|
Mar 11 08 10:02a GE&R 202 `-3990 p.2
<br /> WELL DESTRUCTION PERMIT
<br /> U%JUAQaar Com ry Fa RccvmT7a1AL YKAL1R Dn•ARTIQ]Y r 4W Cu1 RIMA STICTi1..5Y0CA7n%CA 952OZ-(209)ult.lalr
<br /> tT;YJAULF.pfa(Mti (''.l.i.('irl)"yi.?n!:?1'vK(\11'l'.[l li)�5 t_\1'litl•:�t i I[\I:FK(n[:).rll ISI f1:
<br /> ,:w I.WK%.6 20 (t„n-v S4dtt'}c51 I
<br /> ouvt7r 2. rtk PuaYs f y
<br /> C-.M<TrwCtao;lDDn fas�q� ��1�dvtira OT�V�/ C']Tv!l Ta.Tllrr RflrT[Sf10 LurAuV�_{meq I S�I►'�
<br /> O C'4'7W'IJLDm,.u„rG Lt C¢-N[Maur F,"1R.TTm D.ro:_51311 01 _ �T
<br /> NxtoirAT icr:(:OM wu Yaa A i oN 1
<br /> IY.s rcwu nar ca%�T to nDowrac ('IilYYiair(/.m
<br /> D C.<+p'cll Drdling l.ioe7-c Nuu:4n EglirArion l]ale -_...,�.
<br /> O Runarai tUmte\rmiatcrn a/at Fve;unn-I:+enef llipA F]ybsiyts i.i xrme(:un:4. =�gyndt�pyk
<br /> ❑ C:lJP1[+urda,e HaMlial 7wreWnadm fix E„Plmicc. Liar-=ywsbcr kvPr.Kioh l?it
<br /> ❑ �imt/lft(IWII C.'Iarly Sh T(1-�QOrr r�flll,F:3/I�.lilion;rd Pcrrril lice Nr 1— C
<br /> ti7i..Um Uar_
<br /> O Cslifalle(xgrpsumd S,f-ry H•,vah-Llas4r Li cmv.,Ma;t+v Evli:•.Ern Wl:
<br /> KL.:nn-I'rpc UenatR'Trar ❑ lam. 0 Cd vI(n
<br /> IktxlxlSt pelni lt•ell wa(rr Conl:Inlavrr(a):
<br /> Ad}cerll pr"wfi�111 c L, Jmudlrn(:1ddti- 1
<br /> r:nawrt�•il.'G'orcr tort b.dna slx al adpsn t pr.I(>,x�•
<br /> I•:vtar rel:Wt1L C'oaSlRtrCTuaV D(T.�LL.i ❑ Op_n Bodcm ❑ (5r-1 O Oneaccd ❑ Ctc _
<br /> \Yei lay;c„Iry altac.rnl D 7'ea Q hn (:roar Sml 0 *u ❑ l-. _A(Idcw�. lydxtfaecdr..) Ilalr Dl,r:ur ----imixi
<br /> Wtll C.ondueter(:anwlc❑ T.r ❑ Air Uep[►*rcwm*wewr Cad-t flb, Ulaw,etlr nl'(:arNwnorCmlq__inelrc: i
<br /> Wr11C3drrt D�netar ___. irKs• 'frulDgrAtl Deptho—aar fl Dcpllr or radmKt bps
<br /> FZTRUCTON SY'¢OF7CA'110N
<br /> Sr,NwEMvtr ll Gm —a ._nl,,,,n_�S _n*: t•'lOrrMa(rrlal __—"-fc.m _ (�,hgrc•._.._. _f1t1o,
<br /> Wolf coon!wie mrrorafrd by am of Ihr rellowirlt atelhudc rrww ,]bp,►o R bza
<br /> ❑ ♦fmc Hr& rimAl <•f-:c-cry. V mrlir+
<br /> ❑ l:apl.:Kn ❑ Ikl7mbv;cccd: ❑ witbfry"ll kscral' ._ fl ❑ w,tlnxpajcch7e
<br /> Ikrwlin �ord a�x16••.ca;. ❑ with(»}cc6lrs - -M
<br /> ❑ Ki91 1 projectile
<br /> 'g.0vier [trAr,,jl 1171 �►.i.ne4t.r }tdl'g,
<br /> ar.dln417�wrl:d X NamCerocmt r9i lL Sof,:S-brut.fir.) 7 C:rM Chant a:rl urii?p;]µattr 7 Brnkprle:"eirla
<br /> ❑ Benronlrr(MA x&,b C •. toa _
<br /> 19xne4i k1646oA ❑ 1•mrel ❑ Fr,c r.3 13 _. .._❑ Spcc..r l: ❑ Sl,lce�abmir sl
<br /> Owt
<br /> tkal C:orw1wilow: ❑ frnmt_:rvith NiurLrprnC>T__, _—"___11 1 ❑ CnnlJelewXxUtla_Sar•faeePmd
<br /> 11L6kM- V CXXT1IV TIIAI 1 11AVp.YRCPARFU THIS APPLICATIDN IND 11JAi TIM WORK WILL OF UCNL' rN ACCOMANCR\VITT/3,►.V
<br /> JOAQUIN(.MINTY ORIMANCM STATE LAWS•AVD RULES AND REGC'LATIOVS. I,ALSO CF:RTII.1'"INAT MY WtV11RET) UCFTYF(S
<br /> CJIRRl:NT AND,1C11V}:R7TU T11F.CALIFORNIA CONTRA(`fORS ST.\TE I.ICAVSE UOARD.AND 71JAT 1 A_V UV CDMPI.TANCL N'1T1I ALL
<br /> %V0KCFJti C0MrL74SAT10N LA\Tr.,.
<br /> \71�1�11 \IVllf)IR.1D\'\.\('t:lrYlf('r:lti`.U111tl:IlF 2f\�I`f-LI10��
<br /> ('DV17iA(710ws%1CNAT((RV: � jl�i TITLI•: nl}.: .J /` �✓
<br /> MID
<br /> RECIEV- D)
<br /> IX) y
<br /> Od'a o t [ MAR 1 1 2008
<br /> {4f- D i5ENVIRONMENT HEALTH
<br /> d PERMIT/SERVICES
<br /> \Pplicali.r,Ac:ep.v:-15' -. - /"(' -- --- Url.• 3.tea_ Q .ti•�, .9 _. _
<br /> D,�11K,i7t(InfaeclirTi ll)'. JJ_\-I.��•-G.- .--.,1 I}de_� J.LSLU—_ f'nNo)roe1U4
<br /> cralnn:.vf� /Si/n �E C 1/G ,i ,7ILAt ,'
<br /> ;
<br /> I ,
<br /> PE K: X—r-4 (:txrlff Arroanr Uad[ ]n>,lmM \1'MIIDM
<br /> CwMa Ifdo M Caa� Renlrl rd liemlec Re waN
<br /> 3 1 S
<br /> nt.�u,na:ven w•e lwtrwir.r..r'A.rsac.a,r.
<br /> Z'd LbLS-8£9-9 L6 djOG 6wliuQ 801JOLu isal aE£:L L 90 LL jen
<br />
|