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<br /> '>lepn�n= j� s 4• -E- 1 3's"_ !SS11E.1
<br /> �. %ERM;i i_tplilES `� YEAR FRQr' ONTt_ i5`•;Ui:u
<br /> iripirta.c)
<br /> For
<br /> � 'ick r rEe ci3
<br /> darn :he5sn Joaquin Local Hea,tn strict fora permit to ��rst63�tfor�5ewa4e�aa3Nc�h1862rg„r�weS �u.n
<br /> sis appllca on )s -. de jr, ccmplianCe w^th Sa
<br /> r
<br /> ,
<br /> �uts9�vin I:4unty OrdinancB h�,
<br /> aid F;reE ku3>5 anG Reyula* on> c9 the San JoaGarnetaca�l}Nealtn tre�, -
<br /> # it is on Name �h(�ne
<br /> _ r� - �
<br /> Address s►
<br /> �i Lticer•,se I4a.
<br /> rT i 'JLSTkdrTiON
<br /> •+-j'r ;FELL REPi.AGEME11T L
<br /> - OTFE '
<br /> P i
<br /> 1
<br /> -vMR iN<-A, LAT ION. � 1� _5v5T�M �FRFTR _ PPRP l r
<br /> SIP:fr"Tft�E"�E '3t 2 - . YccwEir iES� l�. ,— O r�G_
<br /> �i5TAF4 RLAk �'' __. -- e.
<br /> S5P�5AI
<br /> QTNEP ll
<br /> AGKICU'_T0RE WE'--_i '�.-,�..,�,,�
<br /> -
<br /> - C 0,16
<br /> t)NSTR0CTafJ SPEC:r1:.As30h��
<br /> — Fc_ TY7F. C WELT A
<br /> iROBLE REA o- —
<br /> 1 r€ v£ —.L - r- } pia, of well Excavation -
<br /> _ ._ c� manteca v � r _
<br /> - CpeF� sOtLan;
<br /> a :i , of Je'.i ,is.r,� -- -- —
<br /> _ __--- --
<br /> ry �y
<br /> mra r c�PT*ivat� 1 €€aravel PackTra
<br /> r �_ r ,� ��-�•mr
<br /> „
<br /> Delta ylEe of `.as„ng
<br /> a — ^w
<br /> _5 "'1 Ea5Lere Specikicatfnns ��- _.� -_.
<br /> Ar�Prax. _.�..--
<br /> a;. ,, _._ _ - — -
<br /> �Tepth of £rAssf Sea
<br /> 1 uaf -g f_ F gt_rta;n :• T
<br /> _ n
<br /> � 5ur€ace Seat installed by
<br /> P"one N _
<br /> Sealing Materyal (iOA 50"
<br /> _.a Filler Materia-l sSelc 50' �!Depth ,
<br /> - ' ace z9L iferai2t� iE ouD',iE. Sewer
<br /> R6PRIRtADGI"rILN i
<br /> N4 septir_ tank^or seep 3 1 avai]able ,rltnin 200 feet
<br /> :.. 1`-d=u ,jr SF O P'. NEW lS57AI A-ION g" �
<br /> pt;xn@r'Cial `•Ther ....._.._..._. _._.gyp - a
<br /> serve: Pe;3denca r- '�nt'"si.�e ....-
<br /> Nuntz�r 1f-t�edrnomS_ _�� _ .. �.� I Water tab Ee depth
<br /> i Ea:rtz r 0-f I nE units t
<br /> l,
<br /> �f ? faeC:degch Capacity
<br /> ... Method a3nRaar rt pto
<br /> a
<br /> Type Mi
<br /> 'ANK caPac
<br /> _. ._.
<br /> Y s _, Line
<br /> ka T c:kltlEllz °l Type/htT _ —_ ¢-”. ?roQE°rty
<br /> stance to nearest:
<br /> 13011 a
<br /> 10. `N°Len !r af'll es - �._ ng`h Property Lyne -- -
<br /> -. r Total
<br /> ,qt
<br /> fT�unaatxo= I _
<br /> ........�._.- .°._..-_..�_.._.
<br /> nearest: Well
<br /> '( Er, Ec1y i 1 E3'1 s4.d ltCe C£E • ---u.-._J...._..�.... .,-..-_.._..
<br /> Number
<br /> 71stloce to nprrest,. We
<br /> red th5s auQlicat7a
<br /> and that the work will be dune it accnrdance ''� -beworkwhicdyythiG
<br /> rerLify that i;-� the perforrrznce s : liaornia."
<br /> Ff t°nim' -eri_ �y
<br /> that 1 h ',a Y” for
<br /> �rc3,cr byes, tate lags, and ru,rs and regulations of the San Jt�aRuin local F4281t�c0� �arwarkrc n; ccYEpensatp- lawsnp' ;-k
<br /> it-, a nrr t.r° i c.ersed a9 it's cjgnature cerC0-in the Fnlnner a: hat-ine»thy".per nr Hance o, z
<br /> n rr, pipplay any persa° in suctl manner as to req- "p. scej fi
<br /> Ties the iarlaw, 4: "7 cert'ff Cal
<br /> or
<br /> s ed shl's A nature cert., a nsa. r
<br /> h 9 tkeor
<br /> su�tea�FlEt�tpl OY [E€;rSCtn5 sub'(, to worK-naf1'> CO?C.p�tt Sd EYOn ldw's'�c'` r f „
<br /> a e,
<br /> �, rc verse Sid ".° _ ....»- _..
<br /> pecwions. Op [siete drawirg a.
<br /> aI', r a1
<br /> ;att �uSM Title: =4h5-t"a,hl
<br /> n:„g3 �............... •...� {- �” Fr r)EoAi<'l`+�EN? ',dSE i,�ONC SC
<br /> i Area _.. _�-_..�.. tdi 369-3621
<br /> iiCEx"s iwdt?€±tA t+i:Ce€:weri hy' - ..-_......_.....
<br /> antrca ?a-710A
<br /> en s a
<br /> Qat .__.._ .� roc � _-63
<br /> ij� or rn l Hsps *-^r,n 1__ N
<br /> _„._._.,.-_...._..�....-_- Elate �. c.J Finx ?063r SLS �5c3
<br /> al Dr"rect.ran y tth `7"e-M4t/Services I601 £. azelL�n Ave
<br /> E.,t,t r anrFen to 1
<br /> ,2�.tvr.', a,1 �;ryptes �.4: -,�..__�._.....
<br /> pr,, 3 31ss rkRM'T NO,
<br /> Byi
<br /> [WITTED
<br /> _
<br /> y
<br /> AMOUNT
<br /> E
<br /> EF a
<br />
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