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APPLICATION FOR YIELLIPUMP FiRMiB
<br /> 08 I MIN COUNTV PUVLiC 11EALTH SERVII:F5
<br /> ENVIRONMENTAL NEALTH T7IVI�RFIAO�FN1
<br /> RO,BOX 98+f3,%4 FASTV EBPEA AVENUE,S VIAMN,Obi�S !.��@ :' •.,?%j��
<br /> 120914®9.3420 ` '
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<br /> AKIKAYIDIf IB HERE BY MADE TO THE OAH VAt7UVl COUM FOR A PEMUTTO COHIrTPLUCT AtMjOR=Tf.11.TFL'UN9rz•:be`6pF3CCO.7Pi1V E:'UCATlDPI lO PR,U):CI Comi,UA 7f;VNlfi EATI
<br /> JOAMIN COUNTY DEVELOP#IEEET iTELE,CHAI'T A Q. 1116:3 APID THE$TANDAR0B OF BART JOAOUIN CDUirry f'WC HEALTH tMVICFJ,FNVIROrINT7fTAl IIEALTH OMOION. ,1
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<br /> OWNEA'9 PMALE AOA+tE6p `„476J }/ 12—pr�7/.y FHOHE 3'•7'2112.
<br /> CONTRACTOfl QD�µ'� T r}I L ,�•'�,IG� ",C€`7+�} ES K91ll E^S eL/�"(dK / 17`,1,Q �rlffr� l�z•f UC9 __/} NW ldb
<br /> CVS CONTRACTOR' �(ZI L-L.II1.•-•I1QIr 3�•O 7 �7L'✓F�^r- AWx,E /`•%Y>•+-f I�TI {p7�OOT�A �IJCA r `I G PHC70,I F �`�5y�, .
<br /> T-YPEOFwEU/PUAIP, 1133 HLWW;LL �nt�-1 mm-Atl/RHT WELL IJ V019:0FQN0 vgLIC1313ry OTHER _
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<br /> l--I DLOUOTFIAy ❑OPCN BP um WA.Of WELL I;AVATIOH- _14 R DIA OF COP7DMTOR CAIINO O
<br /> ❑VQPLT}PK:RPJYATE ❑DRAYEL PArKrv4E_, TYPE OF CABIHOIETEEt/FK(� ��,r�, DIA.OF%VM CABIPM p
<br /> ❑FVOUCNUNFCIPAL ❑DPfVEH DTIrfHOFOROIITBEAL /(•[ TI P��LE�� LFj T..1 OKCVCATION ^� R
<br /> ❑�j,�IRR'IOA'wnua ❑OTHER OPdVFCEALFIETAUZD0'! U� L)f2T l.Lf Al DAOUT!MND I7MIE E
<br /> .p�w,,MAI,,AO GEbTFc-w/ OPLUT BEAL.WLIPEO:,%axw ❑No CQMCRETE F�LrEBrAL,fY tavLLER:❑YsF I Va s
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<br /> FAOFOE[D coNATvkAxnolflMtUNO METHOD:UUD ROTARV AIR AOTAKYAUIDVL [AALC OTNB11��
<br /> IMAM CEATVY THAT LWVf I+TEr•ANO 7HI4 AmreATmN#)ID THAT THE WORK WU BE DOHS LH AccOKOPKI!IMM IPMI JOADVIN CaVNTYORDIHAMEF,PTATE LAWI.AHO RLIM AND J
<br /> REOULAnONP OP TH!CATI JOAQUIN COVE' HOME OWNER CRUCEHOED AGENT OIOHATUPE CEITTF1EC THE FOLLOW Nd:'I CEHT,FYTHAT OI THE ttAFOPWANCt QF TN0 wOr1(fOR IYIPCII
<br /> TWO FEAAITTIt IP}UEU,III IALL NOT TwL4Y CERGONO AU OJ ICY TO WORkAIAA'P COMPWA-MN LAWS OF CALIFCPM&' COHTMOTO FVQH(RING OR IVB C DNTRACTINU OIOPLA7 URE CtRTIFK0
<br /> THE FOLLDYANO, 'I CEMI Y THAT M THE PERTONAAHCE Of THC WOTK TCR WIRCII TI11P PEPMTT IO IBEVTD,I kIALL EAIFLOYPEAOOHB OIIBJECT 70 WOFMAN'1 COMPDMATTON LAWS OF
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<br /> PLOT PLAN(Eh- P4041
<br /> I.HNJLO OF ormt7o OR ROADS HEAMarr'y0 OR POUIMNO THC rrdf*-"y. 4.LOCATION Of t1OU IE UWAOE DIMBAL WYVElA OR PPKIPO ETD .�
<br /> 1.OVTLIIE OF 7HE PROPTATY,CMJO OI►IEHIIONO AHO IIORTH D(MCTTON. ENPAN1ION OF SEWAGE OIIpOM OYETYLIO,
<br /> }.OTJLNOIOHEO DUTLOTEC AND LOCATION OF ALL EXICT WO AND PNOPO IED O.LOCATION OP mup WHIN TLAIMA VF ONE"UNO tD FH7Y rt..
<br /> OINXTINIEf,IU0UpLMO COVERED ARug€WN AV FATIOB,9MVEWAYO,AND WNKR. DN THEPROPERTY Oq ADMMPTO PROMI Y.
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