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Site Address: 11957 Jahant Rd, Acampo CA 95220 Record ID: WP0041963
<br /> Date: 5/13/2021
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<br /> WELUPUMP PERMIT
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<br /> ` ,�' 1 HEREBY CERTIlT THAT I NAVE PREPARED TMS APPLICATION ANO THAT T11F YpgN WILL BC DONE IN pCCORDANCC WITH C
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<br /> • +��'R).`�.`y" JOgOUIN COUNTY OROINdNLES STATE LAWS,ANO RU E R Slgnlam VJaki lexN °
<br /> f i rF`.�i CURRENT ANO ACIIVE $ANQ REfi41LATIQNri I AIS,rJ C \ ).j
<br /> i. 'T� WITN THE CgLIPORMA CONTRACTOkS sTaTE 4CEM9!BDagp AN
<br /> �• t �- _ WORKERS COMPENSATION LAWS- � � 71R1.Y REQL'IREC IJCENSE IS 4�!
<br /> MINIOU-gDYANCE NOTICE REQUIRED FOR INSPECTIONS. K COY"LLANce WIrIMKL •
<br /> Y ` ' srarLD v Tlne Ot(.A1s PLEASE CALL(209)963-7697 I -3 2' 33 S
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<br /> IN N'ryEPARTMENT USEl
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<br /> Grout Ms TIDY
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<br /> 1. WANER Received
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<br /> Francisco Garcia Ruiz, Environmental Health Asst. Page 1 of 2
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