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TTOF CA FALLUrsAFF1 0 war NIL! 0 aklia.Ani.mmr %MIL <br />tart ALLAWoom rot°11. frrtarm larAtio <br />0 KR. <br />0 OUT-OP SERVICE ,AILL <br />Of OTRUCTVO <br />morATOMmo <br />0 °TWO <br />0 CFOOS.Otwortcy mown <br />0 VAPOR GlITRACTKNO /AO11 I <br />El eTorwroc..t. Tom T ar;:ent. Nen* <br />Of PTM 410.0.1rt Tr. PRUTWATrik /AV! <br />Gara-if rek.f.,e) <br />OYME of PUMOI <br />rO:-.4 X rts4 Orr. <br />1.101 M.sor <br />7- oAmEr OF OTINIEPT OR ROAM REM/COT TO OA souwamo rioOPOrrv. <br />I. OVTIO4 01 111? lactogrror. Oto•WO ColutialoMs No* Way OWeeroom <br />7. tHLAVOIROAlfft 6/M.ROVO ANO LOCATION ON ALL rfairromo Apro pooptoospo <br />WTCrLbI, 1/4221Froma COvtr*O. AMMO MOH All TArfol. ttoviTowra, •J,TQ Tia.uks. <br />A. LOCAlThoto Of NOUN trfolhOf DI WOOAL Iran IA OR PrOCOMD <br />KAROORIV011 OtRAIROK CooPOTAL oToTrial <br />A. LOCATION tor Wflatt MIRAN 00.00La OF ow /ft/ORTAEO wry FT. <br />OFT TAIL rnortirrf oFt AOJOnommt ramtirry., <br />mir tot OWL? <br />4ototo moo.. AsoomADO Tr --re <br />; <br />o c , tallPHONNIONWINIM <br />,fr <br />('p <br />Om• <br />AOCOLOrrOde ONLV: <br />TIE COCCI <br />croLatriC ASH <br />FAO, <br />Ft c Tem Tuouiti Marl TO wit. BY <br />POPROTtlfelfiRGE PLICRIKST 01.0AOWR RAANCII <br />U-0 <br /> <br />Lfo 6 <br />0. 4i'/9(or <br />Atm. I....wk. It Vot • <br />13 - <br />Mar-18-99 09:33A P..01 <br />• <br />APPLICATION FOR WELL/PUMP PEI <br />SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />304 EAST WEBER AVENUE, STOCKTON, CA 95202 <br />(209) 468-3420 <br />lunlRERMAIti PPM!' MHO I Yip Mitt aanIssun <br />trAtivisto 7 tipleatioi <br />MmuC AVOW *flEfIEBYIAA= TAIE AN ./0A0UOY cowry KM, A MONT TO *OftinItUOr ~ran bar <br />"LWOW MUSTY INVILOMLIVa "MAL p4APTEtt 0.1715.3 italD 414.0.4. Or SAM .3oAmme rettore PoorLse MIAOW ilERIAC*d. ttAttletliteltr 14..011Wrot <br />f )Zi.°0 PIPACEL 02F.SAPM <br />0.446/1", il""c kie-57177 )14/--eal6t_Ci /,:eFuoirg„ e..Z% 7670 in21.7=5.), 5, <br /> 7 Are c, 6,p, y4 Sylc" AOOMEO"..03 ,(10,,4,41 1,42_3‘ m, 52 141:IL <br />e C#1 qco 545 <br />Atroobr o <br />COAT-RAC TOO <br />cUP COMPAACTOXI <br />FoT Amorersnarr ATmi• .-j-1 2 4/.* <br />*DOIIESOM CACI — <br />AU. 1141E WOO( olusGrAFEO. TIPS APAticATIoN I mattE COMPLIANCE Vertu SAN <br />0W.1.°*4 0 11- -0 90 <br />707 46(1-213 <br />"44,6111 7101 4.2tic MO <br />ui- e D or wet! erCAVATION - CIA. OF Copottur-ToT c.keT.0 <br />iwrontee iilit fTrt uF we% <br />0 ofausTALAL poTTar soma. <br />0 PUBLIC ImoUroCfra 1:1 MOWN frECIPCOrlOt1 <br />0 ORWOAT/ON,A13 0 OrktiO OROLff REAL WITALIZO Of GROOT SR/VOO WINN <br />0 AIONITORWO <br />r inour ZEAL MOWN% arm 0 Me coiTTTErt PCOCITAA MY OPRif OE 0 Yoe Deo. <br />ARIA0 x_ otiralilly? Oik:"_,_ <br />Apt <br />no TLooaLso o ;Hymn TO ICArroys <br />Pl ot <br />P•14 <br />P.Of-0114b COitirmocrlorgm000rsq Jo D! poLto roomy,• <br />mee <br /> AMER ok....-S C-ARLE <br />Ct toueorc...TvATT 0 takklott. Tkormerlit tilik. Of WOIA CA./OmO TITS Or extairoteigtiadysfic <br />OtrYTA OF GROW KA& <br />oTAFPI <br />HMCO CTIRTOPI THAT 1 HAVE PROPAREO TORS AINPUKATKRO 'NAT -1111f WORK WU. PA 9010f lOo AMMON/AWE WW1/ OAR JOAOLWe COURT, ORINIVARCtIL Ft ATE L/Loo.o. tuvo NAAS Amy 3.1"ATIOWS OF rHE IAN JO ArAni. COOVIV• 001.4 OWN E51 OP tieth9/10 AOTArril 10Manolt CEITrITITT 'net TotighTmek-IctTrtrv THAT IN flat ahrOATMAXICI Co. THr WORK FOR HAACO TAO fORAUT le lpB%r, I //01ALL ROT Fmolea ritAMONs stoopecr To .ro.AAFFArre COOARITRIATIOR LAWO Of CAUFOOSOA." ckoo4TRACIC/Off PHROHO OR OtiONCOPCI-KAOTHOO ascomonlm*cErowito TWE f121.1.0WWO: CfffrifY TIOAT //t THE PE•HIRMARCE Of TN( WORK f OR WWCH rtIthiTr rt memo. I ARAM 'faker nose*, IMISJIICT TO rotomoommi oo•opophooyeeto Low, OF CAIPITHAA. THE AAROJCAtrf HA/WT KM. 24 Pattof IF Atrameti TOR AU RIECOAROD OIMO1:C1IORS AT mei .404422. CoMturt oTATANT AT LOWER AKA IffoRAOCO. <br />Pc/b. eletiakth SPIV, &Nil 0. 173 (I fa t)