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APPLICATION FOR WELLIPUMP PERMIT <br /> -A SAN JOAOUIN COUNTY PUBLIC HEALTH SERVICE <br /> ENVIRONMENTAL HEALTH DIVISION <br /> „ ,O,BOX 388,304 EAST WEBER AVENUE,STOCKTON, A 95201388 <br /> (2091468-3420 <br /> s <br /> RORREiRMO�RLE PERMIT EXPIRES 1 7fAA FROM RATE Il4OFR <br /> 1R.MPM1.I.7r4he1E1 _ <br /> AIRKAIMNNIIf1E 11V <br /> III TOW OWN AAO101TAI I.TOW <br /> 1 R]�un\IIf AIANAAM^M 11AN A/.Mn11[MINw NpC 11 FHl11 RnOTMOT. 'MVxrIMIfMxI IRM MpMO•Nn IAN[F w1\II IIxN <br /> AApnN COVMV MNFlfML1fM}Iilf.CIIAnFl1 R <br /> Ax xM1p11E.011.mf blo Wds+ Lodi {� LL- yC cilrSf6 •I�o� �.1�rMert emruw 033-190 -37 <br /> 1p901.761-5116 <br /> ovnxR.NAurIT YiCOO SIW<S TYpp 'VK �'nc. AMR}f 53 Slims Ci�„¢T 4641E x. n roMrSIO-4TS'34 T,3 <br /> ceMMCNn C .T ��W�OJ� A... fR n' ! YEr I< Plat¢ <br /> -r 6 w 1I Ge«MRsk� (TEG) MMXx._�rCA4SZ4��E• ra nNKf416-b53 6010 <br /> fell cOMnMi0111Ydn (R ( 61AJ1Y MCf}Iq <br /> n+R Er w(�t1I+ ❑rxwwnL ❑pnAcfurxr was ❑u^ummxn vnlL. ❑onvn <br /> ❑pmuuirox ❑wn.L wm[p RrAM ❑emXX enRRcr rerun OvMonmMeivxvmL.__ <br /> ❑ IIP. <br /> Mnrl nxR.1 IT. rmp wA+r11 L[VFl ^ <br /> 7w1nr nom .ox NnsM 15 SC1T v'RPOr SnwLQ{e1 A <br /> ❑mlo-M pnvror—ItO mnnwfN.nl vola <br /> ❑RmMx rMM <br /> A <br /> ro1LXOey us[ oro Os wfLL NE nlxarox ertarltlnoxefle ` _ <br /> ❑OnNllnnnu pA.mw(R nf:nvx\mNy LO iylch4S <br /> ❑Q xIMMMr.inrnnCnTl..vAI( RnRInmr rcTOW.� M ^ncnflM <br /> nANITpAMIM d�E�IfLQLb <br /> ^nn <br /> ❑eMVL rA[xRi[ nAmmmlITT mJoVG <br /> NMxmpAlSav <br /> l$�' BCrS .RMexrpx <br /> ❑nMIMnxIr.cRM ❑ImNIN v "�4 Rlr�f <br /> ❑mnM1..Nr.n X01188 Eol(C go mmu\pu pxlAN rn rev -C(=CrT m.nn AMN Mu[ <br /> 1/ w U31.'Ny nlMx pM nxMM�Vr �RM. co1MRTf ROf.NN"WNT1Q V� ❑ } <br /> �unMioRIM(yrxPlln'� PrvW.] Rrc(rR�li..MMRCY <br /> A O}.OMN IMxM11[IXm1xrMMrnN mf <br /> mOmffll CRxET1UOINIXIMIIIxO IAFrIMO'MIM MIT AN_ <br /> xM M1Am MMIR Gpf O\IR <br /> IR1nIlA+MNx+M fM nnNA OIM1 Cp0111KV^WM nwNrn vn lFMpO A(I�M' MnINAf1UR mRRe,IIF NLLOw'ENOt N�TOM'MA I ifIROIYAKF puK W^IR 1onrW11R1 <br /> \Ixx RNnr In IrNKn.l plMl Nnr F4n.0Y RnfOM MxJfEi 10 WEx.MnR'r COur}XfAMM I.LLVI1 M GLROKxA.'COMMCIER.InwM E11 MLOMMC+ME fMNA\UR CLTIrR! <br /> IIK iIXIn IC[mRY11 Al.I'- MWNf:F Or 118 wO1R T^n MrfnlrO..nl'YIr I.IffVM.I01Alt!}NiOY 14nIlOXe f11R1fCT rO w0119xAX'.COMT1fA\MN IAW.Or <br /> 11"I"ry11A R AM CA(jl nplxlf M 110VxNEf rM ML pNOW.IX.MC....... AxEY}}.COMRaf IMA.A1lTM m AM. 9/1314 b <br /> I. EnJ�YOY1me��//F1'�'Q�11I Ef1Ai�¢eV RN. <br /> R.(PLAM.NSM MM 4Ne I N-1 I, <br /> •.Lv[A+Mx vI1MMIM.iWAM IXEIOEM wplu nn IMAMO <br /> I.NAYr.ON EIRE,.en NAM MAMAT+O en PAIN TOlu IIK IIrI . rRrAManN o!MwAM.IprNfM fY111NE. <br /> }.nxilnR nr <br /> 'IN 1MnInY.pVxxl RM}NAMx.AMn NMI,RRCIMX. ..IMAlON1 nF NT}I wnlM MMU.M R1f Ix11MR0 rxlV n. <br /> }.pMEXANOMn MI11^R.AMI IfNEA+uNI mAu r.NN^M1 AN IMmpn ax ort IIV Rmv On AOl(RIrNO I+VrfR1V. <br /> e\mlclvR..rrouMMR<ov[Rv ARAB cn A.rnl M.,onvtwxrs.AIro <br /> SEE ATTACHED <br /> .pMN.MMT U.f R1RA <br /> As14.W�n Aa.�N-1 <br /> IFM FMnxw�A. <br /> Ow. <br /> tl,.ky �, 4 <br /> rA[} <br /> re caeP is MrO AUOUNT AfM1}Iee CIR[.I.A.II 111 TMt"`T nA\( r6M*1•vMC[nfMREr xIM.n INVdCe <br /> 3-3 L) <br /> Pub.HEAIM SArv. Em o.1731YR61 <br />