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W1 /PUMP PERMIT _— <br /> SANJOAQUMCOVh-FYPVIIIJ,,. ALT115ER VICES ENV(R0NMENTA.L1(EALTI I DIVISION <br /> J04 E.WFNER AVE.THIRD KOOK STOCI,TON CA 95202 Ilan)W,3A20 <br /> r- C NON--R1EF[U�NI)ADI.F.VM%ITTEhIy'.I�RFSI%'F.AR FROM DATEISSUED /,/ <br /> JOB ADDRESS r/�srtu JII' ;, �71IJ ......_ _APN Zm-�to L)t — <br /> CCIYrCIY g�tJG�- „f"�.._._ _...—�__ PARCEL SIZE <br /> OWNER KAME .JJ BAN ?fl?jlZ,p► ADDRFSS—Z7-4:;� __G-p C�_h6�; <br /> CITI'.ZU' C SL%i(N g3 ZQ PHONE .----- <br /> c(1Nsxnc ruR �JLtlklllr _ n--IJ2,D�_�'`x Z- DA-L Da, J <br /> CFTYIL(1' M I�'UMA. G�C'. X <br /> mo.Nr 140 C•571.JCFNSFf 1++7 EXPDATE'`,�OS-. <br /> 1 ILM RI <br /> iGEOGRAPHICAL,INFOATION_COORDATTS 1(—_ Y_TO%NNSIIIP3-55 RAGE- —SECTION 4 <br /> TY'I'L:OF•WF,LI. ❑ ?%FW WEI.L PC KU—%('Eh1ENT WELL ❑ MONITC)R(N1i WCU.• ❑O1TIL'R <br /> INSTALLATION. ❑N'ELL 5YSM-M REPAUt ❑CROSS-CONNECT REPAW ❑v'AFVRR EE�XTRACNTJU WFJ-L Y-- -- <br /> T1TE OF PLnIP NEW ❑REPAM JLP DEPTH PUMP SET 1 09 '-FT F(HST WATER LEVEL___ <br /> CI OUT-OF-S&R VICE WIEII 0MOTECHN3CAL,3 ❑SOIL BOHFNG ❑DkSTRUCiION-- <br /> MINDED US I'YPF.OF WELL CO 'STRUCTIO•SPECI}'1CATIOIl <br /> II <br /> ❑INDUSTRIAL C OPEN BOTTOM N'LLL G.\''.".AV A•RON DIA _ CY)N'DUCFoK cAS(NO D 1 <br /> 04)O.HESTIC F'RFS'ATL prll AVEL PACIUSVA WLLU CASINO TYPO %ZU CAS[NG DIA k <br /> ❑PUBL.IUMU,NICLPAL ❑DRIVEN GRourSEALowill 2bQ, SPECIFICATKO., <br /> ❑WRIGATTOWAO OTHER GROUT JIRAND NAME <br /> ClMONITORB:r GROUT SEALPUMPEU YES ONO <br /> CI CHRIS'n'BOX ❑STOVE PIPE CONCRETE PEDESTAL BY DRILLER 0-YES G NO <br /> 1 <br /> ' AMOXJSIATI,WE1l.nErrH �7y <br /> PROPOSED CONSTRUCT10NDR1111NG METHOD: MUI)ROTARY AIR ROTARY Al'GLR_CABLE_ OTHER <br /> I IIKYM BY CERTIFY TILLT 1 HAVE PREPARED THIS APPLICATION ANU T71AT TIIE WORK WILL BE DONE IN ACCORDANCE W1111 SAN <br /> JOAQVr,%'COUNTY ORDINANCES.STATE LAWS,AND RULES AND REGULATIOSLC. I ALSO CERTLFI'THAT Ml'C•ST I.ICF.ti5F.IS CURRENT <br /> AND ACTIVE WCIII THE CAI.IFORNLA CONTRACTORS STATE LICENSE ROARU AND TILAT I A?1 IN COMPLIANCE WITH ALL WORIMANIS <br /> COMPENSATION LAWS, <br /> MINIMUM tUWR ADVANCE NOTICE REQUIRED FOR INSPECTION'S <br /> SIGNED /�t TITLE— __ DATE,�+� cs�� <br /> �C_I' I -�`� RANCH <br /> I I t I MARICHT I <br /> DEI'ARTNCENT USE ONLY <br /> Ap8limca Accq,W4 By�'� � +"�� _-.-- _ D w l l'}- of Ate. <br /> Glow Lo(pccaoc By "1,Y1. jCc-u.c'7 D.,sl} `�'I O�PurnJa mipec,Mt or "�'U/ <br /> Dma lim Jnsyec,innfly—�.,�.,��7 — <br /> ek� - F I L LMNIMEYT'S. - <br /> P& Sc AJ61OUNT CIIF.CKkV RECEIVED DATE PkRMiTesu"'ICE REQUP.4r� INVOICL f WLLL Mm <br /> CODES INFO REMITTED CASH BY <br /> 3 1190_ At$D aa55 M 00 _._ cobE' ,- E - <br /> Q Ab 0 45a ssti � asb� - ae104 , <br />