|
Page 4 of 44
<br /> .APPLICATION VoR PERMIT
<br /> SAN JOAQWN LOCAL HEALTH DISTRICT
<br /> 16171 E. gAZR ON AVE„ STOCKTGN, CA
<br /> T,-T@phot^,-I;'W I 466".Fl 81
<br /> P€RIIAIT EXPIRBS 1 YEA-Ft F!i£]iY1 DATE ISSUED
<br /> Lr:amplate.a TjOcerRl
<br /> t—nYode la Corr S4,5 J6aQF l La[ l rr"Ith{S.rir G!!'Ji d 0""t I.7 cnr+si'tlar Hnr71 w�.1114e 1Fu Vm511:lrr1elrl dnccn LKH Tlxt.},+jjr[C�i rt]ry i
<br /> n•aaa.�c�+*,ptn avio, %Ju 'Aarar s wmaN11 1967 Aar Rulcnand fiellmlallor.,or
<br /> awnr•s?fx-nn�1'�fr�L�1i EC#----- 4d14t5a -__.+ '�F'.+� __. ---5'hr.-�n 7E-:l /—I
<br /> /'� r� CST �{ ! _� ��€�' •7{� �` !
<br /> Coro 'wf�1L,F C11C.t• �.trrs:_.dr.d 1S ,F"�-L-t+F Llt[nst ldLaL7 { Phane�f-.
<br /> 'IPE CF'Ait: . NIMP 4LWVVf''LL)A WELL REPLACEMENT ❑E57plDC'feSh i
<br /> ?"PAP IWALLAI ION Jill yYSTeM REPAIR J OrHkp
<br /> 3ISTANT77 Tn A'FfSR£S7 aLP71C TANK - ..� SEWER LINES -.....-._. pl$FQSAP-FLL3_ "ROP iftE
<br /> -
<br /> __ r.]YHEH 1AwLL YA•d'--- PI'e 51SUMPS
<br /> F174+NDA F19N �.. mirAICLIL'UGE WEIC. .-- --
<br /> INTEN DE.3 USE rYPL OF WELL PROA1,E,K AREA CON STTkl1CTI04 S:PEC IFUCA1H3%94 �T
<br /> 1 p 1.'�olinrra �'rdari9r-a Cal..3S 1".'cLf Ekt.YrdIAS1.- P� --- Cr1'W[ll'ta13}
<br /> .... f I OPrrit,Y.,n rlc? P..Ck .J- iratTY6eal C%rfnq_iOAV f�
<br /> h rt]Mr � .... . a'YRJ'eociio:cf ituICnif R
<br /> F I Dt
<br /> -
<br /> Irr, Approk,C*plh I I to F:Bl1',
<br /> + yet,, e
<br /> _.. 10-41 tl P f�+ _` `.r'rlale,h'arx 6.x<
<br /> I+.erLi.r'Nnr3 C]nnu .,i TV"'ul Pump ......- - -
<br /> W'eH De-slr�rllon 'wcd f 'A,,rilnr
<br /> -...... .___.�
<br /> _7 ..-.
<br /> 7en1
<br /> vlu'i -_ -.... -..
<br /> i'V PA f?F&FPTIC WMIRK NEW CNISTAL If AT U"I I HF-PAlKl aL7LI1iTIL'N 1 I t1.'ESTRUC..TI17Jd E I rN�seGsle sL^slaln i7di mrrctl.D Ip„Gc uwor n
<br /> a V.lia Lla+A,tlrur'�final
<br /> F -
<br /> InslYhewn wfl s N.N . FI'm Mrca .D+ efc.a; 9tlnrr
<br /> Yrrn,pH nr Irrcr a�rti1;G .L',s,tlh:l ae!rotlrxxara _-�
<br /> .I.
<br /> SEPT111 TANK _ Typ akin
<br /> >'1fG TPEA Th1ENT aLT I r t J rlalrh'I.d Of Ca*ir.d.l .-- --.
<br /> Q31;Ia,zcc Ionearwsl 'Wnn "rrc.r.ddLr,tn' .. ° IlVnMrry Ucui ......
<br /> v.E..Cr�lrl�r tihjE Lhnunl:d lAlft - .... 70(WI[Iq'yts
<br /> f`II.?'E'R.ILEA UnIoncu Ia�xraroaL: 'Nrel .... -- fourr�8lwr._.._-... Pre,mfTt Liho
<br /> _ r
<br /> SEEPAG.F.MTS 4jopIL9 S1Ie _ -_ ... N'umber _...
<br /> jUt IPS I ilnl_,nee o;,un-ul 'Netl - Fo�ntlouun :._ VraPdr'SM LLne -
<br /> LIrS%'17:�,.cL Prt)!u®5_ 11 .
<br /> i rwrabr tarriM u.I I it s. 11 pml ed etre Apok,,Wd iha[rrlo s JU +stl as VC a.r.,.CNlrlirtiQ-.111'3ar1 J.lpl{:A, ;,Axoy ildaa 161tr.."I
<br /> rules and"edul.boras at lira S7n Ja.IrW: t-...a1 ELeellh 0 Al"Ct
<br /> Ifualo L,-f,w m 4.;a.wd aA7er,1->,.IYgC.,rtun rYrrorA.Lha ralwwnq: -I carliiv lbar,rn the L'Arfam,Arrtv'A 11.v k Ica_1ft Ilfd.pnrrete Is udd.6"[I not
<br /> alrlpfav apy{til E In'duct,In.lrv,ar 19 Ip b0vOlWF whW-i 1a.WrkrrMp's¢ja1(,+M:fuL•iYl S:ivr:.s1 Calaonnu."LdMralCopfe Iknrq or suh[w,rla,etlnyl eipraeura
<br /> ,:tl M1`dr1.1 IAe/dlk)rY+�:..4 C[nrF�'rhel m 911[1 pa(1nrALan Ca nI rh4 u.rrlk IIs'1.fhlr�,Chn prlrmll 1a,xwupa,7 o-all annaaY ndrAnrss u,bpaCt eu.rrRnul'1.ui i CMr/l,erfsa.
<br /> E W,Ih—all clld x'.119. ,
<br /> - C.ampWla drar„nfl a"r r�.+r.
<br /> Ir"
<br /> �einr rwn tl r�'{'eop.+r �I `ti.
<br /> ... �_ FOR DEPARTMENT-USE O1w[.Y.—
<br /> .4n3,4orcr,Arxhnood LrL.
<br /> til(If•+."sraar Irapec.wn tlr 47,kre1� " �� �cxre.I_vc.4bnr.lly
<br /> AAdift,41'Cgretnehld' 0—k k3w_2�, ,
<br /> r �:-_I lk 86@$781 G IddiA $73-7504 1 �T Tlfj" R35-11�ft �,.,-�';I`ty,µAA i,.,
<br /> Apple[M ri u n all copes m:ErMicirl•er.vr He01114 14111 l05slo:rye IN1 I".rlluollan Ave..�7.0.(1C7a Z0QW Stk.-GA 13%1%
<br /> AMDL•S[5;,# .lMD%vTaC PLMrgY(SI No.
<br /> FIF n11CL�YfE1 nY L14T[ R�'A/,VT N9.
<br /> NFO
<br /> ?-`-s90
<br />
|