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December 7, 1995 ��� <br /> � o <br /> DEC 0 7 1995 <br /> Public Works Director <br /> City of Stockton EMARONMENTAL HEALTH <br /> 425 N. E1 Dorado St . Room 317 PERMITISERVICES <br /> Stockton, CA 95202 <br /> REVOCABLE PERMIT ACCEPTANCE FOR GROUNDWATER MONITORING WELLS <br /> I/we accept Revocable Permit No. 95-16 issued by the Public Works <br /> Director of the City of Stockton on December 4 , 1995 for the <br /> installation and maintenance of two (2) groundwater monitoring <br /> wells on City property. in accordance with the provisions of <br /> Section 3 of the Standard Conditions Applicable to Revocable <br /> Permits, I/we ask that the rights be conferred as outlined in the <br /> Standard Conditions Applicable to Revocable Permits adopted by <br /> Resolution No. 22 , 578 on December 5, 1960 . ' <br /> As Required by Section- IM of the Standard Conditions Applicable <br /> to Revocable Permits, a good and sufficient bond in the Sum of one <br /> thousand dollars, ($1000 : 00) , has been filed with the City Clerk of <br /> the City of Stockton in the form approved by the City Attorney and <br /> will be maintained in force during the life of the permit . <br /> (Signature) (Date) <br /> Name - A2i <br /> Company: 7&a <br /> Address : <br /> Phone : <br /> \revoc\acptfrm.Jtr <br /> _ s <br /> F� <br /> s� <br /> rim <br /> iv <br />