Laserfiche WebLink
APPLICATION FOB WELLIPUMP PERMIT <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICcs <br /> ENVIRONMENTAL HEALTH DIVISION <br /> P 0 388,446 N.SAN JOAOUIN ST,STOCKTON,CA 8620138810 <br /> (2091468-3420 <br /> NOM-REFUMDASIE PERMIT EXPIRES 1 YEAR FROM DATE ISSUED <br /> F."loN Y Troewta <br /> N ATWN IC HEM By MMf TO THE SAN JOAOUN COUNTY FOO A F[IWOT TO CONST I AIApn NRNL TW%NQR(DESCAN ED.TW{MfMATMN N MME W COYg1AKE WITH{.W <br /> JOAW W COUNTY CN[11TFMfNT TUR[.CHAPTER 9-1115.3 ANO THE sEANOANH OF SAN"AWN COUNTY WJC NHEALTH NRVICG.NINnONLLFNfAL HEALTH DIVINON. <br /> 22-I-I O'OI 1.1 I_I�j—Vy <br /> JOF Mdacpon AJWF qua . A A MP,QwLA <br /> z•LCL=tr /G 4/ 14 <br /> T70 <br /> crtY r� '�F F(N]cu Artu f, y <br /> owNTNC N.ME T 011''2 MF' 2 f�T'i�'���P�''11O��sc1[FI S SU C.AR WIIF{i PO 1'Y OY IZ' l IF•AAEJr&A -I ;33 NE F R Z J•31Z 1 <br /> COHTRIGTUn Y'�1_E�rj F-c z� ,--(z AW"UF{ -cTo yK-,/Tl7RJ me PHONE!�[fy� [qi={�/}3V5 <br /> YUe COMMCT011 IPEc-7Kz-y IY\ ... J-1E/r-T-� uc. IZ FNONEF� ()/I2- <br /> TYPE of wEL1.wM.: 0 Mew Wau ❑Mw wfw WELL ❑MoxrtoNFa LYTL S ❑oTNEn <br /> ❑NFTALLATIO. 0 WEW SYFrw wAR ❑coc."OFNFcr MAN 0 vuon fATRAeraN WELL t r <br /> O He•.O Aw• H.P. pFRH wuP vEr_n. ,TMST WATER U[ o <br /> rtYR of wMn <br /> ❑OVFORNIINCE WEL ❑OEOPIEYFICI•L W4LLF qIL eONW t <br /> ❑wrtWCTwx: <br /> WTENofU VFE TYPE OF WRL CONETRUCnON SPECIHCATONF �I• -"J <br /> A <br /> ❑ww,TNK '❑OFFAL WTEOM VA.Of WELL EXCAVATMN (-± tJI N, VA.OF CONDUCTOR C"N0 N n' D <br /> 006WVFCM ATE ❑OMYEL PACKNDE TYPE Of CA.1..EEI/9JC NDN qA OF WELL CAtYq 0 <br /> •.� <br /> 13N911C/MuxICVK Cl WN .PERE OF FOUT EfALNEAT C..EF.TJ��GECIFICATax I n <br /> ❑NNOATpWM ❑OTMFA ppUT FEALWRALLED{Y SPF/-T f7uM OMIReNNONN,IE N f <br /> NFAFT UNG Hq-DRoPur x.L'< OroIR ZEALw :❑Y- Ow coxcMTf MOEFTAL eY OHUA Q Y- ON. : <br /> ...NOT. -T- LofXNIOCMtTEnwK/ROVE NPf s <br /> HIOPOZt-000MtE111A:TpxIMWMO wETWO:MW ROTARY Nn WTAT' AWFII�CASY OTHER <br /> I M'feY CENTNY THAT 1 HAVE PREPARED TM.N ATH)H MO THAT THE WOM V eE DOM W ACCORDANCE WRH SM'JOAW W COUNTY ORDUUNCE4 RATE LAM.ANo FLUOR Nq <br /> M.0 T*78 OFTHE SAN MAWIN COUNTY.HOME OYMER OR UCENCEO AGENT-6 WONATURE CEnTWEZ THE FOIID\WNO:YCEITfY THAT W THE wfO1WANC[OF THE WONT MRWWCH <br /> TMS PNMTIS�StVfO.I WALL HOTfMNDY IOIZON{WeJECT TO WORKMM"t COMPWtAMN LA eOF CALMANt•CONTRACTOR'S HINNO OR NNCONfNLTIHO NONATUM CTRTINE{ <br /> TM FOLLOW�O: 'I Cf FY T IwT W TI MMOIWNM:E Of THE NOM MA VMICH TWZ PEMVT It N M.1 S NI0.0Y PERSONS WYECT TO W WMy1Y COMIPSAMN tAM OF <br /> CMMFAAA THF/]Ip AMT WT C N M W W AMCE MR ALL MOIM•M WtfSCMNt AT I[OW M4NSt.COMRfT[ORALMNp AT IDWFII AREA FNNOFD, p <br /> 4F..M 7 ! ' TFM S¢ l Eu[ ,�/ST wHVV <br /> I/-1ST/6 <br /> ROT R.W O•.r:w iWJ I.N i <br /> T.NAM[t OF rtFEm oIF a NEAMrt TO OR SOUNDING THE PMPURY. E.EOCATON OF MUN!ENGAGE MNOML FI'ZTW On FMMKO <br /> a OUTUNf w THE. .W Wq gM N N{AND NORTH OURCTW.. EYJAMMON Of NWME aFroML M 8. <br /> ].V WNWNW OUTUNES AND UXAWN OF NL EJOSTWO AND R OZED {.IOCATMIN OF WFlll W(MW RUNS OF ONE HUNORM FIFTY". <br /> STN Rfs,WCLUOWD COVERED PREY WCN A{PATpt,MV AY{,AND WALKS. ON TNfiMMRTY Ofl Aw01MNG IPo{F11TY. <br /> I <br /> OOARTMENT Iw[ONLY G <br /> a.K FeP.cTkn eT O.I. N.nF Irpsxm er OH. <br /> o.II,.INA M..elw eT wI. <br /> C. .N <br /> .UNTNQ..LY: Nw FMF <br /> .to.. FEENM AMOUNT MANTTED CHFCKJ.CASM MC..aY OAT[ NNARf IML.MOUEST NINFEn Ww.f <br /> AO1 <br />