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WELUPUMP PERMIT <br />SAN J"QUI t COUNTY E1MR011IEORAL Huls+ DEPARTMENT 1iq EAST HAnLToN AY-STOCKTON CA 95205 - (209) 4"44 20 <br />NON-REFUNDABLE PERMT CALL (209 953-7697 FOIL INSPECTIONS <br />EXPIRES I YEAR FROM DATE ISSUED <br />30 W 9th Strl t (AAcKmle Element3 School CtTvfb Stodct <br />M2D5 <br />S. Comrnerce Street AP./6 i Z '• PARCEL Ea.E • LAw UaE A"UrATION <br />OVmR NAME <br />Stockton Unified School District <br />(209) 933.7000 <br />OWNER Ammm <br />701 N. Madison Street CaYIETAn/b <br />Stockton, CA 95202 <br />Cotmucma <br />Woodward Drilling Co., Inez — <br />PHOME (707) 374-4300 <br />CONTRACTOR ADOREss 550 River Road Cm1STATEr,ar <br />Rio Vista, CA 94571 <br />SubcoNTucm4k <br />SUDOONTRACTOA Aooass i64&a*4#eet- CrTYrSTATEIZ/ 83 <br />LxENSE iXC-57 C-61 0 D -W OIMr NulalR 710079 EXPMTM <br />DowuTecW L&vpL te: General MmeraUCoYlcrrtt Baclefls (4301) D Odmomodimopropow (4392) Arsenic (4393) <br />k► p um Da wk;A4m" kr*mlw d ArmI ktdu*W O MMEr Guft MoNb1Yq Sol <br />Pubic VAmw SysMm <br />it dtr.et b— Owwr tNelN NMIf cambd Na ✓ awlhu <br />TYPE Or WORK : New V" Repiso nw* Wd 0 Wel O omw —.--- <br />MorAorkp Vs"S;__ . S ofwab 1 Sol BorkVS) adbm*4p x Geowdvio l 3_fMt.f.et <br />00-01Sfntf NM 3 Out-OI-Swvbm Wer RmwAd r' Crosa-Ca noclion Repair <br />ilkt0 Mathud Mud Rotary Air RoLwy X Aug- Cable Tool D Push Pohl m Olter...... _---_..... <br />,opowd wel Depth,-. 20 r E cerelion 5 loch h dtenrler D Open Boom, Gravel PadJGnW Sin In dammer <br />Cor4udw C*WV in durneM Cor4wck r Gwkv Dplh _--- It <br />Well C"ing DW wW In TNdMGNVGwugefASTM Sr3+ed 0 SMe1 plank Stainless Steel 0Ihw__ <br />Gmut Seal Dep6h jF;jj!___R Ned C..,t (Wb b.,S10pM1600 Sand C n*d7 er welar <br />BerAwft (20% Saida) c Oer <br />rout Plst:enwm lNewd Pu Ved ❑ Free Fal ,>(09rar 0 PAlordnd /Amebrabr (ttertte) _ <br />- Comm! PedeaW OkttMlabna VMdlt _ it Lsnptlt R Thick in i? Chdwy Box Stout P1pe I <br />r S+bm eibis Turb" c: Older HP Pump Set R Stan&V W.W Level r <br />I HEREBY CERTIFY THAT 1 HAVE PREPARED THIS APPLICATION AND THAT THE WORK WILL BE DONE RJ ACCORDANCE WITH SAN <br />JOAQUIN COUNTY ORDINANCES, STATE LAWS, AND RULES AND REGULATIONS. I ALSO CERTIFY THAT MY REQUIRED LICENSE 13 <br />CURRENT AND ACTIVE WITH THE CALIFORNIA CONTRACTORS STATE LICENSE BOARD AND THAT 1 AM RJ COMPLIANCE WITH ALL <br />WORKERS COMPENSATION LAWS. <br />` MINIMUM 4E HOU DVANGl1E NO1e ICE REQIf)RE Ojti�1SP ` PLEASE CALL <br />DATT 9) 3-7697 <br />D R EMT U E Cl L <br />Appk' - At -pled By _ �` Dela Zl Cly <br />Aree_��,s� Employee <br />Gm A Inspect— BYDsb ..--._._------- CI <br />--_ SPEAL Wer Permit <br />Pimp bepecfon Br Dale -- _ WAER Recelved <br />Soil BoftV kupe:bon By !`r �u Eu�Y/�I'j"�` Dom _. conatfucry <br />led Well Depth R <br />COMMENTS <br />DO 4340 aatneen4ns VmLRU pEIMRr <br />