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APPLICATION D 44 - 3�3—I <br /> SAN JOAQUIN ENVIRONMENTAL HPUBLIC <br /> EALTH D1ViS� <br /> d95 N SAN JOAQUIN.PHONE(209)/6P-342� µ <br /> P O BOX 398,STOCKTON.CA 95201 ffOS88 tt <br /> (CompleTe 1D Triplica <br /> ApPliwtioa is Aeteby made to Sun le4"4t Cpunty fm a Pnmil to conaMxt NndAw Install the r'elt Morin daacrl'hed.This application s meds In cnmPlsnee.hh Sun <br /> loyuio Cooney DmIcIpenem Title Section 9.1110.3 and Section 9.1115.7 and the Rust and ReEtdatlw of San),"in County Public Health Semite, <br /> ,,no A" -.74 So- /5� �/1rrTo.rl A: /� CnY ///q'=+/l bl Ntae/Acrw6e <br /> O.wvIY Ae,Yeff y t J� .<I ��CR%l�•/- �� Plwne <br /> Cptttacla A- S-T'��1•'e»�! At dteff ___[ (L�. 5;!-"/ SY L,cente Ne. o t�'' Pnone -�'� <br /> TYPE OF WELLIPUMP M Y WELT U WELL REPLACEMENT i DESTRUCTION C1 wt or aerYloo Noll <br /> RUMP INSTA-,ATION C SYSTEM REPAIR OTHER O Monitoring Hell <br /> DISTANCE TO NEAREST: SEPTIC TANK SEWER LINES DISPOSAL FLD._ MOP. LINE <br /> FOUNDATION AGKICULTURE WELL _ OTHER WELL RTS/SUMPS ry� <br /> INTENDED USE TYPE Of WELL ►1105tEM AREA CONSTRUCTION SPECIFICATIONS FAymENT <br /> 0 PM9oloo ❑Open 6ottetn ❑ Manteca Or ofWal E•eawlcn Dig.RTC <br /> EIDr <br /> Ptak a/hWaM ❑Doves! ac <br /> ►aea Cl Try Tune ar <br /> OI Cne- Spec, <br /> I'I ntlk fl Other fT Daher DopTln of Grad Sul _ TYpa <br /> I I oVa <br /> en _A VV. OWh I I Eaetan S'Aan S"hotfo ed DY SAN JOA'U- --- <br /> A - ~Owe U TYP at Pt H P. Sow Won DoneE t�j1lVlSl�f'! <br /> 9VM Deesncten ❑ <br /> wait Dv Sarna Notarial A Deets <br /> Doom_ Twor Nrtererl A Deyts <br /> TYPE Of SEPTIC WORK. NEW INSTALLATION I I REPAIRIA001TION i I DESTRUCTION IND wary•••rove ernwwd a pWc w,MP o <br /> A, er pa rwtM 2W 410I.1 <br /> NMIeawlwt M woe: ReaidNtn_ Calrnwcw_ OIIrr . <br /> iMeow M E.bq MHw:_ e" am of sedWorina <br /> 1 Dheratwe eE am as a A"of i EMD —W~to"dwh <br /> S[PTC TANK )( TYPe/AME C"WAY /V vV 14- F.-CorltparNNPNa _ _ <br /> PRO.T*tATMENT PLT.0 Motsed N Dopwal �I <br /> ^»tarn a trelew. WM FVm G P111"LSM G..17fc drli <br /> UEACtsNO LINE L- Ne. \laptln W Irco Tow lor'9IN/aw <br /> FILTER RED ❑ Donate w brow: Was lowwtcn Properly LM LL, <br /> SEEPAGE PITS 11 O.Po Sive NI.nWa <br /> SLAWS LI Dseaooa to,trove: Wtta FOINndolcn P.ow, , Uaw <br /> I DISPOSAL PONDS O <br /> II 1 n-ob,M to,NW 1 hm P"Pamsd RW nook a tNt Te+wL wJ Ito done In wcwdwKe w Sat JWetYt cwnor wd n ".waw bwa.and <br /> nM send raEu, M the Son Jow"o Cawty <br /> m,,,wwr w Aeawtl gMn'a W,,M,V, t14 Ieao..Pp: "I nrNY that to tM'talwlnanc*of re warn IV odnleh TM Pwnol Y MPMd.I ahM net <br /> f aoOwY <br /> tM wo PNRe.iryso, w aucA Ilnlnrna w w eatarM aueton a trw..ortnwn't CpinwnMlM IMeo W CRMw..o."Demrecte hwnE w ouLLtwNncleq wPlaLve <br /> I aaNMfMa :'l torMY aM w Line pvlormunee y.wA b.Nn.eh dun worn o arnod.I alWntplo <br /> ar Oareetne N ausraeT w nowAlrtwi a torrowrr <br /> I tblt tow of Cawel"W.' /a`u-.-ac <br /> The spokafrot <br /> SIMIM X� ' '^��/~ '�^"'a"' Oondow drrwwtp en lewoa sea. <br /> 0171 TMT: /SGC E-,,'G� D:r 6,Z114"; <br /> I - r FOR DEPARTMENT 0M Y' <br /> ONL <br /> APPErpwt Aaaywd for y Data we <br /> PN w OraA YNp.Nwt w Dwa Few Inapoedwn 1N Dewe <br /> /1eQNwr GenNtnnw: <br /> 1 AFPltc.1 Eyton All a"Iso, to; Sw leepoll Cbam7 NMN IIaeMA Senba <br /> Fw.Yeeweow <br /> Sr loeEls'N poo,F Pawfl/Serrk'w <br /> W K P.O.Bee IEE.Smebst G 93701-0ME <br /> t "a AMOUNT ANOINT REMITTED N A o"We"D 1Y n DAT/TJYA� "owl No <br /> / R <br /> h nal _ <br />