Laserfiche WebLink
1 <br /> ri Lo <br /> APPLICATION FOR WELL/PUMP PERMITS <br /> SAN JOA43UIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL.HEALTH DIVISION ����' � 2 <br /> 304 EAST WEBER AVENUE, STOCKTON, CA 95202 _ n: v ,E L,�,L.rH <br /> (209) 468-3420 i n <br /> NOR REFURCA9LE PfRUtT EXPIRES-1 YEAR FROM DATE ISSUED <br /> trample. M Tltp[ic�Rn) <br /> APPLICATION IP HERE BY MAGE TO THE SAM JCAOLRN COVP"FOA A KRIA17 TO CONSTRUCT ANDIOR IM6TALL THE;rMF K DECCRIBEO Tlne APPLICATION IV MAGE IM NCE WITH StN <br /> JOAdU1N COUUE <br /> NTY VELGP6AENT Tmy-CHAPYEn 9 1 t 6 3 AMU T E ANOAROB Of BAIA JcAQM COUNTY PUSUC WALTN 6ERvICES XNvIAONMENTAL HEAL7H Wv1SION <br /> 8pN <br /> Jaa AooF>EnL�oR Aold� ZOO I,tJ 1 U f A r � CITY /� L A/1G[L VIZIOAPNr <br />' GvrwEPAwl�+E rc.... l�-���5 AbvgEme fd��Cf`� i4loME FY <br /> �TTJ9t14 <br /> caNTpACTORKRI [!� AOMWO9 .� ZZ� Lles RHONE. 77 /`G311 <br />' NUS CONTRACTORADURE+e236 1L A pin—r!9f`+ _LaCs�PION[# 7—gJ ! Z <br /> tla= <br /> TYK aP WELLMUM10' Mn AcEMEKT WELL �IOWOVUM Offtl r kOTHER"" ❑WELL SYRT EM PEPAIR [3CROBA'C.W&CT REPAIR 13vAW9 ExTmvirm/l WELL ff J <br /> ❑N«+0 R.a.i7 N P LT[PTH PUMP*ET FT PIRBT WATER LEVE1. a <br /> fiYPE OF RItJIP} <br /> [] OVT OP aEA+ncI WALL C1GEOPHYe1CALET-l7wRU.I L.J F04 eOT4No P <br /> 1 C)tmvrn cTlar4 <br /> 10114 AP UiE 7YYE dK WEI.L CONSTRUC7MM ea QIFICA t0 i f� A <br /> ❑1NOU+TfRAL ❑OF'Ex OOTTam INA OF WELL EXCAVATION 04A OF CONW13TORCAOING_ _ o <br /> r❑yy <br /> 001.11101, APaIVATE 1❑�-�77ORAYEL PtcitiariE rvW OF 4AcrNaIETE[Lr C �• blw OF wELL CtR7wa � _ O <br /> IJ PU4UCAAUNICIPAI I.-.I DRIVEN DEPTH OF!GROUT URAL <br /> S] RRECIFICAT1dN .4�. SG Br- —s 2Cti a <br /> IPHiaATiamma ❑OTHER GROUT BEAT IweTAE CF��f GROUT 11PLAND NAM Of"� �E <br /> µOT4ITOF�KO + ) / l GROUT SEAL*U%4MD ❑N. CONCRM 1!'EC[OTAL BY ORILLEIL❑Yr RIO S <br /> AUOwax no""' "'4 '� <br /> LOOKING CNEsTEReb1C16tYaVE PF1'� a <br /> gmavaERn aOwOTw1iCT7alYrvOWMa MET616e MUO PIGTARY Alli ROTARY AUCCRCABL� OTwn <br /> I THAT I 14-Mit PREPAR%B YIVm^PPLICAYION Alla THAT THE WOPK VMRL BE bo NE TM ACCORDAIut:E WTIU BAw JQAOUIri COUNTY OPIUIH++MCEO BTATE LAWA AND RULFO AND <br />' ICH <br /> REGULATIONa OF THE VAN JOAQUIN COU11TY LTONF aTVRIEA Ow LJrtEMeEo AGENT a sIGWATut�cERRIFlEU TME FGLLO+MwG 1 CEITTICY 7KAT}w THE PtPP'aFWAMCE OF THE WORK FOR 1NF9 <br /> THIO PfYWRT RI LBO I B1#ALi NOT[HPLDY p[RaONa gUeJECT Tp M1OREaAwR E eOMFLrOATIOM LAWS OF CALRVOMRA' CONTRACTOR B M"NO OR PU06CONTRACTIwG XIONATUP,E C%Prri IRB <br /> TwE}OLLO1RANa e[seTIFY AT TILE MWOnMAN"OF Tk6 WOYW POR"MCH THIS PERMIT la IgMAQ I eRIAL,L EL,IMpy FEAWR+O WJJRJECT TO WOwRTAAA■rammoaAT,aM kAWN OF <br /> CALIPORMANRA CALL 7R mouna Iw Aovmmum FOR ALL REaumlIM I noNA AT 1.100}Atla+= COMPLETE DRANANO AT L.OWEA AREA PFIP U <br /> � r� Z <br /> Title n'�J�J+I D.t. <br />' slor,r x PLOT -- <br /> FLAB RSr9w IP ib1.1 FAW41 -Lo <br /> 1 ?RAW@ OF OTREETO OR MADN IMAAEaT TO OR BOUNUAN*TNI PRDf%RT'Y' • taCATLeM aP I.GueE SEWAGE otOPOOAi OYCTEM aR pnOlaSEv <br /> aUT101E aP THE FR6PE11TY.GIVING pIMENaIOwe Allm MRTH LwrtCTION EilvwwpOn of OEYYA<iE dOFeVAi eTB7EffO <br /> DIN[N610018 OUTUw194 Awa LaeAT/ON of ALL EXPOTINd AM RDPA7SED S LxICATLaN OF VVEL.Le IMT114M?Ukb"OF ONE WINCTIP FIFTY FT <br /> ETRIXTLWO.SXWMNO COVERED ANE AB OUCH M vATlee,UFIvEWAYe AND WALxa ON THE PROF'EITTY OR ADJaMOM PWIFEM-7 <br /> I <br /> ` + DtFARTMENt AUeEONLT <br />' Awn..11an A�..pt.d eY LP[(/W`ya .�'`I YfJ' ` 40 ri <br /> Gw.LF Ir,I dam 13T P+r*o M ooiad.n eT Dole— <br /> Dole <br /> C.wrwenN �� <br />' ACCOUNTING GNLTt AID/ FACT <br /> fE CO E! PEPNIFO ANOUMT AIIwlIITTID CNE AIH kECEIVED OT UA JE nn 9M <br /> FUTIHFTRv cS kratmar NLIIyvia, INVOICE <br /> L <br />' Pub Health sery r:nviro 173(1197) <br /> Z0 ��tid H007A H11JIJ EEbE89b60L 09 TT 000Z/5T/90 <br />