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ARCHIVED REPORTS_FIELD NOTES AND PERMITS THROUGH 4_4_1997
EnvironmentalHealth
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2900 - Site Mitigation Program
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PR0506203
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ARCHIVED REPORTS_FIELD NOTES AND PERMITS THROUGH 4_4_1997
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Last modified
3/31/2020 3:13:51 PM
Creation date
3/31/2020 2:24:29 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
FIELD NOTES AND PERMITS THROUGH 4_4_1997
RECORD_ID
PR0506203
PE
2960
FACILITY_ID
FA0007271
FACILITY_NAME
LINCOLN CNTR ENV REMEDIATION TRUST
STREET_NUMBER
0
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
CURRENT_STATUS
01
SITE_LOCATION
PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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APPLICATION FOR WELLIPUMP PERMIT <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES • <br /> ENVIRONMENTAL HEALTH 01VISION <br /> RO.BOX 988,904 EAST WEBER AVENUE,STOCXTON,CA 95201388 <br /> (209)4883720 <br /> RRUEFUROABLE PERMIT EXPIRES I YEAR FROM DATE ISSUED <br /> RCI SPI.1.1. 1IIPRe.b1 <br /> AMMATRIN IR TYPE W MADE TO THE BAN"AWN COUNTY FOR A ANAN 10 CONIMUC!ANOMR INSTML THE NVOK 1AMMEND.,III.ATUCAIgN IB PUMM M EOMAIANCF WHIT... <br /> "AM.EOVMY EIEVUNWEM TALE,CIIAPORE 9.1115.3 AND I T�IIf�_BI AIN 8 OF BAN MAWM EODUN MEET HEALTH BNMCER.EMMpNMMAL HEALTH MOSO , �/ �•J <br /> JORAIMNRBRMn A1W°37 Lineol E'1 ce nleY` Clry "-k-4O OAnit RN.ATHI TIi-I �-/ <br /> S +flrn$DRycIroLTi21a DeFoe(wh el �9oDq Nl.st L7H FIr6 11�4x�S��5a 4500 <br /> owMRB x[�E_ a� O AIMMRe <br /> OM¢YB.. °fi/IQ 'E�r (}L11tW n !l wo- I"<\ef- <br /> Cb'r11c <br /> BMEDMMEOnCa�Er�e+aEeMa n_y�ftl•II�••!—flj�q -ETi.c.� I,AnnMBP/N /`f0w_e F0�1 1UCII �{6JC^MAIO'F�IA'/- <br /> grS <br /> ,L <br /> IYR OF WELIIRJM.: ❑xEW NRLI IJ ilEnncEINT WAI ❑MOxADN.NiLII iLDAWR L'P'r iTy^dY'Opltnol'7 <br /> ❑IMBIALUIMN ❑WAI W:..M'.R, ❑CROBNC......PERM. ❑VANTSFMlMCI..IMHI I_ J <br /> ❑N.n❑nrNr MS. nfR111AMIRBET_ST. I..T WAIF.LEMI O <br /> AV{F OF NMR) <br /> pp•• IO ❑OVI�OfBEPWEF NSLL ❑nFOAIVPMAI.WFIII ❑ pR.ONNO p <br /> µDI.MkIl1N1_TA t E4112. PeP}(AJ CcImKani-- Benfd ite. G'A`04•r <br /> INTENDED USE 111,.1 WELL CO MB,RUC IION CAR. IMI B ^ <br /> ❑INTHOIMAL LOANROIIOM W.OF WD L SON_N M.OF CONDUCTOR CAROM O <br /> 0 On.1111CR'AVAlt ❑OMVEL MCNM.F IYFF.1 EAA11MMllrtfl5 M.OF WILL CASINO O <br /> ❑MSMNUIMCIFAI ❑OAVLN flRl.Or WOUI BEAT MFEIfMA,bN . <br /> ❑IRMOA,MNIAO 130Th. DMV, N nA MNMLEO BV OMM MMW NAME E <br /> ❑UM...... 1 PT .DOU,MµIVMAO:OY.1 QNa CONCRIE AOFBlµBY 0A1LF11:OYr Db d <br /> AIR .,OMIN LOO LOCMMO NRWVSlW.VFOM S <br /> IWOPo..C.M.TUBnOMMIBLUMO MFINOO: MM MIAT• AMIW,AM AWE" CAKE Ol1AiRc-PT <br /> IIR°11Y CEMPY THAT I HAVE FORMED TOM.AA A1pN ANN THAT III NOAL WILL At DOME M ACCOMIAME MINBAM MAWIN COUMV OROMANCEB.WATT UWB,AND RULES ANO <br /> •YONAIMNS OF AR SAN JOAMIM COUNTY.HOME OWNM O.LMINBM FORM'.SIONATURE CFMIIRB TIM FOLL MMINTO'I CfMRY THAT M THE 11TIM .IANCE OF ITR MISS IOP MKII <br /> �MR AnMn IR ISSED <br /> U ,1 W HALL NOT FMMOV 14RSORIJM <br /> NS MECT TO WORKMAN COMM.AHON LAM OF CALOORNA.•COMMC,O"IMIUM On SVS COMMCTUM MVMANIR CEMIST. <br /> IR MITUNA NO: •I CFMIfY THAT M TIM l'fMOMAANCf OI 111E Wp1"FOR MIICII 111u RM11T IM 1.RUfO,L11ALL[MROY 14.SONS.MhCt TO W ORMAM9 COMMM.ATON UW.OF <br /> CAU1011MA' GAMI/M^UyS{�!(L�C,ALL]A NMIN.IN MVAMGF FOR ALL MOMM INSFW MN.AT[RON ANNR].COMMUTE OMWMO AT IOWFn AMA MONDFM <br /> `r A/LA'ARAB ASt�AryotN'�tall^:np. ... 1 I- <br /> Gre% GIu1roUn.ISR61AAryMrlebN.Ib.I.)'INC OOF«t <br /> 1.NAMfe Of WINVIA On MADS MAM.T 10 On NOUNMlM Ild AMAMY, S.LOCATION OF MOUSE SMADE 0MM W SYSTEM On MUMIUD <br /> E.OMLMF Of THE MUf M Y.OMNO MMMNBMNB ANO DTII M ECIMM EXPANSION OF MMADE.)SMBµSYSTEMS. <br /> X.MMENpMNfO OVI MFA ANO IOCATMN OF ALL EMIMUM AM MOMSEO S.LOCATION.1.11.WHIM!MON.OF ONE HIMMO IM1 ST. <br /> BIINCTUN1.IMLWIM COVERED AMAI SUCH AS RAINS,DIV AVS,AND WALLS. OM TIM AIOPfMY ON ADMIN.M IMMITTY. <br /> Rem ° Y✓y wn�♦ <br /> amM,mill <br /> rel Flneu ?L \\\\\/✓//�i„JJ <br /> WAM, MMHeP <br /> EL MRu <br /> 0e<SRUMS MWa VQllle <br /> clelcP CPT_100 <br /> MMO HMJ RPP <br /> M Ou Sullen <br /> MIM11F Refel =CIED, ICdui<klandl <br /> :MNIM <br /> OMM <br /> )MMI MS OOY <br /> AMee.ISn AeeMlsl MI ,�- J ..1._ li'IDS 1 / Mr�� <br /> Or.N MFr1bn SF D.1. ROM F R.ey D.1. <br /> OrnbmlFn NMeX.n Ry On. <br /> E— w..' <br /> fAECODNANDDxkY: AM FAC. <br /> FE COOEB 11MIM0 .1.1..TIED WRCMIMMU, RIUMID,MY DAIS P6 TNFTMGE REOIM.I MMIMM INVOICE <br /> 'ICLO 1 G Oip og <br /> ND.H..IIh S.,,-EWIO.173(3" <br />
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