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NOU-24-2008 i2:49P FROM: 209BB73574 TO:464a138 P.2 <br /> WELUPUMP PERMIT <br /> SAN JOAO VIN CodNTY ENVatONNEHTAL HEALTH Ot:►AR,tllltt 600 EAST NIAM!IiXlST•HTOCNTON CA"201•{2ogi 4U-3420 <br /> NON'REFUNDABIJE PERti1T CALL 209 951.7b97 FSR INSPECTIONS E)(pIRES'I YEAR FR04N DATE ISSUED <br /> Job ADOREQa <br /> 15857 E., Baker Rd• CRY,, L.n n <br /> Duncan Rd. APN o41- PAwCEI SaE,l<L•__I-"D u <br /> Use Avn, n ��— <br /> oXl <br /> 01029 SYRECY � <br /> PHONE 209-931-2789 <br /> CYMR Nine <br /> Francis Bo nuda <br /> /��' <br /> YrNCivilsTA7'UZM <br /> OLR ADOPMS PIaNa 0 9-8 87-3 5 5 4 <br /> CONTRACYUR Purviance' Drillers Inc. Lj•nden, Ca 95236 <br /> C0:ACRIR ADORetB P•o•Box 64 <br /> RA Cii+(7STATFILIP <br /> P110Yt <br /> JUaCONTIM <br /> CrrYTBiAre/ZtP - <br /> SuOCONTPACTOR A00REiti <br /> ucENae C s7 a el n D-0a O hef Nu"E. 3 7 23 Er wATIDX DA,E 7 1 9 <br /> GGOORARNI^_AL I NFORNATION: LOarde.,..)l� <br /> Y�.._�.�.-._ TowT hlp_ Range-- Stalaw, <br /> ilii RD lac •Damestit•1PrrrBta rl lnig011onlAgntUhurrd D lndurjul :1 Vmef Oueltty monitoring D Soil Sampin{fClTarodadzn0txl <br /> ( Public VVillef System • a m.0 <br /> II dlMenl Yvn DM•1a1' °m .s.. <br /> Naw Well DReplac., VM f]VW A11-111OruMoSil-liorn Id:3 Warsoemmm. <br /> C Monitoring Wa9(B) <br /> I of welts Ll SaD flolinpls) 7 GeWRdudCUl <br /> �Owo-Sefvioe VVell P Out-OfSanlca Vrb4l Renewd ❑Rziod CD 1 r-81 RBpaiT - <br /> C Naw Ptxe Ip Pum Re hmmenl D Pu R err <br /> Rahe VYdI Cnel <br /> 0,jI p�dL Mui1 Rotaryu Air Rotary J Auger a Cotfe Tool L PWI PdN J Oda I SFtB ��wto I <br /> n ExmrOban n dlcm.tcr L Open Bottom J Craval P6i*)Grwo 1 <br /> PropO.od Welt Oaplh •� <br /> r CondudorCashp Indiametm ! CmduGwOalinpDepth ft <br /> ThidmmslbaupalABTM 6Ch...O n Steel n Plott� r StBirde9s S,ad Other���. V <br /> 9y.1, s"i Diem erer^,in 0 Send Cenwrd---autk rrwx(7 p <br /> al <br /> ft C Nast Cement f94�Cap!'-�tU QaI water) [�/}p <br /> CI-1 6..l Dapth ! <br /> C Be11lon9e(20%10149) 11 Other tl Retardant IAccel.erator nome) <br /> Gfout PlacemMl Method a pur ad LI Free Foil J 61her _ } <br /> Ina,elled BY n Driller 11 Pum;Cantr - n Other to n Cfvls Box :]Stove Pl V <br /> Pe Fs tt L l it Thick <br /> C Cmrlst.P+d"t f Dlm.rulO W VMIh b I n <br /> Pure iA SL"r"slblen Turbine r Omer HP PwT,P Sat n n+ <br /> Holt wit L RE DONE IN ACCORDANCE WrN SAN <br /> 1 HEREBY CERT FY THAT 1 NAVE PREPARED TMS APPLICATION RE Tri AT ii`=IAL.-• <br /> JOAQUIN COUNTY ORDINANCES, STATE LAWS)AND RULES AN REOULATtONS I ALSO CERTIFY THAT MY REQUIRED WITH t,e <br /> CVRRENT AND ACTIVE WITH THE CALIFORNIA CONTRACTORS STATE LICENSE BOARD AND THAT I AM IN COMpL1ANCE YlITIi ALL <br /> WORKERS COMPENSATION LAWS. <br /> - Mfr MU 24�HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS <br /> $:ONE7� 1 1 /18/08$ S , <br /> LE <br /> .Cor orate Secret ,y <br /> - m <br /> U <br /> G� <br /> s - 2ooa <br /> o �oUNN <br /> 1 <br /> I DEPARTMENT U �E`rONLY S"�r�� <br /> Deo � �c (J arae C7nPl�IG11 <br /> A(.vCu-Vion Acvpl�By $PECtaL_well Permit <br /> ❑ale <br /> Grout 1n cticn 3 WArvt=R Rocelved <br /> Rump In9peRro Date__l <br /> COnab'Ir'ated Yl.11 Depth n <br /> saa earlrq I i 1 Date� ltZl53�-t,�. � <br /> }du Amount Pwnid Invoice 9 Wall IDt <br /> PE SC RacaIvcd Dae s *A .s,s <br /> Cvdo. Into B <br /> 3 0SL7 <br /> ErJ i1-0e <br /> C'3 � 1 f 1 K g <br /> MMd6 <br /> 1 <br />