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<br /> APPLICATION FOR PERMIT
<br /> SAN JOAQUIN LOCAL HEALTH DISTRICT
<br /> i 16CI E HAZELION AVE.. STOCK-ON, CA
<br /> telephone 4209) 466-6781
<br /> PERMIT EXPIRES T YEAR FROM DATE ISSUED
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<br /> ,NTENDf0 USE TYPE OF WELL PROOLLM AREA CONSTRLKnON SPECIFaCAT-'ONS
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