrYMP Linden 95236 n <br /> .IC9 AUIIR <br /> cTu)ssScTw.r N Fine Rd APM� '.bt� Paxcas��Ltmml3seArnucnnou� <br /> QWHBL WWI== <br /> Ov.m,_¢AnaREss <br /> P.O. `.Box 99 CnY1S- ,TVZPLinden CA 95236 CuwrRAcTcR Furvian ce Drillers , Inc Ptra� 2 n 9-8 8 7—3 5 5 4 <br /> CC:nRAcraaAunass r,, <br /> PO Bog 64 ,S ,F,z�Linden , CA 95236 <br /> Feoh- 1 <br /> Suecolu—i wCrati <br /> z <br /> CITt/SIMTFjZPv n <br /> C-51D I11L ❑13titEr naAwR <br /> 3 9 3 ExPrAttitan DAr /3 I <br /> ❑o c1Y LSAt_ra>Jmm:I Generai MineraUCoVOM 6aCtena(4391)-01nmmcckllampMP2ute(4392)=Ats�tic(1}393) <br /> ttrT81D®tlsE Domrsfir•JPrivate G Ini�alionlAgtialWral G Industrial G Wafer QvaUy Nfonilaring ❑Sail S3 mplimg1charnchedIDgar' <br /> C!FuMtcVfAwByntem ttta[rsystmtaose CmCat1[araorPPa�htemnrr <br /> trdrlfamtfra;a Onnrr <br /> YPEOF WCriK Q NEWrWiE C Replazeme3rt Wel! C WPB AIIerAionfl:la JGTCdllatf 7 011tE'S ncrbwt=p <br /> �Mam�vdngllYell(sl Qatcvells GSoilEaLitt9(s) Rartmogs GbeoluMl= <br /> GoutOFSa%gcaW 1='OU[-0tSe�lxWe11R��rst Ctrs-CaefsaUJmIRoD7iC <br /> G NevrPurn tvn R laaement r-PuM Re air Ra.eWeF1l:25inq <br /> SVEu.coA,sisucaov <br /> �IIrrliing'MaU1ud O Mud Rotary G P&RnWsy 7 Auger CaDteTaol 3 PoshPaint w DMar <br /> dra <br /> Proposed Well Depgl ft txcaua&n at meter =open Elchem C Gravel pzdderavaJ Sae in dPaaeter <br /> G CanducturCasm9 A dr8ne er t Llrndudar Casng DcpOi �-1 <br /> Well Casing DPaneW in ThidutesslGauB'-JASTM Sched =Steel -2 Plastic O SlaMleaSleel _j ME9e <br /> Grout seat Depth ii ]Neat cQ%nsrt(9416 hAL2r- gal mater} O Ss std Cement ��eu rR galy <br /> G 13enlorile(ZO-Asulds) OLher <br /> 'Grout PlscanentFllethod v Pumped n FteaFa% 7 OIher C RetanlartFltlt��eratnrlrffintc) <br /> PID-rx Installed Sy D DrOlrr D P=P Cor.7ra:Icr D Dihtr <br /> C+conc2tePedrstat colmenslurasVUEdth P. Lar9M nThirlc in Girds'1Y8'� 7 S� Plpa <br /> Punsa SutmtermbleD Tutt-ing :10111 HP t Pum Sel J R <br /> t NEfMaY C&dFY THAT 1 HAUS FMPARED THIS APPLICATION A THAT THE WORK ILMLL EE DONE Il'ACCORUMCE Wf1'a<I SAU <br /> ND RULM AND CUJRRcNT ANDD ACMVE WITH THE CAUFORNIA COWMCMRS STALICENSE B(MRD AND THAT f AM IN COMPFJANCE MTH ALL <br /> NO SO <br /> 2r� -7597LA <br /> l ATICS-PLEASE CALL A49�53 <br /> M24 ( fiR15PEz <br /> TLCorperate Secreta <br /> Z�� <br /> storm <br /> I I ! l ! I 1111 I <br /> III l ! ! 1 I I ! II <br /> IllilEll Ill ! ° I\ Illll II I <br /> ! I I I I 1 1 1 ! <br /> ! ' ii i lI. I ! i ! I , � I Illli il11 PAke'' <br /> VPp <br /> ! i I I11 ll` 11` ii iii I I � 1 � 1l1 ��V 19 <br /> JOA 2019 <br /> I I ! 1 1 1 I I I I I I I I <br /> ! I I ! I ! ! VIRONM <br /> I I I ! I ! I ! Ty DEPgRMFN <br /> 9P RTRIEUT U E O LY T <br /> Date Area._` 1c5ael <br /> AppL DnAMpledBy j SPECI,LWellPaHnit <br /> Get Irtspettion Hy Date <br /> PurttP inspet3ron By <br /> Date :. i 2C .3 UiJA!►1ERRecaWed <br /> Sca EufvR1 Itupedion By <br /> Date Gom-mmled1Ne11 Depth <br /> COMMENTS <br /> e ++ Arnarrni 4 PermiU I lnvoir�� f well 1w <br /> PE Sc ileceioad cher __ orad t SerAce-Request# <br /> _. Info.._ — - l l <br /> l _ I � ---I— l 1 <br /> I I l = <br /> I , <br /> i I I I <br /> CAF/rl::V KF�4 <br /> E3D Ctrs f 4� l0! 9 l <br /> b'd bZ9U9960Z our SJGjI!.lQ aouelA.lnd dto:�066 Z� AON <br />