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TUL 17 '98 10:38 FR LEVINE-FRICKE-RECON 510 6524906 TO 1209 83433 P.04iO4 �� <br /> uvAIIUN 1-UH WLLurUMr PERMIT <br /> SANUIN COUNTY PUBLIC HEALTH SERVIC 0 <br /> NVIRONMENTAL HEALTH OMSION <br /> 304 EAST WEBER AVENUE,STOCKTON, CA 91202 <br /> `20tE%° 420 <br /> OK• ORIGINAL <br /> MY�lIE►ERREPIlF!1 R fRp DIITF 1!lYFO <br /> <, IC"wtE AI TFIp11EEtE1 <br /> .IN IB ISR w MAO(TO 1M[CAN AAODIN COUNTY FOR A rFllpT To CORWE U AROMM WETAtt TM WORK DIO:AR&EO.TWO APPMAIMM IS MAOf W CDu�11NcEV/TT II iAN <br /> ' NUNIY OFVHOFMENr TIr1♦:•CIIATMI P-7 71 E.!AM i1E ITAM)AN"OR OAN"ROAN NUHTY MWJa"MEN SEROCES,"'WM NMETAI NNLTN bMA1aN. <br /> ADDIEEEMn ANFy�z� Li AJI•e�ILI l-�"IVe.r cm C?WC.E10» fi�,,•A�A-rh�.Q Y. N.IF <br /> OWNER wwE"v•vI1 w�D. rta .c ' /IPE �.I.N`I'3Ye.c)l i.7 �•_..AAAcq iIZFJIwN! <br /> CONTAACTan RIf <br /> ff AbORESS Uc1 INON[[ <br /> RAN; AAeTOA.v:�oC�� '(36-r W! .w+l De.. <br /> � "DD^!a IlcEr'S7-si>1L9FNONE!los-sws.Pi, <br /> *vel' �rrtllnaMr, OF NEW WELL (3 TgmAcwm WILL Moworom WELL• ❑OrNER <br /> ❑ mmrA TRM ❑FNEEE EYEIEM RE►MR ❑cnoncDNMET R[IAlll ❑vAFOn urAAcTwNYIETL A <br /> �+ ❑N.NO11..E N.A. DEATH FI)AIF EET an. FM81 WATER LLV[L <br /> rt»E of nRAr1 D <br /> ❑ OIRTgFNRRVICE YRII ❑OEaF wcy wtu ❑ rA4 sDlwIO <br /> s <br /> ❑OFbTRUCTION� <br /> " <br /> C3WWlT"At. 13 <br /> OPEN bOTTImu <br /> ENR°TTOM N&OFWEUEMAVATION f� �0 txAOFCONOUCTORCASINO,): n <br /> ❑IgMEiTMpTivATE 0 DAAVu rACIDER[s b TYR OF CAgNWiT{E{/rvC�C�i y0 p/�(�- Ow OF WELL CAEIM y•• ° <br /> 0 <br /> !-.FflRMCAWxNFC11Al ❑bINEN TKFTRE os OROVT ECAL .sVT EF4Cn mmr <br /> IJ 1 A <br /> WIOAIW)MAO ❑OTHER 011018 RAL WEfALEEOw Dr`i/ r OROOT WARNED NAME L ce ew/t [ <br /> ® MORIlOMM ORODT SEAL WTMKO:my. ❑N. cONCIEFE r%wvw t w DAAEER iN Y. ❑N. <br /> AFTAOIE DRFTN 80 LDCNIWa CTETA WRIiTGVF NFE .1yr S <br /> RIOFYStO NNS11111COOFYORlUMO METNOb MAT ROTMR Ant WEARYT�CAKt_OTNFIL__ <br /> I/WALLY CERTIFY THAT I/AVE rPVAFWD TME AFFgC11TNM ANO TREAT TNF WvW vwH WE GONE W ACNWDANCE VATH ENV JOAOUIN NUIRYDRDMANE rf.STATE tArVI.ANO RYIEE AND <br /> NEpANVTIONE OF FNF 14N JOADGW COVNTY.MOMF OWNFA bAUcENEEo AENNI'S gMN1TYlE CENTRES THE/VLLOYVMp:7 CFIIIiY 7NAT MIRE TEROIMANCE Or PI!WOR(FOR VVMCN <br /> TMSFERINTIERWEO,1g1ALL NOT[MFLOY I'E11pilI I116ACT TO WONOOAN'I COMIdEATION uw.a..:AtIFN.RI�• caNFMGIOFYE F.NND aA EtRKOMAACTW..a.rATOAE CETIIEE <br /> TT FOU WFNO: 'I CETOW TRAT ENTIRE KNFQR LA Or TF1!WONN FOR WFMZN TWO MiRktM R ISMO,1 gMLL OAFLOY FETONS SUI)ECT TO WMEOAAIr'S NMFE "M. OF <br /> CAYFORMA./TTRW U/ME MFMCMi MUST C`�M//y ri�IpVM M AOVMICE PoA Ni NlOUREO(MEryCTMNE AT 1]M)IM�Eaf.COMRER DMVYINO AT IOVVEA MFA 11oVgEp. (� <br /> EAd A 4L N _ C Arr8m r Da. 'Jl���^G <br /> 1. NAMES Or SMELTS M AaAGI IRAR[OT TO ON M)UNtANO THE PRO IF l— A.LOCATION OF NOUEF SEWAGE MmOAI EYirtM On WFMOIEO <br /> Z. OUTUNF OF THE RFOFERTY.GIVING tMAIM ONS Alb NVRT DPRTION, EAPMEION OF SlYAO[MNOEAI IYETEME. <br /> D. OIAFNFIONlO OUIUNF.O AM2 LOCNITMN OR ALL FJOITWO AND moc,su ED E.lOdgOR vF VISILE FNWIIM RAONF of wrt NYNDIED FIT'TI. <br /> iTAOCTUREE.WCUIODID COVERED ARA*OUCH AS PRIMAL MIIVIWAYE.MO WAIAE. OM THE ITOrE1RYOW ADIaPANO ITA)TTJifY. <br /> M -9P Aft0- C ,e <br /> i0 <br /> DEPARTMENT polar <br /> AF.Rr.We A~d ST O.F. <br /> O d NN.NNNA H ON. F\.q InwV.n Er ON. <br /> b.nnwlNn F+nwR.n ST ON. <br /> owwnr,. C o 6p XlZew <br /> nit oc.-if 'O <br /> ACCOIMOWO aWET: AM FACE <br /> n NOES FeElare AMOUNT ArAlnw cmulCAEN RECDV[Ow OATS ►9FATRORRCE REMOVE T WORRIER RIVMc[ <br /> Z O I � 5 •20 !lo <br /> Ll <br /> Pub.HSMth Sere.-ETNIro.193(IAn <br /> ** TOTAL PRGE.04 ** <br />