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EHD Program Facility Records by Street Name
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WALNUT GROVE
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9015
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3500 - Local Oversight Program
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PR0545731
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Last modified
6/4/2020 12:06:17 PM
Creation date
6/4/2020 11:55:29 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0545731
PE
3528
FACILITY_ID
FA0004572
FACILITY_NAME
LOPEZ, ADOR
STREET_NUMBER
9015
Direction
W
STREET_NAME
WALNUT GROVE
STREET_TYPE
RD
City
THORNTON
Zip
95686
APN
00114040
CURRENT_STATUS
02
SITE_LOCATION
9015 W WALNUT GROVE RD 11
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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APPLICATION FOR WELLIPUMP PERMIT <br /> SAN JOARIJIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENtAL HEWN DIVISION <br /> PRO,EIOX 388,304 EAST WESER AVENUE,STOCKTON.CA 95 I-m <br /> {299)499.3420 <br /> Rpll-REFgROAgIE Pf1lAlll EXPIRES 1 TEAR FROM pRTE ISSUED <br /> ICnmplpN!n T17♦ITIeEfp1 <br /> JOACA ATNIN N HERE Ft MAFFE IO TIOElt$RAH JflApl)•H CRONTY EOR A FFroAIi 10 CONATRIKi AIT/On OMTAIL TIN"TW OF RCT"10.TIRE Aryn1CATITIN If MARE T{CpMRIANCF Wfllf RAN <br /> JOARTRN COUNTY UEIKFO'}M.IFN7 TfTIF.CIIAfTER S-1 T'Jy^.�anAlmR Rr RAIZ MAp11Nl f.O11NtYyrlllll N.IIFALTH ATRVICER,FNIMIp NklFNTAL NFMTII TTIVl., <br /> JON AnoM AAmR A1Hl�/1�f`1��E���]S flt-! r l^E/ M61—/E (' FAnCiI lrl;•F//1Aryl/ <br /> DWIRR'R NAME Y•r l�lJ illi 'JI�SK �. AfHNIr RA�$i I J`•r�13E(�<l V W .-.]ra�xmTlgHE/ <br /> CONI MCTOR �/ye �5"� terry, .-hRNRf RR}ry�[ P��J�/��.�i{F��/R� T']ns�jw <br /> TbNE/ L��/fJ',J3?�/� <br /> MM COM MCIOn GI-?1� �--1 1--1 ARRRFRn-1�)���J�A •••E.]JAL-.[,F�_ rG1'I MNF#N6r]//1 T•n z.7`6 <br /> TY rmujpu1.—p 1_I E/wvmiG 0 lrm ArrurNF Vnf1 L lJ IAR1NIf1FwNn WF11.A ���-M-_�- V <br /> E]6TINR <br /> ❑RIRTAIf ATON ❑WTIL RYA1 EM WrAM ❑CRURA.COIMSCT MrAM <br /> ❑VAPOR[RT MC1bN WRL/ J <br /> 11Nw.VI11TM lI.F. f1fr111"/Mr RA rT. <br /> rt YFE Or ry1Mrl ry _.-.� r�-fFllftfiT WAIF"LEVFL n <br /> ��,,// lJ OVt.or ATnVM,F VWLG ❑m011lVAICAI N 11,/ 1_I AOR Nompm <br /> ,Ja+1Eeim. m'yE57AI/c t7 <br /> H NpEO VRE TY EO WELL Cp Ni{RVC NON■pECN1C Elp Np X�1111 <br /> Q INf1I1RlINAG ❑OMHAOT7OM fl�l A <br /> IAA,RF IAFTI L rvCAVAFON CCC���� DIA.Or COM]IKIOR CAMEM <br /> ❑IIT/uFRIMM"VAIE <br /> r©r�ORAYrL rACN1ROE OTVIF of CAnINRMTIrI RRC: MA-Or WRL CAS$M <br /> ❑RIM ICMIIMCTAI I.J TMpVFNo <br /> RFTNII Or nRrllll REAI R{ECAICATOH <br /> ❑mmo ATb NlAp ❑Or11FRR <br /> RRr111T RfAI Rlpt hl I F0 R V nrbfrT RRA4n NAME <br /> ❑M[+ERIOIVNn ❑r-1 1--r F <br /> n11O11T FF AI,RFMr{O; vr Cl,. CONCRETE Fj fRT AL hyn,,1FR:❑Y.. flNe $ <br /> AI'TnR,OST-fH IOCRTNO[rlr RTfR ROp1RTOVF RIF <br /> ITn►OpIO COMRIR11CnpNlmIL11N0 Mrylbp:MIIO FYITAMA <br /> ARI TMTARY AlfnFn >I L'ARtr OIIIFt <br /> L. <br /> r 1 OIRAv ONS Or TEIAT I "AAVVKMI CM O ty. ATT1-M Alu N ANO THAT 7 WMK VMF.AF 7Wf W IH AcCORRAllef Mnllf RAN JOAGUIll COLWIV OfTf/1NAHCEE.RTATF LAW,AIM n%MFA Arm <br /> 1:01* FIMIT OF TITS RAN Ae It NOT CM/HTY.IIOLTF Ou$lrn OR LICrNATO AnTHT'R AMNArl111F CFRINRR THF rottow NTLI'1 CETIIIFY THAT W 114E F4RrORMANCF OF TIIE W M TOM WlpCll <br /> NRRryr1OT MfAMIEb.1prlAlL NOT SMROY IFR Mile,"Met TO WOIrpuAN"R c0mr RATION IA-p Or CALlrpt"A,'CONTRACTORY IpIW{O OR Rflp COMMCTRRI I$olfAT7/IE CERFNRR <br /> TIN TOI.1 rnIn11O: -1 CFM"It <br /> M TIIE FFMOF A/N:F Or I IIF wnr/L TOO WIRCII IInR FfA1.M 1p fRMIrTI,1 AIIALt FUM {Aron'AVAAC7 n W Co"' AC COMFET{IA Ur"IAWE OF <br /> CAI$O11MA.'�TH+E'A�CRICANT MUR/tX'Il�24 HViMll IR ATWANCF Fml All Farr—FR INf.pCFMNp AT r]OflCOMR.ETE On.F.YNNO AT 1TO Wg AWA PI'a COSh <br /> •�"�"`�^ 1_ _ ,nl•.fr�F�_�Ft1c.0 �.t� G y <br /> r.HAMF.R OF or TTS OR ROT f4AN lllrwr rn Md.l Ffn V. <br /> ROAOR NFAIr RT 70 On ROVNIIINE{TIIE RM1fFRTY. �, (nLA1gH Or Iq VRE AFWAOF DlRrppAL RYRTSM OR r1$1MRF0 <br /> ?.OVTtRFE Or TIIE 17rOrfft".OlVINO ONAfNAONR AND NOnTIE OMFCI mH. <br /> 9,OWFNVMPJFp OtntRlrp ANO tOCA7MN OF ASL FXI*tl"AHn I'momprO ERrAHMpH Or RfWAOF d610RA1,RYpTIMR. <br /> 'T'"CtVOER,MMUR 10 COVEMO ATTAR RUCIf AS PATgl,ORIYEWAYR,Allo WAt,,R, R-IOCAtION OF VMLR MTION RAM S Or ONE NUNOIrO F.,r1. <br /> - _ ON TEIG PMPEFITY OR ADJORInlp RgFERFY. <br /> CSCE 47TAC#0 Prlt Mop <br /> .......... Be <br /> ............ . <br /> DrrARTMFNT VRE ONLY <br /> AnnfHHla.AentrfM RT Y�' O.r. <br /> Mr <br /> Mn•A h�rynFlnn Rt_ Orfw „...r.tn•nvll.n AT <br /> fnrnFwr. <br /> ACCOIIN INTO nIrLY: _-W Amp FAC) <br /> rF CORtp TEF Imp ANOINT RLHIITIFO CII[C CARII Rrc.nvrn AY I)AtE --- riTrAffFR EJ1VICE RFOGNRI NVARIn w INVOICE <br /> Poh,HAallh Sem-EnYlro.173(3196) T <br />
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