|
� rw€a .nt .iE> W, aer. SITE '
<br /> 600 E.Maim Street, 5i&Icon;CA 95202 ,QPA ITIGATION
<br /> (209)468- #9 T a (^s39) 68'; 35 rc _ hcl
<br /> UNIT IV
<br /> 13bRE-ftEFONOA9LE AERP IT EXPIRES lt"AR R30fill DATE 139UED
<br /> Appl!caiion is-tre d[W Tr R(i' G San Joaquin Count}.fora the Wo k'.destritred. M!is appliZ�ill ra is fiia[F�j ih c,?,'mljlibmA V.:€7'.,San
<br /> Jdji gt<rn County bev=lap aenl Ti0e,Chapter 9 ,M5;3 3f 4-&bWfidards:3i'8an JoaGuineCaunsy-E66T&1,)11`6181.f-kaflfi Gep amid i.
<br /> 77b 'ST i:'iT 99 FRCIit'I G #�cMT' �tssessorfi
<br /> �k x71 G rcl,FJ2f 5. :366 2Ll-C.50i,01
<br /> WELL Lo'taiitin y;Gros.?SireCf City �t3. . F a re!�f_--,_--_�._
<br /> RROPEFLTY 4-Q'l'!• LllgWQ0DzXWE ;0A LB-r✓ 9's6 51,,-53'0-VtJ.a
<br /> Z0 (�Suraen
<br /> (7-57'0bWr'caS:(arALT- �l7eLJ. .E:�i�r7�VN_wNT� `Ait'ldregs 3803 I,?35.�,-pS,?s?3'T S�FiisG—WY Fe��j:S�PT.�`car{L"Fu-i}jp 3.5,5'57, tick`,g4�e35,9 P; " Gr ,)dL-
<br /> i - SQrr a
<br /> 1 hrZRGhTh1> 37AL , II'2, Smtlw IWAE7 TC?-IRTfON 4G"-„-G't'G
<br /> GansultanfA r n.�,
<br /> it Ai1d€ess _ . _. .. .. > i Iirl ...-._ PP onelf
<br /> GIS&:-oorcliraless X Y Tpwnstilp; ??xrge se.edan
<br /> i+rt6-RK ToB-L PERFt}RhMEb-
<br /> q SEW WF-LL 113.QF2)fjG iT,.'3EOPRd$E,H�]D.ROPL!N hl,-}dANi-MurER.OfFiER) E8TRU,6Tl0N Ifh4ose-tylse 9brow)
<br /> �V :R EfQkE [D€AiVLtER bUAy"_EG
<br /> I11 Lk �R}
<br /> R FRFR SUR GR01JT
<br /> RU0i LiE-t.A�.1UN5 7 yl! .:
<br /> O.UtJiMPKITS; �-vtL 'Tj 3F:tai.=STRm--Zn: tliw-5
<br /> TYPE-OF`WELL. 1t45T-ALLA7ION TYPE ':CC3NgTFt!ICTEC5N;�§PEdIF.fC IONS
<br /> IJIOfiI(ft]# li�IG j}i 4bl_L W'5;i FlU 0A.`C�i-6OT?.ab” � Ij MILL!P'LE,CASING5 [�TtilE3L T€;LcVEI WELL;CING U.iA � it
<br /> Fj:��CTRAC-_$QN I�.A7R�RAMMEWDRIV/EN GAS€NG'T-KOIME-SSS TYPE•OFCAS€NCS: gigTEF- [I PVC' D7OTHI✓R:: - -
<br /> [(`7YAPpR: [j:AIiUD'F2bT'ARV DEPYH : G'OL1T EAL TREII I,T-RETG$E t15E(7" 4Lj E R5` [i IaO E
<br /> OZCNt= 17`P`USi 1:F O60T�G1 or cPTjG12CU1 S tiL 't31 ?E �s j 'No,{PI{3�c'14 A CiM):I°J l Rl= l<ALL B ATH 1$til'.)
<br /> j�Si�IL:'3O.gtN3 Q#-fAl�(3:fii:tOER -Gf�OIJT.Si='ECIFIG�i71�ti15' -- .- -
<br /> (;dTREF2:_, Fl.fl"11l R N�.-PTGX,-F3.C}RINGVEPTFI- [j�BCJLTEDTRfiFF1C,.80X or -5T0✓c P:1PE
<br /> GL3NDIlb (3!?LAS.3NCa PF i3P..O EQ cif Vit$;h Y pEcif ti3ris in coirifiie;i s c tonj`
<br /> NOTE-:: OFFSITE 8.'0.RINb-S REQUIRE A£.0-ESS.�1GREEMEIJT:-. 'OR,LNICRORCHMENt P.EFWITS:,
<br /> 481 O,RKING,,"gdt RS`N)OTIC-E REQtJlRED F6,,*s!5tcTlt].tjM,
<br /> I F78£E��01'.}Cif:�l=f�7€�t I:I7dV� pCE:�'l�t'QCi#�-ii5 dpOlEGd�i011 aiid tFiat�a 1tVOF-IL'1'NEI{I'}2 C�Oi78 7]'f�CGO�'C�$f]C+r 1Ail�l`1'S��i:13ac{�is?'
<br /> %ouri$y t3rc3 arj ass I I¢s d ci RE glilatrors 'r d all appl1 a€li)c-r 9 LaWSL.
<br /> $ign d x
<br /> -/E '`!"" - - IfelC6mpary r��SV i��LF ` st?ti7:17c iifiEt x i , INC-
<br /> i}
<br /> r�fi>1t'f�la1'i`=e >�T+TSIiiP DLI��yE' ---_DatAE4^ :Zn 2DG'8
<br /> DE€' 1RT�IENT [J SE ONLYAll
<br /> WE itlf&P II I UNIT ill
<br /> V1i'OFtFC PL-i1N CSATl=D� O � .` I 'b .�_
<br /> Aa0lralon_Accepted.8 . .� Imo.""` - `' _ .DAte lssue[IIVr.Ea;.. .
<br /> Gro5-- .
<br /> ut insp5ction By.
<br /> oat@ .(� D Final Inspectiol t3V Dail'
<br /> Destruatibri-ir>sllectiort,By-
<br /> EOMR9EAlFS l COI+�DITIONS;:fes' -C.d ...5 2- 51 '" c� I
<br /> ACC-6UKTI N G,,611 1 .,AID 1
<br /> 'PI='EODES FEE-INF.Q AMOUNT RE€1AIT'thb C]IE Av F2EC D$Y bA_TE P,E121VIIFI SERiVIGE R L211E5T' INVOICE'
<br /> C-57_ -1!i%G_'INITVER �4"uthoriz4tiora't.o`sign perrni# ncroachrn'erit da:r
<br /> ffk2 0S
<br />
|