Laserfiche WebLink
Unused explosives must be returned to the source, destroyed, or turned over to the permit issuing authority. (12108 <br />HS) <br />APPLICANT SIGNATURE PRINTED NAME Tylor McMillan <br />ATF CHECK DATE I ///, /i4 CA LICENSE CHECK DATE I I q <br />ADDITIONAL CONDITIONS/RESTRICTIONS Limited to well service work with NO storage in <br />San Joaquin County. <br />SAN JOAQUIN COUNTY SHERIFF-CORONER <br />7000 MICHAEL CANLIS BLVD <br />FRENCH CAMP CA 95231 <br />209-468-4400 <br />EXPLOSIVES APPLICATION & PERMIT Less than 100 lbs $1501 <br />More than 100 lbs $250 <br />PERMIT NUMBER -o k PERMIT DATE 6t EXPIRATION DATE <br />COMPANY NAME Tylor McMillan's Well Service, LLC PHONE NUMBER 916-761-5224 <br />ADDRESS 12302 Andes Avenue, Bakersfield, CA 93312 <br />AUTHRORIZED REPRESENTATIVE Tylor McMillan mcmillans521@gmail.com <br />BLASTER Tylor McMillan DL#B8586676 STATE CA LICENSE# 9201 <br />BLASTER DL# STATE LICENSE# <br />BLASTER DL# STATE LICENSE# <br />VEHICLE LICENSE BLASTER STATE CA MAKE Ford MODEL F-250 <br />VEHICLE LICENSE <br />VEHICLE LICENSE <br />STATE MAKE MODEL <br />STATE MAKE MODEL <br />TYPE OF EXPLOSIVE PETN Detonation Cord and Boosters QUANTITY less than 100 lbs <br />STORAGE NO STORAGE IN SAN JOAQUIN COUNTY ***I' <br />SAFE TRANSPORT ROUTE As per DOT/CHP regulations <br />HOW/WHERE USED Various well sites in San Joaquin County <br />ISSUING AUTHORITIN eV./ N.-10/4QUZ/". Cou -,-/ <br />..._— <br />NAMETTITLE rf C <br />ORIGINAL TO PERMITEE <br />COPY TO EOD FILE 12103 HS