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WELLlPUMP PERMIT <br /> SRN JWOUN COUNTY ENNRONMEaALHALTII OEPARTMENI 1866 EAST HAt£.tTONAYESI -SIOCXiONCA95235-(2M4HB3420 <br /> NON-REFUNOASLE PERMIT <br /> /CALL HS9-7697 WR INSPECTIONS EXPIRES T YEAR FROM DATE ISSUED <br /> • J08ADOREA! /75 F6/ CmlJm S'o'il��ssh C 93? <br /> CR0a5511ffEf IgI`7G 17?ijC ;u+N�.9S=//!J— d PAR�Lsu �w,,ny� Aroun,loNs <br /> WMER NALE �Dc/�(l //��iJLP/J.� )Fi�'I�a✓JC/a�Ney�/set/,M�iw;,E a 4f70— � '� <br /> OPRER ADDRES! �f„LFy-LAl►"�-• `�'� - D/fY/STAi4RM�.� 95212. <br /> CdnRACTatSt/>e <br /> Coulw.cmw ADDREas <br /> SUeCONTi =R 'PIRME <br /> SA1CANmACr'DA ADDREBeX �CR�y�/HT�A�TE�P <br /> LICENSE C47 C41 1 D-00 n DOW NNMSSR I� '7�Y� ExPAxI NDATe <br /> ODMS WELL SAMP :C Denaal Minewi/Colftm Bacteria(4591)'::DgeumoohlOmpro"ne(4992)c:Ananb(4363) <br /> JET$ DoMSwWPnva(e ClmgatwNAWImftxel InQmhaV UVOWOUSIOMWdorkq a Sal S8MP1MChW9cWwteliW <br /> :;Publm Wats(SYINO <br /> pJMM Nm uawr w.ow5yabm Nero careN.i.aPm.raxioP <br /> TYPEOFWMK>(New Nall 'i:Replacement VON !',.Well AitermimWad atmn aOIw <br /> Montlo( WeR(s) Hdwefts :'.Shcewkoe) •eiEni" I Gaotbdw W owewwr <br /> i <br /> WU Of-s r ios V/ee I Ou-Of-SPvke WOO Renewal tt CMW-Cavlec Repair <br /> Now Pump 'Pump R em OPun ( WON Casft <br /> Drilling Methae XMW Rotary Ax RoWy ::,Au9er :.l Cable Tod [:Push Peke a Oma <br /> Props WNl Depth QD S ExaMion _mWernNa( "OPW.SONDM 'i Gnvsl PaWGmW$¢a indS <br /> COMNdw Cueing—inEMme1w I CO w CUN Dopth ft <br /> Weil Casing Diamater-6—n Thdv*fiWGeuggASTMSdrea SIGN Plastic ❑StWWaSteal (TRMr <br /> Grout Seal Dep(h=It Nes Canem(94 U bag- 109ei»ater) SBM CWOSM Sack M.W7 pal welw <br /> X Bedareie(20%SON&) <br /> Grout PlaeulLntMMhod Pumpae `Free Fee .:l O6wr ci Rour SwS/AccebnM(neme <br /> EIDUM IrwMilae SY ❑DrNw ^Pump CaBndar wT OI <br /> ]Conel'ab POOMW DDirnnulaw:VVAu_A 1.010.ftTt in :,ChM1y Bar D Stow Pipe <br /> Few r:SuGnenmlo0 Twb0S r ORwr HP Punp Set R StwMelg WNx LPrei� <br /> • 1 HEREBY CERTIFY THAT 1 HAVE PREPARED THIS APPLICATION AND THAT THE WORK WILL HE DONE IN ACCORDANCE WITH SAN <br /> JOAQUIN COUNTY ORDINANCES. STATE LAWS.AND RULES AND REGULATIONS. 1 ALSO CERTIFY THAT MY REQUIRED LICENSE IS <br /> CURRENT AND ACTIVE HATH THE CALIFORNIA CONTRACTORS STATE LICENSE BOARD AND TRAT i AM IN COMPLIANCE VAIN ALL <br /> WORKERS COMPENSATION LAWS. <br /> 5x+r1ED I 40.40UR ADVANCE NOTICE REQUIRED FOR INS; jTIOks;oPLEASE CALL�(209) b <br /> P4y4f, <br /> T©p 2x18 <br /> JUIN <br /> F Af, )Y <br /> ARrMfNI <br /> YENT UH O/�LlY <br /> Al ACWP eo By, FT- <br /> VAGate ������� ��jII`Q' Area Empbgea IDP <br /> Cmw inspection ey V DMa L Wall Permit <br /> Pune Rlspegion BY t Dae WAIVER Received <br /> Soil Boring Bwpectim By Dela Conabucte3 Woll Depth R <br /> COMMENTS <br /> • 00411111 W2 ft PE SC WaoNved Cant RW=A"d Sarvba R W.W.'s MMI.1011 <br /> Z <br /> Ero eam aA.ewwe v+ar.mwPPERRer <br />