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SU0008087
Environmental Health - Public
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SU0008087
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Entry Properties
Last modified
5/7/2020 11:33:20 AM
Creation date
9/6/2019 11:04:04 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0008087
PE
2631
FACILITY_NAME
PA-1000010
STREET_NUMBER
12
Direction
W
STREET_NAME
LORENZEN
STREET_TYPE
RD
City
TRACY
APN
23914003 06
ENTERED_DATE
2/1/2010 12:00:00 AM
SITE_LOCATION
12 W LORENZEN RD
RECEIVED_DATE
2/1/2010 12:00:00 AM
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\L\LORENZEN\12\PA-1000010\SU0008087\APPL.PDF \MIGRATIONS\L\LORENZEN\12\PA-1000010\SU0008087\CDD OK.PDF \MIGRATIONS\L\LORENZEN\12\PA-1000010\SU0008087\EH COND.PDF \MIGRATIONS\L\LORENZEN\12\PA-1000010\SU0008087\EH PERM.PDF
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EHD - Public
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APPLICATION FOR WELL/PUMP PERMIT <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,STOCKTON,CA 95202 <br /> (209)46&3420 <br /> RM7�OA0ji PER=E7x17Ef 1 YEAO FROM DAl!isIgg �J <br /> I ID.mpM{"in lr}11r{Ty <br /> i `""CATKIN N1 1261E OY MAGE TO THE"Al JOATN{r COUNTY FOR A FEF All TO CONOr1OlCT ANpAR INOFALL THE WOAx DEECWEEO.THIS"ft1CATION N MM*N CoWtIANCE NRIII IAN <br /> AAOINI COUNTY MWLOFAIEHT TRIF,CHAPTER 9.1115.7 ANO THE EtANOAml OF EAN JOAOUIN COUNTY KMM IE`LIN OOWMEO,FN1A11O1MENTAL NEALTN b ... <br />! MR AMMOMM AFI1! k/. _ CfrY PAACEL SUEJAmp <br /> I <br /> OWN[IY{HAREyy&— & Aoa/EGG- 92qu�,0. _ f��,�. x _7 'rHowE._7-2?ng �9 <br /> I 1WM/IAC N Amm. LY ICILCC�/ I MOW F ce <br /> fl1{OONTIVICYON AT1C1E{{ `UC/�� lIIDME S <br /> I <br /> rymgrWmwNmp•. ❑11KwwELL E3 w wwwrwnt 0 Alawrwomv u Q O1HEI <br /> I <br /> �❑y MWAUAMW y VELE*Yet EM RVANt ©cm4*-cowm:T REnAIA 13 vKOR EXTRACTION WELL I J <br /> I aT11w CIN1r.. H.P- OEPTN T- <br /> FvxwarrFT. FYMTWATERUME p <br /> rtrrF OF wAPI �^T <br /> 13 Oin-m'EINICE wFtL ❑OLOA1rT1CAt YVELL r <br /> �rJ Tl--—P- <br /> Mom <br /> i <br /> r o c A <br /> E3 imustmAL ❑om mor1DM pA.Dr Y1E�L ExCAYA1TON OM.of COr1DUcraR cAalIA1 0 <br /> IJ fxl#QIWICRrE1IATE ❑DMV¢FAC1(muTYPE OF oATMOAi!["FYC 0111.OF WFK CAGING p <br /> 0 PUQTCIL *"AL 13 mwm bm"OF Dom"OEAL OF CHWATIOM A <br /> ❑IOOOATIOWAO ❑OTHER Moor TEAL I'MALLED by GROUT{RAND NAM[ F <br /> 1 O YOWrONMO wwur EEALFIITNTO:❑Yw ❑IM CONCPETEFEDE{TALWOFILEMEl Y- 004 d <br /> ARROL 09"11 tOCNKIo CHEITER{Oxr{TOVI AYE 6 <br /> TROrO{m MRETRUCTIONlOIElYMO METNOP.MVOIgTAR1Y�`�AEI ROTARY AUGER CAO.E OTTTE� _� <br /> 1 HIST CMP"THAT(NAVF REPAIEp TIN A/FLL'A7101f AND 71{111 THE M'OTR 1AA11 BE TqN[IN 11CCOISI`TrC[gNTM•A/1 A]AOI/T COVNn'ORO{IAA1C!{,Pr#7E TAw{.`FIC NW!{AMO <br /> TEOVMTION{OF TW V AN AOAOUIK O01Nrr.NOW OW NEA 011MEJOrtO AOCNt'{11ONATUIE CEAINIE{THE FOLLOWING!'I CEItrIFY 1HA7 w 711E rETITOI{A N"OF THE Wow FOIITAW" <br /> TY{{ VWff N memo.1 LMALL 1107�vvwkfNlCT TO WORAMAN'O COMPUMAT"LAWNOr CALIAON{A.•CONTKACTOK{MWR011WJWCONtINCTMOMMATUmCMnIr1E{ <br /> THE LOLL •1 THAT OF THE tAIOPIt FOR MMIC117Mf I{IO{lllO.I TNAIt ETAPLOr FETI{OI1O{U{JEt;f 7O W01G11AN'F OOAiIOF{AriON IAIVF OF <br /> CALF T MININVATA:{F011 ALL AEaw1Od M A! i/Es.M+!- �O�M/WRi�O AT'tOWq AFFA FRO <br /> TI1wM x YM. �-�Ef�� <br /> ALO1 hAA Pop-1.{.Jd"we •M <br /> 1.NOM OF 61"we OR ROAD{toAmirr 10 d11 TIE►ROFUOY. O.LOCAMN OF NOVOE OFWAAE DISPOSAL TYETEM ON FROM" <br /> t.oUTLM OF THE FTOFTATY.OrA"OIIJLRTEIOIT{AND TIOIITN p{lCiJ". EAFANwON OF arwADE vow"AE{Y{7EN{. <br /> T.904THIPOrEO OWVWW AND LOCATION OF ALL FJTRrwO AND AROPO{EO S.IOCATQN OF WEUI VATION MADRAS OF ONE HUNORM FIFTY K. N <br /> {FTRKTURIL wCLUOINO COVERED AWS SUCH AO FATHM OWMAY{,AND WALILT. ON THE PROM"am AY.Al1AN0 Ngple". m <br /> i <br /> rV <br /> V,4 Cs9N1-: <br /> U <br /> Wei— <br /> JULL 17 1998 <br /> SAN JQUI <br /> �h AtLN� <br /> r ' <br /> Ol7ATI7M@1T wO ONLT <br /> A.0%w1N.A...vbW OT c 1 6 <br /> Ow. F-P I.-...d-117' ++)) 0.1. <br /> n..IR_IWatr.T d-s' t1- TM. L !`Zg-q8 <br /> 1�-2- <br /> I <br /> C..,w...A.:� b R -x9-4g o•v Drseoeuc ' � <br /> 4-J 1'fp Q. <br /> I <br /> ACCT11Ntwe O10.T1 ATOr FACS <br /> ►[COOED FS 11TF6 11AEOLN/T 11QATTFO C LM IMCOIRO AY OA f 1oNiTTAPRACO NE41AOIr NU11y91 11A101(.•T <br /> tn 460 <br /> I <br /> Pub Health Sear.•Er Mro.173(1/37) <br />
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