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e <br />WELL DESTRUCTION PERMIT <br />SAN JOAOUW COUNTY EMARONNENTAL HEALTH DEPT <br />PUBLIC WATER SYSTEM D Yo09b <br />1868 East Hazelton Avenue - STOCKTON CA 932034232 - (209) 468-3420 <br />a <br />e <br />I HEREBY CERTIFY THAT 1 HAVE PREPARED THIS APPLICATION AND THAT THE WORN WILL BE DONE IN ACCORDANCE WITH SAN <br />JOAOUIN COUNTY ORDINANCES, STATE LAWS, AND RULES AND REGULATIONS. I ALSO CERTIFY THAT MY REQUIRED LICENSE IS <br />CURRENT AND ACTIVE WITH THE CALIFORNIA CONTRACTORS STATE LICENSE BOARD AND THAT I AM W COMPLIANCE WITH ALL <br />WORKERS COMPENSATION LAWS. <br />Im I UM HOUR DV E NOTICE REQUIRED FOR INSPE TIONS <br />CWIRACTORS SIGNATURE TrtLE <br />- <br />P Y <br />Lit— <br />:. <br />./pgQU� 8 <br />H N <br />__. _. __ - T <br />I _ <br />Apptico0on Accepted By _ <br />DesVucfon Inspection By <br />COMMENTS <br />ak in1 UN <br />/ nl x Re <br />CodPE ee n <br />Iro <br />t i <br />wim-alral <br />y,H✓�% <br />T wl f I m ar. WRTE W. <br />i <br />EHD X3-06 <br />_WELL DSTRlCTKN PERMIT <br />nTMaelute (!JT477VJ\/ <br />