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,Le/31 '2001 91 54 2034683433 FIFTH FLUOR PAGE 01 <br /> WELL PERMIT APPLICATION FdkM SITE <br /> r� MITIGATION <br /> SAN JCAC UIN COUNTY PUBLIC HEALTH SERVICES UNIT IV <br /> ENVIRONMIENTAL HEALTH DIVISION (PHS7F-HD) <br /> G i Z 1 304 E. Weber, Third Floor, Stockton, CA , 55202 <br /> (209) 468-3449 <br /> L7a,f Twar;- iUYDI _E �ERt�B!' Xii25•''��A�FRDtit_^v:K"c i L1Ei+ <br /> ; I 4 f 'sem htore�u rade to �r�,�c to GAu r yr Farr t:J CGr s L'� an�l4r r75r #"_a�cr4�?�; ^�e i psi:aizpitiwtion r�rrt��u it Com�4i�C9 with Snr <br /> .u��,s�csur C L����Iepr�enwTC;n Cb,,p ar y.i';5 2a^d the wl�r,.�r W f Sin .c�t,qufn Cc�nu t^Bbl+t1� ,+h Spn'res Envi-c"^,�nl-i t,L C�i�ss?�n <br /> �ierertcs' TM I.t,a 't &1f a l <br /> �sir�.'.-G�C_ib,rlI <br /> �1 in'� <br /> '=•5' C:;Itraclo�. ," c•1 in rd�`rr~5� �`3z ( m��Ct�< c�Ity ti o� S „ �17S4n �r,a>71f� b3 �ilbr <br /> 4?LAA <br /> $,n s,is f>S !• 4 w <br /> esC� ✓kr.�awc<<�i•tatI.Ine=aw`"- _4IC;�: „Phone# <br /> IS Cao - -,e es fY _ ,Tv,t-uhlp <br /> -� DRr To ES t,ERFMMED <br /> ,X11(1 SLI 13 Z)ESTF`JCTLON(woasa rybe below <br /> uu �� L --5P_.;_! prSURE�R�UT <br /> JP em- CC <br /> MON:dRIititC, `'�LLOL Ti STEM asa OF 5�Rr.-H.o"� MJ-���LE µ f. ;ri 1'�s [j NO WELLS t,€G SIA <br /> Y1 s" l� (,�a.iR N�4:,9VrE T-jF�I%j EN fi4th a 7 i�.s{�sE $ ,,.T'+•(:vsp C ll; [ S7E� ,ry%FIVC lI QTHER <br /> ` R� n h'.3 RD""AF,Y OE��ri C�^PKC T EAL �i?r 2 `FR; +s" i+`` *�I3 ti �� RLGER$ POSE <br /> rK,4,°Y SPARGE eJ h MN r C4Ji_T�FZAL,FUM15E=5X40 (It 0TE"ibf- )QMUM r-KEEWFALL DEPTH IS 30'j <br /> S•}.-B7R.tkC E.-AND AVC;,R <br /> A-PROX BCR4I,G DEIi H C5"hD) `yb'r LT:-!O MAFFIC SOX or a SSTCV� PIPE~ <br /> wr vL'w �CASIc�:,PRC�oS. Ems" l'fl hem�' <br /> NOTE: OFF&TE S RIKG!4 REQUvRE ACCESS OR ENCROACHMENT PEPRITS, <br /> w.A1 THE UNM ry uNSPEC` OR 48 tr'r0F2K1f4,3 HGuRs w ADS *4rm ro ZL REQUMED INSPECT-IONS <br /> here*y se %s+at i have prepartc th:5 application wo that the work w4l be Cid I <br /> e'�ify e I'l Ao rords} ,�c7aq <br /> ance VnP.1 San <br /> Ca�sit�r C � n s, Lies d t tica�* ,and all applimWe Callfolma State L�Ws <br /> Al <br /> DEPARTMENT USL <br /> S.TE MAP IN UWT IV FILE,ADDIR�SS �_._.� � �c-1 'I �WORK PLAN UAT>ED'. <br /> r+Cpl+Ra..°m'S Agt.?t`i 0,',�, w1 <br /> Grout 1s ey an E'��_.._.. bateFina nspe" il,`BV <br /> :)�straotort Icl£visor ax Date <br /> i <br /> C�' phi s•41�"�?'Yf7!'f9�li�S7 <br /> +' ,1 I <br /> � It�d4l:J N-1 I"!(7 V14�. NyJ4 <br /> h ii <br /> j PE CdDeS. FE5INFG i c►1�+iE?t1E�T R�1l�"rYP � l<F[EwK # � it�C'U BY i CA'[t" F2y�"f;151IRVi�E REQUEST# t iHVI OIC�� <br /> ' r ...«..... <br /> C-37„—_ W- )AJA::SCR„_„_ C-57i-.e+(e; C}i �kjE�cs"tiw ,a�:i qty^r► pe-trls`7 Er'i:irLSGtl1memtioc— 3�Zf1-0Cl <br />