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APPLICATION FOR WELL/PUMP PERMIT • <br /> JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,STOCKTON,CA 95202 <br /> (209)468-3420 <br /> ROM REFUMDARIE PERMIT EXPIRES I YEAR FARM DATE ISSUED <br /> (COMPIPM In Trb8f.b) <br /> AM ICATION IB ITEM eY MADE TO'HE ENI"Anal COUNTY FOR A PERMIT 10 CONBIMVCT AMIpN INSTALL THE..M.IJUMIN,DIIB APMIC.T..IB MAOE M COMNIANCF Wnll BAN <br /> JOAQUIN COUNTY OFWIOPIAFM TNIt.CMAPTER R-111 aa AND TIM BTNNAMe OF BAN JOAQUIN COUNTY NRUC IIEALTH SERVICES,EN�NpN�INMEM'1NN AL N pNBpN. <br /> NB AOOMBBpfl AMIE incoln Center �GY� M//I <br /> tt ����� nn ii ggpp�C CnY Stockton PAPCEL4LL �WCJ <br /> Ovminre NAME s[a lbgald TC1giads�iawefl.ev�neaFrickea ecogoDMo Emeryville, CA 94608-1827 j0)652-4500 <br /> CONQUOI10A AppMEB QQ UCB Mldl[I <br /> w.coUNUA p Gregg In-Situ, Inc. AoonBe M t gl94553 „cICA-656407 (�IQJ13-5800 <br /> On <br /> "m of mmjEVMry ❑New w!u ❑MERAVEMM Ynu ❑Maemoxw w!uE 13 TWA <br /> ❑MRALArpN ❑MEJYBtum MPNR ❑CMBBLONMCFMPNR ❑VAIVr1E)(71VOCTIONNELL I J <br /> ❑Naw OrIMW N.P. MPTN WMP BFI iT. Few WATER LEVE. O <br /> ffm OF NMPI <br /> ❑ONVPiERVM:E MOLL ❑O[aN1VMCN WEIU ® wlL wnNO <br /> ❑OEBIOIKTpN: <br /> NFXOIN P P O INUMNALET1911 INUMICATUNfifA <br /> ❑INWBINAL ❑OMN BOTTOM MA.Of WELL EACAVAIMN 2-inche. MA.OF COMNprOR CASINO N/A O <br /> A'N <br /> ❑VVWAIICVATE ❑FUQI PAo`MN' IEE Of CABINOKTEIAT. N/A VIA.OF WFILCAeNAR NA p <br /> ❑wE11CAANIICIPN ❑MYveN MPIIIOfamm EEM. Total Depth BMCNCATION Cement-Bentonite A <br /> ❑INVOAT.M. WOMEN OMVY BEµMrtNLEV BY Contractor pN0.MA,.IF NA <br /> f <br /> ❑ACMrONNO OROUr HAI NMMD:®V. QNs CONCflETE MOERN.BYOWLIEN I]Ym OIx d <br /> AMUR.DEPTH 80 feet LOORM CNEMFR Moxmow MR N A } <br /> ............VARLUNO MFNpO: Ma.MI AM MNAQV AVOER CAKE OTHE Hytlraullc Push <br /> I NEVOY CEM"THAT I IMV!FMPAMO rwe A1ElICATpx ANp TxAr nR wVM VML M OOHF M AccOroAMCE VArIT eM JOAaUM COIIMY THERNANCEE.rtAIE uwM.A.wuB ANO <br /> M011LAlpNB W Tlx BM MAGUNI COUNTY.HOMF OMMER ORIICF...ANEM'e dpNATUM CENTNIEB TIIE fOILOWINp:'I CENTURY WHAT IN TIIE MMOINAANCF Of FIRE YAIM FOR WIVCII <br /> TIIIBMNAIr M IBMx0.1 MIALL NOT FMMOYMppNB wEJECT TO WORYMAM'/COMPM1BA1gX IAWE Of CALNOPMA.'COMMCTORE MMNO OR BVE COMMCTINO BIONATUM CEMXIEB <br /> NIE fNLLOWINOt -1 CEMDY THAT M THE MMONAANCF Of TIM N9M FOR YMICH T.J.MNAM le MBVfp,l-HALL FMPtOY M...eP MIlMf TO n O.AN'B COMFUIPANON UWP OF <br /> CAUFORMA: THE Mr MVe''}LLyy��uL NNOMIAP pC(MFOR ALL RFOYpw IMMYRUP AT MMI°-eiP}F.COMMFTE VMWIIp AT WYNN AREA PICNO1m <br /> -A / l�A 7W III'. Site Project Manger <br /> pa. /y/�� <br /> BH.. <br /> nor MAM M.-+la Ba,I.,Bax. _ <br /> 1.UQUIN OF I'm AEM .. NFAMBTIOON AUIOMNp 111EMCE... A.wCATMN OF I.M Oh. .l.fBY-I!MOR MYIwMD <br /> },NIRIIN[OF T121YEI al AN MNNOMMENf ALL AND 1p ARMHFCIgN. EAPMNON OF AUJIV gEg1BK BYMIM-. <br /> N.OMENBCNFO OVIIMfB CO LRED ARE OF ALL ASTASIA ,V M1Ow-BD E,LOCATION OF w[UA W U(A MMU-OF OM MNCIQO fIFTY IT, <br /> B1p11CIVMB,MClUM1p COVERED AREAE MICNM PATpB,OMV[WAYF,NW WNAL ON THE ROMMYOR f➢JOINEp IppMgfY. <br /> 01 <br /> Pi <br /> 1i <br /> — _ <br /> ._ f <br /> H <br /> e0 <br /> 1 t <br /> � 09M1MMIT W!ONLY <br /> AuMbnM Jan-W-� /' g /\F���E/�/ Dal. <br /> n..m.v.a1Nn Er Om NanF W'.Q-ET Y DN. <br /> u.a,t.Il.:,I:v..Nlm er dM <br /> c .,: CEf�, of Slo�(�to ✓oach 4.. ( eiMLh Ly 210 exp ID l �� <br /> MCOVNIIN°ONLY; AMI IAC1 <br /> MOOOEB i..an. M101Mr MFENTIEp CERCEERAFN RFCBVfO MY DAM la"AIMERWCE p[OUE.TNMIM91 INVOICE <br /> DI 2SSo3 I o) (01-1 <br /> Pub.Health SET,, Envlm.173(1/W) <br />