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SAH JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIYISIOY <br /> PA BOX 968,304 EAST WEBER AVENUE.STOCKTON. CA 95201 W <br /> (209) 413-MO <br /> tIOkREFIINDABLE PEI(W E'X}IRES 1 YEAII F"Al GATE ISSUED <br /> MINN <br /> WFMAT1oN JS HERE BY MAM TO THE SAN JOAOIUN COUNTY FOR A MOAN To CONSTRUCT ANWCM 1NgTALL THE MW OESCRISEO.THS APPMAT1ON 19 MADE IN COI PUANCE WTH SAN <br /> IDAOUIN COUNTY DEVELOPMENT TITLE,CHAFM 9-1115-3 AMI THE STANDAws OF SAN JOAOLJIN COUNTY FuKx WEALTH SEWCES,ETNMONMENTAL HEALTH DM610I1. <br /> 1osAomweaAR APNP_1 R•AC1R <br /> Y cL!I Yard -720 C S'�+h4 CITY NFARM 9mv0 w, <br /> I <br /> RIVN1ere NANAE� 4,Q CN Oc,,e,'t: - AOORIM Ono M dd d h '_ S•F. <br /> :ONTRAC"R laJ✓cLVRex+ woolEas q�3��ld �n[ar�;lle)?i1 uc:2-833Z4. Immo 0916 3ro - 4�� <br /> 5"t-loo SccAcA 95W7 C51- <br /> uecoNTTLACTOR�te[:s�Qv� SG", �:�� T,1 ADOIEOS �Z ursP S4r"ee4 uc+ (c'��3�?RMONEF�y�S) `/S6-`1X75 <br /> 5�g a c.nD .CA94?b1 <br /> YPE 0►YV®1/PUhIR {N NEVI wEll:> ❑ FWK ACtMeNT wR3L ❑ mowrom o wlu r P1 aTmEll Y�R r7I ►YU,vt;�r 1 K�w�eQ Q� <br /> E3 INSTALLATION INSTALLATION ❑WELL 8Y4rW REPAW ❑ CROMCOMREPAIR El vAPOREXTAACTTON WELL S (J J <br /> ❑N.w❑RA�.i H.P. DEATH RUMP SET FT. FlW WATER2_ 'T 0 <br /> TYPE DF PUWFn <br /> ❑ OUT-OF-aONCE WELL ❑ OEOPWOCAL NEtI I ❑ O LL somom Jr <br /> OIFTRUCTION: <br /> (TOM=USS TYPE OF Wpy 4PECIRCANOMS A <br /> ] WXKMTRUAL ❑oPet eorrOY Of A_OF WR3L EXCAVATIOII ^-�,s -I h c�G S O1A.OF CON IMMTOR CAaNG <br /> 3 COMIww_,PNVATE paitAVEL PAcims E o2' /LO TYPE OF CASNGTST%Up%fC_ y C.r �+ DTA.OF VM3L C^W M I -1 A r 1.. D <br /> 3 PUSUCJNWMCPAL ❑DRIVEN LO✓le-t'tc✓ ov, OF woLIr SEAL f b y'1 + svEetpcATloN Nea+ttwltv.t +� y9�b evd I <br /> J 1PAIGAT10NTAS Q OrwER GROUT SEAL INSTALLED SY 9NOUf W RMLO NAME , <br /> ) MON nvmmO (` Ci GROUT SEAL PUMPED- Qw %� COWFIETT 0EDESTAL SY DIRIER:❑Yr (am. S <br /> Pwax.84TIH mux\1��lAlM D F ^� Eec b� LOCK1Na CLLEsrLn wwsroVE Pl1f irG[��C tCl� -cl VcwQ�'bc) eL ov �$ s <br /> WPOSM ODMTNUCT10M1DIKAM RIQTHOO: YUD ROTARY ASR ROTARY AUGM CASTE OTHER ��f P C.'+ P U� <br /> *96BY CERTIFY THAT 1 HAMS PRIUM ED THI6 APPLICATION AND THAT THE WORK WILL M DOME R{ACCOIOAML'E MRTH TAN JoAOLAN COUNTY ORONANCEl1,STATE LAWS,AND RW.E9 A w— <br /> MULATTONS OF THE SAN JOAOUSN COUNTY_ NOME OWNER OR U KVMED AGOWT1 SIGNATURE CDLTFEI THE POILO V NG,Y CERTIFY THAT IN THE FBFORMANCE OF THE WORK RbR WjH@W <br /> NIS PE/WTT IS 1g"O,t SNAIL NOT DAPLOY PEIISONG KNUECT TO WORM"A'S CO MPOMATRON IAWS OF CAUPOINIA.' COW RACM "S HIRING OR SLMCONTRACTINO 910NATl11E CERTIFIES <br /> NE FCLLCWVM: "1 CERTIFY THAT IN THE PEN VII04ANCE OF THE VVORK FOR WNSCH Twit FFP TT I6 ISSUED,1 SHALL MIRDY PEPSO#M SUOJEDT TO WORI&AW11 OOSOBSSATION LAWS OF <br /> ALIFORW&' THE APPLWMT R UST CALL 94 MOW IN ADVANCE PON ALL REQUIRM MSPCTMNS AT In@ 440•04]S. COYPtEM OFAWINO AT LOWER AREA PROVIDED. <br /> Anal X Lsit f-rtt/,G[� ,L. `ZU,r,!/i?! TfS. w' Ma.�a��►- pwm 9 <br /> PLOT PLAN Wrw.t.P..W.1 5..1. -le <br /> NAMES OF S METS OR ROADS NFJMEST TD an BOUNCING THE ROPFRTY. 4. LOCATION OF HOUSE SEWAOE OSPMAL SYSTEM OR PROP09ED <br /> OUTLINE OF THE PNDrERTY,GMNO DIMENWONS AND NORTH DRECTION, EXPANSION OF SEWAGE DISP06AL SYSTEMS. <br /> DIMENSION®OUTLUNEG AND LOCATION OF ALL FJOSTPM AND PROPOSED I_ LOCATION OF WBLS WTWN RADIUS OF ONE HUNDRED FIFTY FT. <br /> 6MLPCTIRRES.INCLUDND COVERED AREAS SUCH AS PATIOS,DRIVEWAYS.ANO WALX9. ON THE PROPERTY OR ADJOINING FROF'9TTY. <br /> 811POWNEPIT USE ONLY <br /> vQoeti.n A. wb d ev Owe ( Z '�` A. <br /> .hwftn W.F..d_ST U.ta <br /> .nm(n1e• . <br /> ACCOUMTMe ONLY; ADDS FACS <br /> PE CDOW m INFO AMOUNT FORA T® CNECSIICASN Pacu O■Y DATE PwoRTJSOWIC£ItEOLIEST MPAIIE R INVOICE <br /> 210 MU) <br /> Z _d WOdd rld9Z' L L Sob L--0 L—L <br />