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APPLICATION FOR VVELLIPUMP PERMIT <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> P 0 BOX 388,446 N.SAN JOAQUIN ST,STOCKTON,CA 96201389 <br /> 12091498-3420 <br /> NONREFUNDABLE PEryR�Oy EXPIRES F tF(N FNON 0ATjjjxUEO <br /> AwIIGTwN w NERF OY MIOF rO THF fRI JOP.UI(I Yp� �p�µT TO CO,N,YSTRMT MINOR IINWr THE MRK CEOLWBED THIS AWM G,.H,IS MG,R S,CO <br /> AAOINN COVNry pCVflalltCM 1L{jF„'G^IMPfen[-111 OSMCTN`E STMOAAFOO)1F SHAW JOAQUIN COUNTYPUSIICMEALTH(f I,S.ExNbNMExrAI HE.WREN, EWIfH BM <br /> .LOB AmuEHpry.EPNFs I,yI�-C,�� mn 1.�' SRI 1/A,V/ �/II,��E.Erry PARCELB�IAMI •JL/ /1{ , <br /> .wHER'd xMm-al -!I 6E, F KA!; npolFo -TQMC [ Tye_yro <br /> coxTMCTo. �V�V?aA4 ADDRESS <br /> Ilc(__Rax[ <br /> BW canrMcron !lg IC CDLKT— -.NG. <br /> T l'R OF WELLMIMP NM N£EL ❑IEg ONGVVF NE{y ❑MOHTTOWHONSLLF ❑OTHER <br /> N,wBFAL4ATION ❑w2u BYBTFM nFpua ❑<roBBCpxxiLCT RFPMR ❑vAFOR EXTMCTpx EVELL P ] <br /> r�'RL.X'f.Sl Yvc {y'M.x L7 P.w H.P. pEPFH waren Fr. sw6T WATm L", <br /> RYf(OF NMR o <br /> ❑OVTOROFRVICfmh ❑OE.FW'N (WELL♦ 13 GO,GENPo,. B <br /> ❑CEITgUCfOH, <br /> S <br /> N� <br /> �wWEf1[AL ❑OPEN BOTTOM T �rII A <br /> =1=7_ <br /> A,OF WSLL EXCAVATION I J <br /> EI M.OF CONDUCTOR GSINO O <br /> ❑.00MEBFICIPNVATf rLMV4IAf3J 01II IQ T'PFOFCRFNGwlfL TVG O4.OF WELL CASINO {9E O <br /> ❑RIR1CIl(NIKIPAI ❑OPoVEN p'PIH"GROW EK � R <br /> NECIFIcnTwN fiS TM F-AfSL� <br /> ❑IRgBATIONIµ ❑OTNFIE GnoLR cfuwnAu[tl By <br /> 'D � OPoVTBMNO HAMf ( <br /> ❑MONITORING ObUT BGL NMPEO:{S,YW ONe CONCPFIEmEGTALWpRtLl&13Y_ <br /> AMIOL OfPlx \/ t KGWG CHCITG BOXNTOYF PIPE, S <br /> wEOFOEEO COMSTI111pIlOMIpwWNO MSTHI Now WTAIry_x AM IIOTMY AN.Ea CµL[_ QTNFR <br /> I !!M. <br /> Y CUREYT4T I MK RIFPMEp THro ugICATION ANp NAT THEN9w[vnLL SC OONf IN ACCOROAIY-[WITH KV AAWIN COVHFI'OIdNANCEO,STATE IAMB,AIp RMp ANp <br /> PHIUTATpNB OF TNESµAAMIN COUNTY."M[OWN"OR MEIIB[O AOEh`T'6 SONATUGE CERTRESTNF WLLONWO:•I CERTNYTHAT IN THE FERTORMNS OFTHE WORK FORYMCN <br /> TME PEpµTIB IOSU".ITIFYT kT FM0.EYEVApN{ CE.1 THE WOIWMR ICH THIS ATIOMEAWBOFI WA IA• BEGINTOMBWRNOOR WORGENTMCT(W MNATUHE C,,mor <br /> THE IOLlOK1Mi: 'I CEMI%1NAT IN THE EEKOWµCF OF THE WOIFL FOR ICH THIS ff WR IB WARNED,I WALL FMROY RHONE SV(JECT RI Ww1pAY'B Cq,11pNATpM IA1W OF <br /> CAUFONM A.' TN!APHICANT MWT CALL N MOW IM ABVµC[BOLI ALL.pgPol(D W SF(CTIOTN AT I'NMI IY.BBif.COMRFTE OMVRNO AT ISX4[q Al1EA IIOVgCp, <br /> w,M�eX � /�-- Tb owFv�r -➢ami�,� rcATsr ne rf� Ip-1b-�� <br /> ROT FIM'RMwv u B,Y4 B.M. <br /> t. NAMESOFOTMUSOMMAOBM"MVTOO.BpUN.wN RftR , A,LOCATION OfHWBE SEWAGE OIBWUl ITT,RE OR RUW{0 <br /> 3.OUTI(IE OF THF RORRTY,OMNO OINfNBION(µp NOIIM OSRCTIOM. FIIPµEION OP EFWME OIEIOEµ"BT[N(, <br /> ]. 04TENRONE0 OVTIIFE6 AMO LOCATION OF ALL EXIRINO ARD RgPoE" {.IDCATNEN OF WfIU WR WH MwVE OF OF(NUFpREp FIFTY IT. <br /> ETRUCEVPEB•wCLMING COVERED AREAS BMW At PATNIB.ONVENAY,µ0 WAL.S. ON THE w01(AYOR ARKNNINO PIVMTY. <br /> , Rp <br /> 40 <br /> J: <br /> .. .. . . .. r :. <br /> WCu-- <br /> �rT <br /> _ SAN1pAQ6 �.IIr_,wi o <br /> .S T'hT'ILAL7 pfF,c� <br /> PUBLIC HEALTH L R'e" <br /> ENVIRONMENTAL HE I Th'd .,, <br /> (� �7 OvµTME,NT WE ONLY <br /> APMle.bn AmyeR Br �,/p1 lJ lr�^�n^Lt - D.. <br /> ev_ OM.Z (1Addd_I <br /> wO:MB..I:..WE.:BT C./ p•M <br /> ACCOVNTMOONLY: ANN PRC, <br /> K CODIS FEFIAM MOUNT NAETT" C FNN R[CENM .y OATS FERSTEERNC(PEWYT MWINK IN 9 <br /> 55 0 a 133 <br /> 3 4 .5 <br /> S PA O—(3b y S53 <br />