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.^� Applications Will Be Processed When Submitted Properly Completed. Be Sure To Sign The Application. <br /> FOROFFIC _4SE: l APPLICATION <br /> L/6 dV (For Non-Transferable, Revocable, Suspendable) <br /> ENVIRONMENTAL HEALTH PERMIT PUMP&WELL <br /> (COMPLETE IN TRIPLICATE) WATER QUALITY <br /> Application is hereby made to the San Joaquin Local Health District fora permit to construct and/or install the work herein described.This application is <br /> made in compliance with San Joaquin County Or mance No. 1862 and tpe rules and regyiations of the San Joa ui ocal Health District. <br /> Exact Site Address <br />