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. APPLICATION FOR VVELLIPUMP PERMIT <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> P.O. BOX SSS,304 EAST WEBER AVENUE,STOCKTON,CA 95201 SBS <br /> 12091 4893420 <br /> MON-REFUNDABLE PERMIT EMPIRES 1 YEAR FROM BATE ISSUED <br /> &GNRAte M TIIpReebl <br /> AFNkNxIN IS ITER BY MADE TO INS SAN JOAdIIN COUNTY EOR A VERMIN To CONSTRUCT ANDgfl INBEµL TINE INGRA In.CROEO.TIRE AMSq..H le MAGE IN COMMANCE Mill SAN <br /> MAWIN COUNTY VEVELOPMEM TITLE,CHAPTER 9-1115.3 AND TIIE STANDAWS Of BAN IOAWIH CDUNry PUSIK 11[µ11l SERVICES,ENNMNMENIAL NEALTII OMSNIH. <br /> Joe A.N$. RAwl'-�_/ n_, X18 W.l-,�coM RdS ra.K'R71.1 <br /> T�T"1=1L"7aO r Clrf PARCEI BMF/AIVII 09-l-L(/-01( <br /> .6.1 NAME_ TLIA/(R DAH QC-4N1F111 Der;sj& ?+ C/p AWNE.. /goo Po-,4,, f h <br /> CTWA�-i' o3N1�M.M!XdD I S!. l2 1^F/oo�(yroy,rA4ylroxE E_StJ 4dQ-yfAJ <br /> COMMCTO /L VNLCAICYIH� <br /> -AOp/1Fee <br /> $.11 C L[EM)CI ,1^/(/s- <br /> sub cGMRLcron C321�LG DRILLIAI( p DTtr>`iA� G�KSI 'Aoo(MMEe �/.SD F(aJE�y q/(L/f �{r_..,eS A[l�7/3.$-3W <br /> "PE Of W[LL?UMfi ❑MW W[u O RMC(MEM WELL ❑.....No WEU I IL�IJTTIYRGP7,NVD,1.Gt—"4 <br /> ❑WSTAUANGH ❑WILL rvnEM REPAIR ❑CHG..CONNECTREINA IJ MMR EEtMCTMU Wfu l J <br /> ❑xew O END N.P. DEFT.Huw.FT— <br /> FT. EMT WATER LEVEL o <br /> nmE of wMN <br /> 0ffflvnf MILL ❑OUN,n'.ICµMLLI ❑ SameOflNO R <br /> OOESTREMNO : -rQE.Nn IE rbDXY-Wp f6jdt±jr 4 r <br /> xT Dl,,Iwm C p SP Ipxe A <br /> ❑1....INIAL ❑GRN.,I.M WA.OF WELL EXCAVATION CIA.OF CONWCION CAMNO p <br /> ❑DOMEI-AYMATE ❑OMVEL PACI.ME ryR OF CA.NM1"F VC DIA.Of WELLCASUM p <br /> ❑wiIICIMVNMroµ ❑pNVFN D(PIII OF GROUT OEM a CIFICAIWN R <br /> ❑IXN.MDO... ❑OINEfl OMUT.EM WETALUED BY- OMMeMNOxAME E <br /> ❑MONITONNO aMVT.EµwMRD:QY+ ONS C...RETEFEDEEEµeYONLLMOY+ QIA S <br /> A'...DVT. <10-D Q-,T U.....U."ASSUNM. EIEF1 i <br /> MOro(MCOISTRUCEIONM[IUNO ME11p0: MVO NOTARY AIR RDIMV AUGER CABLE OEIIFR CrT <br /> 1 UEVAY CERTIFY THAT I IIAVE RHPARD THIS AfRICATpN AHO THAT TIRE WOHL WILL eF OONf IN ACCORDANC[W'ITN SAN MAWIN COUNTY OFO NANCEi.SEMS UWS.AND WL(e AND <br /> ROULATHYNS OF TIRE SAN JOAdnI COUNTY.HOLUE OW'IRR OA LICENSED AGENT'S SIGNATURE CTAI 111E fOLLOWENOI'1 CFMIf V THAT M THE n EONAANCE Of THE MRS FOR M.I. <br /> 71118 Innoo li ISSUED,I GRµL HOT EMROY RRSDHe Wel1CT 10 W.AN'S COMMOANON IAM[OF CMHONNA'COHIMCTOR'e IIINNO OA SVe CONERACIIHO SNINAEUR C!W lFlfe <br /> 111EFOLLY.i 'I Cf HTOV NAT IH TIE[PERFORMANCE OF 111E MUM FOR MOCK TIES MIMI 16 DOMED,ISHALL EMROV 1I.N.SVBJEC(1.WORXMAX'S.....ATpM LAWS OF <br /> CALIONIIA.' 1MAPWIp MVSTCALLE WAGVAHC[FOR ALL ROUM WSPECMNS AT IEOM.Ni(ES.COMREEI OMVANI AT LOMEM AREA PROVIDING. <br /> elw.eX � +C C./� 6L—�f._E1— CPT- p.l. 12�L/9G <br /> nor Tux wm E.SF+H 6+N Y� •r :C71 /• <br /> I. NAMES Of BERETS Ofl WADS MARSI IO Ofl SOI NpW III"nbRRry. E LOCATION Of IMIVSf S[WME gew6µ.1.1.on NgM6(p <br /> [.-MUNE 0111-1 Rini W.DOMEN WW WHe ARIH DWic DUN. fXPANSNIM OF mMmI THEM.S..Im. <br /> i.WMtNWKO OUTUNI.AND LOCANU.OFµt ISH,"AW W o,o.O 6.LOCATION GO YnLLe NifISH MdVS Of OM IIVNORO FIFTY FT. <br /> SIMICtVRS,IWLUWW COVERED AREAS\SMNAVEWAYS.NqW S, ON rill MSIF(MY OR AONIMW NpRflry, <br /> V LINCOLN SCHOOL <br /> mw <br /> MWOI � ra <br /> O <br /> m <br /> 7 <br /> o MWI2 IOMW9 <br /> Ter Norge o O <br /> ;mg Village S <br /> a® <br /> 15 uo <br /> ® MWIO <br /> �CPT•100 T <br /> 2 <br /> \ 40 4HM MW11®S 3 PKOP05EDCPT(JS <br /> ` H <br /> Chevron C w. <br /> CHMW-3 <br /> \Gas Station 9• �C PSE <br /> �»MW3 tT YPCI <br /> pUMIMOt VEE ONLY �� ��• <br /> ARMFb,A+y1FI M dl. 1/ I n •-1l _ _A,.. <br /> sw(.wlNn er D.1. n.•I <br /> DSNneMn H+r+IM Br <br /> W1. <br /> G.�.,I.: nvrsiT� Ac�55 P,toR^�i �T PRrntit u 1 Al iLNt�1�7? as �i�E <br /> ACCOUNTING ONLY: uDI FACE <br /> It CODES FEEIHFO NAo1Mr REMnEO cu1CXIrcAW RCDVmeY "IS FDYArnERWc[-.-.T NUNeEX WVD1l1 <br /> 2 �1 H �2.18231 <br /> PUS.Heeila So".-Env8G.1]3(3/80) <br />