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WELL/PUMP PERMIT <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 EAST HAZELTON AVENUE - STOCKTON CA 95205 -6232 (209) 468-3420 <br />IYUIV-r%r1 UNUAtILL rLKMI I <br />JOB ADDRESS L_ � �I <br />CROSS STREET <br />OWNER NAME <br />ov.org/ena EXPIRES 1 YEAR FROM DATE ISSUED <br />-.-, '-1h <br />OWNER ADDRESS <br />CITY/ZIP <br />.CEL SIZE `I V LAND USE APPLICATION # <br />C1 11(7CC). PHONE <br />CITY/STATE/ZIP S-toc OU"n (3 ST'? <br />CONTRACTOR .d -� A (yoj � a& Z-4 �(ti/I PHONE /Z] 7/ '- y- Z- S <br />CONTRACTOR ADDRESS //t�'07�' :2 CITY/STATE/ZIP L1/OG1J/�_ i1' �DI*1 <br />SUBCONTRACTOR/CONSULTANT !� C!! l`� AS �L/M1. PHONE J �" S 2 <br />SUBCONTRACTOR/CONSULTANT ADDRESS I CITY/STATE/ZIP <br />LICENSE .i <br />