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flay. 15. 2015 1:40PM <br />Stan County Env Resources <br />LUTIMMall1m, 2110ii Tic <br />No. 3028 <br />eIle <br />l� <br />SAN JOAONN COMITY ENVIRONMENTAL HEALTN DEPAA7WeNT 18&9 EAOTHA2alTON AvfNu5-6TGC00N CA 04205 - 1209)4U-3 b RFC c <br />NON-RRpUNDARLE PERMIT CALL 209 953-7697 rpR INIPOCTI0NS EXPIRES 1 YEAR FROM DATEI—- <br />cumm-Amm <br />f <br />4500 MULLER ROAD STOCKTON / 95200 rgNr1oa AOORa --.._..,..,_..caN�(R SLgVsCRO&18TREET,_BORBA ROADApp 182,060-IS-PNtCELSi2Ercrc��`c•L,WOUeEAPPLICATTORpRE•S�M�NCd. 7D�n+etNnneLO0 C. AIUSSI iNVESI'MrNT. L.P_ AND RUDY M. NUSSI INVESTMENT, L.P. PHONE�URCeqZA( �vOwwEA ADDR E4a 4382 MUILER ROAD CIrv16TATEIZIo_STOCNTON / CA / 95208 0 wOne eo,roo NflingB Pump (925) 711`5-2016 <br />_ ^.. _ PMo Ie------------_-� _ <br />3494 Camino Tasa4wa 94 - <br />Corrrnnc" A0Dn_gs--------------------_- +r, CciY19uYE11lv__ D)nviL Ca BdSr]9 <br />_..�...--------- - .0 <br />SLIBCOITFLACTOR <br />9u9c ONTRACTOA ADOftle ---------- -rr--- Cfry/9TATM/Ln,,.-_ ------------------- <br />Locdrstt )$ C-57 ! C-91 D -W OIIkr _ _ HWIBEA_10025T2_ ExpiRATIONDATE___ 0412017 <br />GEOONAP'N {CALINFORAUTIONi CooTdlnaUo XY_ <br />631169 699 TovmsN IN. BE. 30 <br />P _ Rango_�_, SeeGon_�_ <br />jwww-um ID.w m k PAvale IrAgetWAgrl virat . InoL*trial Water QuAty Menllorin0 8oII 8arTP!inglCharaclen al onA r � � <br />.a FiaUkol <br />Wer6yim <br />te_---------.---„------- <br />PON <br />151 a, O.naer: �vewer Jr P +%ia -- <br />TYPEOFwoRK �Nn,.Wetl _ Ropllcenw(Wo i We0Algrs6oVMOfffica6on � Other_ <br />I Monlloft We111e)_- 9ofwello :! Sall &�rirsp(s) .-.._ aot wipx Geo(ecrm-N. <br />' I Out-Of-$OrVID0 Woo ._ Oul•OASMVka WOII RRhereAl cYom-Gonne len Rxapair <br />- -7 Hzv Prxnn P�imnRi:dar.�ih�8nl , PumD HAenlr Raise We11 Caa6in ' <br />W bc4*Qd <br />DIIIRng Mo,(hod XMud Rotary ' Air PRIory ” Avgtr P Cance Tool _ Push POi41 I Olhof <br />GropoSedWell Dep11L_300 rl Excavation__ZQ._•_._Ijdlameler i Open 13009M Gr,-IPa 'ra i er <br />co4mclor casing - __ In �tlrDatU I Corrlu0or Ca,iAO DeplT ______-----_n — <br />Well Ga91np DiimBlor _I0 M TMder9seJ(iavle7ASTM $sled _'� 'X Sloo1 Plae6e . 91ah,Iesn 5(eel <br />tfrouIIgo at OopthR Mc.1Cement(44lbMIY6.10go/ K6fa0 AgandComonl _}!l1 enA6 vy- for <br />B4rAon4o(20%ov5d9) .IOthe/ <br />Grove Plxemenf Mellwd tX PWT ..P/Te Fell 1. Other f�'elerd7nllAccelerelJT(nUmo) --__ <br />Peoeam IFIM11e0 By ; Driller X Punp C« l,a'-tor Ole+ <br />Cont/etaPodoel.l''DimensionsrVlidth ��n Lergln w fl Thick .n Christy D.. - Sloyel'lp• <br />P��btfl 'I $ou"Or11n14". 7urbin6 I Other HP Piyny Sea it Sknd;N'Wsr LeYel n <br />1 HERGBY 019WIFY THAT I HAVE PREPARED THIS AAPUCATION AND THAT ta <br />TNG Wom WILL e DONE IN ACCOROANCE WIYN SAN <br />JonaUIN COUNTY ORbINANCEti, STATE LAWS, AND RULES AND flCOUTAnoNS. I ALSO CERt1FY TIHAT tAY EgU1RED LICENBC 19 <br />CURRENT' A14D AC71VE WITt1 THE CAUFORNIA CONTRACTORS STATE LICENSE BOARD AND THAT 1 AM IN COMPLIANCE WTTH ALL <br />vvOFKER$ C.Omp!;N ON LAWS, <br />MINIM OUP Ab REQUIRED FOR INSPECTIONS- OLP-ASE! GALL (209) 0.53-7697 <br />skrEo_ -- ----- TTTLF PreaMent <br />Received <br />DEPARTMENT UM ONLY <br />I � <br />AD D&, AepDy ___ .cl --__- Da19 _ i -- ae3-�� l --• I:mPtoyee ID4 <br />lraUulnd <br />c oa, In*oaon By Dela-_ 8PECIAL Well P0fMh <br />Plrnp InspacEoh By _----. _��-.------ Dale -------- ) WAIVER ROCetied <br />Sol Idoring Insperinn By _ r� Wile <br />Const[Wed Well Depth ....... <br />CONVAENT S _ 4J� . i>.E -. 1�d.l i.._N C — -� . i i u �' L• yr �- air+ <br />A/1 -c dry <br />AqY <br />%1 RF�F,y� pT <br />4,� <br />�' 4Q4by <br />Mi - <br />