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a " XZ <br /> WELL/PUMP PERMIT r' 3 <br /> SANJAQVINC011M'VF $KWINMALHEALTBDVARIMM? JME WLSENAVL]-FL-SmtaiDN CA f33/F-(1111" 3420 <br /> NON-REPUNDARLE PFRMIT LL CALL(209)951.7497 PDR IY%PECTIONS EXPIRES 1 YEAR FROM BATE IMED <br /> JOI ADDA!'96 �/9 n/ N. ONIDISEL/C1J �o6/I� 1�/ y171 C/CTGI.P <br /> "Oss STYLET J*,A"T� —AM�O/'�/-�3j *PAw/Enl.)9aROw <br /> � .ANO IMEANILIGTNNIg <br /> O.E.NAM. 5Ty c972%N 7"FxM,,*e GLI. FIRM tlD <br /> Ownr:NADDaW y/33c Al- apoA%�Wl+7/ 5T_ rnWSEwTvuP S7r�tK-�yeN <br /> COMnACIOR KFC/nIfDEPP /IVIG. .e�P1l�o�nc iYCJ�/7rb'/��.5 <br /> COMNAL kAooRg`a �I.. J)AYK iE S-T Cm/STAlTlLu�i,Li((T>Arl�cH�S�O s� <br /> FIMOMawtlOa ��}MAL'-- FRONC Y <br /> SLKOMMCTOR ADO�RE9L CFIYdIT.aT'Zr <br /> Lf <br /> LtcCNSE C77� ❑Cdl 13 D49 ❑OlhT NUMBER 3- E%vi"T1ONDATC O <br /> GCOORAMH LINMIVAATNIM CIBT11111A1e X Y Toweshlp __ Range SN1ba <br /> IN DUW ❑DomatidPrIatC ❑IrtipYpJApiculWnl 0ldustdel ❑W.tct Quelily ManiiunnS lsm FCb•ncl smboa <br /> ❑Public Wwe S <br /> vatn>e+r.. � ua m ice. <br /> TYPEOF WOMB ❑New Wdl ❑Replrtemmt Well O Well Alssrs s od,Radoa O Tat Hol. O Odw <br /> ❑momsoioe Wcll(s) Mafwclls ❑Soil Bwing(s) rerhwwn tedmlcel��rOrhOaen <br /> ❑WcU lksleuctian ❑Out-0f-Service Well ❑Out4)f-Smirx WdI Rrn l <br /> ❑New psoo,, ❑ Ro,,Wt ❑P air ❑Cmm-Conrlcuoe R Ir <br /> WE W CON8I11UCITON /' <br /> Drlllt•g Melted 13 El Rohn, Ab Rotary erg.-v� ❑Gbk Tool CIm <br /> Ph Point ❑odssr <br /> M1epN WellDcplh s-ate R Exavatnn Y.�. In diamon ❑Opea Bonom ❑Gl.N Flick I Gnwl Siu io dianskr p <br /> ❑CmdlNra tieing in dumeterTI Coad IorCsing D.* R <br /> WWI Cadq Diam ser_in ThkkneadG•EgdAS'TM Scbed ❑Steel ❑P1.1ic O Stainless Sud ❑Other <br /> Grout Sul D t1t A ❑Nat Cenienl(9I B ba,1340Wt waet) ❑Sam Cement moT mla 17 Rd was <br /> ❑Balodu(20%.1.") ❑Mand Spa%solids % Name ❑Spam lie Filc ❑Secs Slbonikd (� <br /> G.am naeaeNl Metbd <br /> 13Puffpd ❑FWF.P O011ur ❑RelWaet I Aaderttor(same) F <br /> PrwTeAL I Im.11ed Rv ❑Dnllcr ❑Pump Convector ❑Olhc <br /> ❑Coarete Pedestal Dlmemlam WidM 9 I wh fl TMdt in ❑CMIdy Dox ❑Seo.Pip• H <br /> Pump ❑Submenable 13 Turbine 0016a HP Pump Sm ft 9nali,BWwalml ft m <br /> WeeL DesTaurnON ❑Open Baum ❑Gaal Pack ❑Uncured DOda r <br /> Welll)mm r Fm Tml Dad ft Uepdm Wa R Cl Caaisg Mbe Pertmld cramp IF 1. a n <br /> Sehling M,t.d.I ❑Nat C.,(94 to 6aT/5-20rv2 wan.) ❑Seal Cew,mt asci M¢r70 w+kr at4TB miaPtww e,T VLYcwt <br /> ❑Bentonite(20%solids) ❑Memfwxwet Spc%nlidtNaos,_ ❑% Spas un Fik ❑Spc,Sund <br /> Plaemem Mdbod ❑Pumpd ❑Fla Fall ❑Olhw <br /> ❑Complete whh MUFhroom Cep ftbelow We O Cmplm m Brining Surisce Fd <br /> 1 HERESY CERTIFY THAT 1 HAVE PREPARED THIS APPLICATION AND THAT THE WORK WILL RE DONE IN ACCORDANCE WITH SAN <br /> JOAQU1N CO NTY ORDINANCES,STATE LAWS, ID RULES AND REGULATIONS 1 ALSO CERTIFY THAT MY REQUIRED LICENSE M <br /> CURREM A ACr1VE WITI IE CA ORN DMRACTORS STATE fACLNSF.BOARD AND THAT 1 AM IN COMPLIANCE WITN All <br /> WORKERS PENSATION <br /> 1 M 0 1 R ADVANCE NOTICES REQUIRED FOR INSPECTIONS <br /> S1WFD Trlu�37TrE -FA1CC�tK>C�.{L D.. 7 b <br /> i r,1� IYrJ <br /> f <br /> -15+4. A •... <br /> dNJ.,4a. <br /> / /1 DEPARTMENT USEON Y <br /> Application AcepRA By /e/4! D.Ic 41-710Na ZTf Empk vc IF <br /> crow Impaction By D.(. D SPECIAL) Pernit <br /> Pumplmparbn By Dau O WAtvERRwWvod <br /> �a mepecdm By Owe Canwri etd Wall DgWb R <br /> COMMENTS !lam ALT,4 /!fr e� ` �fiJ=lll�a lweyia'/CL/�•c�,�� iG`/L-J'/Q 1/.a4 <br /> R-+� .lcr Ass aw- -4v-- 0 . zW,--,,WwAys <br /> FE Rad,sd D•u B <br /> N Weft ID <br /> info <br /> Fill m <br /> Cost" R Rskud <br /> q3--F- 0 ry <br /> atnewaM NwxTu wwTEe wwt.rsRMD <br /> imv,en <br />