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2-0d-1997 11 :30AM FRu o • P. 2 <br /> APPLICATION FOR WELLIPUMP PERMIT <br /> L M 0 1 7 A A. SAN JOAOUIN COUNTY PUBLIC HEALTH SERVICES <br /> LM092CCI ENVIRONMENTAL HEALTH DIVISION <br /> P.O. BOX 388, 304 EAST WEBER AVENUE. STOCKTON. CA 35201388 <br /> / (209) 48B•3Qyp <br /> NDN-REFUNDARLE PERMIT EXPIRES I TEAR FROM DATE ISSUED <br /> 1Cellp4b M TTbi4wN1 <br /> AIRZ,UTION IR IIERE RY YADE TO THE^eAN JOAOVIN COI/NTY FOR A KFYIT TO CONRFnUCT ANOMR INSTALL THE iNOW OEECMREO.TIO"APNJC"ON If MAGE IN COMFLIANCE`ATII SAN <br /> JOACUm COIMFY DEVELDPYEM TRLE.CHAPTER 8-7 7 15.3 ANO THE RTANOAROR OF RAN JOACUIN COUNEv"LIC NFALTN SERVICES,ENv,PONMFNTAt HEALTH DMRION. <br /> JOB AOD11EEp1011 ARO_ Tracy Defense Depot C„y Tracy <br /> nAnCEL al$FJAgJF <br /> OWNER•B NAME U. S . Dept . of Army ADDRFRw 1325 J St . , Sacto . X916 557- <br /> CONTRACTOR_ 1 1.- S _ A _ r _ n _ F ApINICRP SameLIC/ <br /> PgNE <br /> OURGaMTP afl Water Development CorporationADL>IP9e120_ 2KKeenn uc__ ky „C, a22L ,IIaN1f1.916 ) 662 <br /> ~ �— 2. 29 <br /> TY/E OF WELUPJMF-'.��EE❑-qq MEW WELL ❑ AFMCEMEM WEIi ❑ uONrtOPmR vrt;Ll f <br /> ry.p INSrALLATON ❑ w[lL 9YNTEM REP WR ❑ OTNFN <br /> ❑ CAOAY.CONNFGT REPAIR F-, J <br /> �,M•p ❑ VAEION EXTRACTION WELL/ <br /> fhA N�❑A.Fdr H.P RERN VVRIP SR_�R, MR WATFfl LEM <br /> RYFE OC FUMPI ia <br /> ❑ e1rt.OE.fiwVICE wFtL ❑ OEOPIYRIUI'M.LL f ❑ SOIL ROMNa <br /> ❑OESTPVCTION! e <br /> INIEYOEO YAE TYPE OF WELL CONSTRUCbON fFECLLICAiIONe <br /> /❑i WI ❑OPEN BOTTOM OLA,OF WELL EXCAVATION DIA.OF CONOIJCTOR CASINO A <br /> U OONEFNGANIIVATE ❑OMVEL PAC%1PAYE O <br /> TVFE OL URANOKTFELAPyC PA.OF WELL CASINO <br /> 0 <br /> wevGMOw <br /> FN❑OFH oEFEN OF OIgIn REAL LRC'Fq,RiION i <br /> A <br /> ❑ IPPIOATgH/AO ❑OTHEq CNOVT 9FM !NPTAl1E9 SY CFCVT RMND NAPE <br /> F <br /> /`T MOFMTOMNa ( See attached for annVi EFAL A,IN.p. ❑T. ❑N, CDI�IE;TE pEDEgTµeY DgRLER!❑Y_ ❑N. y <br /> AFPAa S.DfRN H p c r n } j h LOC%Pa CNFSTTFI SOXRTOVE PPE <br /> S <br /> FNOFOf�CONITRMCTONn]MWNa M£TTq O: MUD ppTARY AIR ROTARY.AVOFA— x_CAeCE OTHER <br /> 1 HEREBY CERTIFY THAT,NAVE PIEPAPXO THIS AITRJGATION ANO THAT THE WOP%WILL PE OOEIF IN ACCOROAACF,—WO"FAN JOAOUNI COIJNTY OPOMANCEP.FATE IAWR.ANO FULFR ANO <br /> p[OVIATIONS OF TNF RAN JOACIFIN<OIINTV, MOMS CV FFI OR LICRNR,O ARENF•R%ICNeTURF C[M ME,THE MLLOWIHM:Y CERTiry THAT IN THE IEWORMANCE OF THF'M,IIF FOR VANC <br /> THIe RRMO M IRRUFO.1 MALL NOET RP FERMM9 PVRJFCT TO WOgRMARf COMg1URON LAWS OF CALIFORNIA.' II <br /> COMMC'OP'D NIWNO OR IRtR{OMTMCTIMT FIf.NATURF CE1RtFIE11 <br /> MF.MI.t ! '1 CENTIry THAT RI T1!!PEI6ORMANCE OF TNF,WOR.(FOR%`ARCH TMR FFRYR 18 rFWFD.1 MAU 50 LOT FFFROHf SU I T TO WORMAWe C <br /> OwAgIfAT1ON <br /> CAVFpgMVY W <br /> A,' TYE AP CARET MET CALL EUPR IM AOVANG£FOR ALL FFOUPFO4WS OFjP�sP/ji1pM1A <br /> /AT I.J .OY!!, ='M TE DAAWRM AT I - AMA F Nyi,EO,I,�-/ <br /> TIN. <br /> or PUN R,....w a„w RPM. •re <br /> 1, A UN OF BTHE OR FOAOR NIARF,RT TO OR RAND H,,a TNM Mfl[Rry A. LOCATION OF,RJVRF aMA t OIRPOOAL SYSTEM OR NV)f7 FE0 <br /> t. uMF OF THE IROPF,RR,OMHO OIMFNvgNP AND NORTH DIIIFCVOH, EzvfwneM Oc vEWAOE DIE19FA1,fTPTEIIfe. <br /> J. DIMV"%gNEO OVTLMFq ANO IACATNIN OF ALL EXIRTINO AMI MoPr.F.O S. LOCATION OF WELLS VNTHIM AOMg OF ONE MJMJ160 FIRS R, <br /> STMIttUPFB.IM;LVMPOI COVLTRO AREAS SUCH AS PATIOS,OIOVEWAYIL ANO WAMp. ON THE 11ROFPTY OR ADJOINma PgPE . <br /> OIFF` T EMT VEE ORLT <br /> AseFrNn,n Aee.R!�I N "_" \ II I• DHF S� � /L ( ��4r <br /> O,M M+.wlAen BT--E� ON. Amllr+n nwrr Rv <br /> Ow. I <br /> FCCOVNTIMC OMT; AmP FACE, <br /> FE COa£f F[E INFO AAROVNT pEIAARED I CHECXIMAFN I AECEIVEO By DATE PTRAATIEERVICE AEOUEAT MUrw8M ; INVOICE <br /> °s o7 9 <br /> I ! <br /> Pub.HeeIDI Se".-Enwo.173(3198) <br />