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Address: 10897 Collier Road, Acampo <br />WELUPUMP PERMIT <br />surJoarwrr--noun ErmnanlnnnLHutm Dermnu..ur IDan EAFr IIAilLtoH AverwE-SlIX. rl CA 152e. sisl (m) "'la: <br />HON-REFUNDABLE PERMIT /` WWWJ OV.Or IOI1J <br />EXPIRES 1 YEAR rROIA DATE ISSUED <br />.loo nmwESs Z_Ca 3k CIiYIy.L.,�r( {' <br />APR O07rlDIa V� PnnelL 6Nk�"4'`I Lnrw .A, y <br />nwrrenxFnc SGL/F,-,w� �/� (�rl�l (I r., -Fe PUrAIE,�_yy_�7� F�' <br />nwucR nunn.e!-_lril�_ ermsr•rrrne_ <br />caNnnc ton �i/Jl�s ,�, °h PIMNl�3�� <br />conimcron nhonese� /� h /- r� enerernlE¢L —2 <br />5urrcannlclon/corrsullnur /301J G/r/�!f PrauE-(�-r_Lz� <br />SUOCDUYan'c rUalfoNauLlaNr AlwnlnF - CI�LYTIStarez, <br />Lr[GN[ )QC -57 LI C-01 O D-00 U Wmr Nlwmin�7�3Bf exrrnAnorroare Z3 <br />Dauuo rnnrr rowrxn oumnmon s . rc ! rAn __ <br />DoME9lIc WELL SAMPLIIIB. r I Ge mml Mlnem9Co11(olm BOCIo 1 I4' 911' U 1 I nR (410211: A eenic 14393) <br />ro x nxm rc•nararlanxnunn <br />ERBEPIIiE mvell APrivalf rl lnigoaorUApnttllvrnl 111 vl IWe`} IIIVM nl r w,.wrra.r n i <br />/ n rumlc wear s�lnm � r. <. <br />I xww.ru ram <br />Tree OE Wonuew wen Il RlVacemenl wen II VMII 1 - olioMxplibc 1 nNrar)I¢ prem aaawt <br />aclmkal-__x� <br />n Mmnlumq WeX(q a el wcllr r1 3oi1 UmnvNcl peu <br />n Gu.ONsEA,ea wen I I ren olsnrwce wex Rnnwml D uoss,^nAne'.mMR! Y -- <br />'llllnUMe11 nrl>4Ipr4 �Rnl�e ! Il Au Rn n Y O Alpin O Cable ToW IIP n l 1 1 i' [ II r M mnmear <br />oPAxorl wallt mr_�Inraamcler [ W I.ir Yf frnvel PAcv/Grovel Site_ <br />n r�mvmr.lar eavnn m anmemr I conauGw cnsnp Brnw _ _n <br />Well C_lou feATNer in IL¢hna!•,rtiArpelnsTM SrIMn Z60 n snort sIY�D sl!(� n onw Mw+non Ual w•lIE <br />GroUl Senl DMII ]___II DNcal Gloom roalb Ano+ to onl a:lNcr) Qn J[Cmm4 J <br />I I DCIIIaYIC f:0'x. sWmsl [I 011rer (1 RAlmumrl I <br />A-1-1ol (name) <br />_.., nr____....r M.n,,,n derunr,ce r/ tree ren B Gator -- <br />ID: WP0042271 <br />'P�Nr p6tdvrmrSlM¢G IYnurn -- _ <br />I IIERERV CEn TIFY TIIAT I HAUS <br />.,ABED THIS APrt ICATIDN PND THAT THE WORN WILL RG GONE NN ACCORDAxICE WITJI SA <br />'CIEREN COUNTY ORDINANCES, STATE LAWS, AND RULES AHO REGULATIONS. I ALSO CERTIFY TIIAT MY REQUIRED LICENSE IS �� <br />CUnRENT AND ACTIVE WITH TINE CALIFORNIA CONTRACTORS STATE LICENSE BOARD AND It AT I AM 1!I COMPLIANCE WITH PLL , 7— <br />"-.-; <br />l J 2. <br />WORI<En5 c IIEIISATION LAWS. 4 - ^ — „cn�rTrnFrC _ DI FASF CALL 12091 963.7897 <br />D EP AN IMCInr1--' <br />LI GI �� Employee IDq <br />Dnle 7 0 d, I Alen <br />AP011cnllmt MceMeJ DY — --- SPECIAL WDII Permlt <br />Grmll JnspeclWn Dy Dale <br />Dale 11 WmvERRecelved <br />PumpnnspectfoR BY _ ConslnmlAd Woli D.PIh —R <br />Shc Bamg IBSP-CIwR BY _ OBID <br />1Ni <br />COMMENTS ]I)1 ." I <br />- -=1 170 -7 -4 -FTS -S It r 1$Liao nr, II ,u <br />'3yV cd�d �n•�1� � <br />Naseem Ahmed, Registered Environmental Health Specialist <br />