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1 <br />WELUPUMP PERMIT <br />SAN JoAatart Comm EwAnoweNTAL HALALTN Da►AATiaw I M EAST HAmToN AvElaiE - STOCKTON CA 95206 - (209) 4663420 <br />NON-REFUNDAmEPERMIT CALL(209)953.7697FoRINSPE EXPIRES IYEAR FROMDATEISSUED <br />JoeAomm 630 Ponoe De Leon Averxle ( KK * Sd=Q r,,r StodcWV95210 <br />cRoae STREET Santa Paula Way APN V ARcEL 325LAND Us& A►M.1CATm a . <br />Owwot NAmw Stockton Unified School District plp (209) 933-7000 <br />Qr»wR Amite" 701 N. Madison Streeit C.MTA.W Stockton, CA 95202 <br />CONTRACTOR Woodward Drilling Co., Inc. hm (707) 374-4300 <br />CONTRAcrOR A,,,m 550 River Road CMISTATVOP Rio Vista, CA 94571 <br />SUSCOKTRACT'OR-GOOTwlr-Ille� NawE <br />Suec."'rTOR AooREae le CITY/S7ATElb 1783 -- <br />LCDM Df G- 7 O C41 ; D -W G Otw Numm 710079 EX MATION DA'M <br />Dome$= WELL SArPLNIa: G Germal MinwaMCoWorm Bscbwm (4301) (4302) 0 Anemia (4393) <br />DwMeIW rMM krWWWA9rbAwd C ktduetW WawrQUOYMwM tO T,7 SdSmphtOfCheracwAaSon <br />�— c Pima WYbr Syawm _ <br />N ieweM sere t>rRr YYM�r °,.ytfan WRA CwA Nw r PMmr IMiw <br />TYmOr•Wm r New WIN i RapworneltiV*1 C WMAkrdirt6rbtlAnlldn Down__- <br />MorA minpWWI Of *Wb SO4Bmktp(1) oafwp or w"__�_srlMull151 <br />Out-01-Sarwks v" Oul-LN-Srvla WIN RErNwN C4+oaa4wwN ;§on Repair <br />Drilling AMtltod Mud Rotary Air Rotry N Auer Cabin Tool Push Point Dow <br />Proposed wee Dept, --20 a ExcsvMlon 3 k1Ch in drrwinr Open 8011arn Gravel PackPGravel Stn _ in drnEMr <br />Condiclor Casing in drnelr / Conducbr Cuing Depth _ R <br />Wet Casing Dinrmer _ in ASTM Sded ___ - Swd Pinetic Stakise Sind ; Oter <br />Grout Seal J �"' - - �m— R cat (91 b baw-,10 gar NOW) Sand Crnerr *r aamkr7 9d vmiw <br />BrtlorWe (20% mods) OI w <br />Grout PYcement Method :! Pumped n Free Fd . Rekadrt / Accelerebr (rime) <br />ELQlT6k Mewled 5y Driller n Perp Caarador ❑ Other <br />o Ctnareb Pede" L'DbwntiMm Wldt It L- ,grh R Thi*( in Christy Boit Stove Pipe <br />Subnw wbb Turbine n Oew HP Pump SM 11 Standing Wabr Laval tt <br />I HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THAT THE WORK WILL BE DONE NJ ACCORDANCE WITH SAN <br />JOAOM COUNTY ORDINANCES, STATE LAWS, AND RULES AND REGULATIONS. I ALSO CERTIFY THAT MY REQUIRED LICENSE IS <br />CURRENT AND ACTIVE WITH THE CALIFORNIA CONTRACTORS STATE UCENSE BOARD AND THAT I AM IN COMPLIANCE WITH ALL <br />WORKERS COMPENSATION LAWS. <br />MINIMUM 48 HOUR <br />S,ADVANCE <br />NOTICE REUUIRED FO PECTION - PL SE CALL (209) 953 7697 <br />-z- TTTLE DATE 11 <br />PA MENT U E 0 Y <br />Appkmb- A—pied By <br />Grout inspection BY _.._ �� --. <br />Pump kwpeclion By . om <br />Sol Boring kwgecion By, Dew <br />COMMENTS (JV1I Li CI+-1oti—o- Ci/�•l�l Vt <br />Ara. Effol"" ICW VV <br />SPECIAL all Permit <br />WArvER Rece)ved <br />Constructed Wall Depth __.R <br />am 4314111 NN11ee4Mnt aABL aIAM PONNT <br />