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h 1 <br /> APPLICATION FOR WELLJPUMP PERMIT <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DMSION <br /> 304 EAST WEBER AVENUE,STOCKTON,CA 98202 <br /> MM 488.3420 <br /> r�[ <br /> PUNI RaM 13MI FNN DAIN IMED <br /> ramplift 4 ir4fsld <br /> AFKrATXW MNW IM MAO!TO T,q MAN JOMPAN COIMIY FOR A P MW TO CO MTM=ANOION XMTALLTM WO,M 0E/CWOM TN,/APPLICATION N UPDR N COMFUAUCC vjrnj MAN <br /> JOAOM COUMYOEV9OPMMIr riftX CNAF M 961115.3 AND THE OTAIMAIM OF 1AN ANWXM COMITY MM HEALTM WMCES.WAMPRMMAL IEALIH MVNXM. <br /> AM AOOI St"NW 7600 WINDMILL COVE ROAD crry STOCKTON ,,w .¢... <br /> OMMM NANM_—J MFLI_ COVE MARINA ,.,,--A1DM.. $AME 95206 njow, 647—D907 <br /> COMTRACt1,1 NOACK PUMP CO. k/0 19403 �Awm.. 4500 E. FREMONT ST„, 504513 , 948-881 J <br /> p1e ,D„ � STKN 95215 <br /> nye OP mLmu P. Q Mw vau. I]PEPLAcnw<M Tvm 0 Mowromw WRL• ❑wfwe <br /> E3 ww u um 0 11nL 1Y1TeM MrJOR E]cpou-CO1X PwAw O vA wortNACTDN <br /> SUBMERSIBLEC},—d4N., H,,, 1 HP D”" uAlo"10-11. FONTVVAlfftTEYEt �— o <br /> VRMIJ ^EXISTING PUMP C3 aur-cd�.Enwce wuL E3 pe OMOCAL offlaa E3 swsoom , <br /> Elp"T Lewoom <br /> OWED A <br /> E]NCUFfMAL ElorwoDTTOM DNL aP Lr1Tt EXCAVATION VIA.Of CONMPCTOR CASINO <br /> a <br /> X1OOLErPIciPIRVAT1 E]OMVLLPAMORr TM OF CAwNO/eTULRVC MA OF WELL CA9010 a <br /> 23 NOIXI NNCH-OL Elownil OEPIN OF amw wAL wwwwAMON a <br /> 130E11ATTOWAO Ea DINER GROW 1FAL OWAMW WY O,Dur MIAIO NAME <br /> 0 MIOIMOIINO ONOtrt 1EA4 PINAPED;E7YM ❑la eO#fcw E PEOEOTAL w Dfduu c E]w ❑N. a <br /> APPROX.90" wMweD c"w"@Oxman 7o-O s <br /> PIOMWOO ooktINOOTNII1MRUlq MHIoOi Mue MTAW _AN IIDrmv MND `CA1NE DTMR <br /> I Helly CENTON THAT 1 HAVO AMPAPm TMN APPUCAT10N AAA MAT THE WOM WILL 196 PONE N ACCWWffPZe WRM PAN JOAOUN COINf1Y MONAMN.0ATe{AM.ANO MUG ANO - <br /> FIOUEATIOIM OP TM @A JOAOUM COUNTY.HOME OV40MR OR LOM OM AMM'@ MONATMM COMM"TM MIOV NOt T COITVY THAT N T11E MWOMAHM OF TM VMPIL FOR VOW" <br /> THIO"MAFf 19610411,I MULL NOT EMPLOY F@NOUM OlAkit"ID WMOOAM7 COMPEIOAINN LOIN M CARNMEIIA_-COMMACTMIY MOM ON MMVOM WTM MONATUM CEMDIE, <br /> THE WtLOWNO: •1 CMIFPY THAT M TOM PM1POP"ANee OF THE WORK FOR WMCN TWO PL MET I0 P&SUri,I MAML IMPLOY PUNORS GUBJECT TO WOP MIANY COAe1MI hTXM U1W1 OF <br /> CALFON04• THE _APItIC21 IoW RE A1V POR ALL RG111111®061F�{tawOR'dgMM ^E OkAW4lO A7 AMIA 1'IIDVIDIO. <br /> Mau/X � l.L/ Tea <br /> PLOT PIAN ok—t.errW O.W. •e• <br /> 1.NAl"OF FTITaIE TO OR ROADO PNAMOT 10 OR eot*#D TPlDR61N <br /> rOY. F.LOCATOP Na119e 0eWA00 OWOM 0Y11EM OR PIMPOIED <br /> 1.OuTLw OP THE PPIMM M1Y.OMM UNARNMONE AAO MOWN O"ECTM. WMANFNN OF 1EWA0[MMgOAL RM MM <br /> a.OM.ENMNWO oUTLWA AND LOCATON OP ALL tXI1r110 AND PPKWO eD L tOCATtaN OF YYILLMINT7+A1 MONO ttr OM IIII,IOP[O PIPPr h. <br /> OTIXLet-.-1,NCUJOM CCVUAtD AWM MPCU Al PATIOW ONVEWATk APD WALki ON TM PNO WM on AOJo00,o r110Ky4Y. <br /> Sa�► f,.ir ILt Cby �. <br /> ` ,... <br /> . . . . . T . . <br /> ' 'PA <br /> . RE <br /> 51 <br /> UANoL�ewe MEALT�r. <br /> E,P1V,RaVM�NL4L HEALTH,ONLS,ON <br /> TTAMIT tlsi OIILT f/ e ]\ <br /> MAMMMa AP.PPI.d N C p�,� 4 M— Y [f <br /> P.PI.ITPFPn.IPP...IPn M a„� <br /> ACCOIM►ING OIR7: ANP PACs <br /> PT cooPy ra MrD APPePINT RNwTTm c AIM T�trem ET DATE PIrMITIA ACM RIGUMT NIM OR Mms <br /> �3 1 <br /> 5 - <br /> Puh HeaM Serv..EmAro.173(IAM --- ' <br />