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WELLIPUMP PERMIT <br />Sm JoAam Couleur Evano a mAL HmTH DEPART ew 1M$ EAST HA?ELToN AVENUE - STocKTON CA $5206 - (20$) 444-3420 <br />NON-REFuNcAmE PERMIT _ CALL 1209) 953-7697 FOR INSPECIPIS �- EXPIRES 1 YEAR FROM DATE lissm <br />JosADoeEaa 776 S Broadway Avenue (Roosevelt Elemantary ScIiod <br />SSttoclttonJ95205 <br />l5qLmm <br />c*0" STm,7 Homer Avenue APN 0 / <br />PARM SM �T Use AmXATm a_ <br />OretcS NAME Stockton Unified School District <br />(209) 933-7000 <br />Oman AOOREss 701 N. Madison Street I �S� <br />cxn/STA,s/n►_ Stockton, CA 95202 <br />COWT„„C'Mrt Woodward Drilling Co., Inc. <br />ptpNa (707) 374-4300 <br />C,,,,A,T,,t A,,,= 550 River Road <br />GYTY3TATtrAF Rb Vista, CA 94571 <br />SUSCONTUCTON _ _ <br />___ P"' -ml)%106.11 � <br />SUSCONrruCTOn A...." IMI" Street <br />CrrTIBTATfrb a, 83 <br />LWOM IXC -57 C51 D-00 00w Ntarm <br />J1tx179 EVMTWN DAT[ <br />Dowsm WeLL SAMPIeg: _� Gww W MrwdCohkmm Bedew (4391):j <br />(4392) ❑ Amwk (4393) <br />DortaNa Pthiw ;_: kApaOavApla/kral C IIT UWW rt VIOW QurdRy MM*Wkt0 - Sd SINMkOlChwacMttrAOon <br />Pubic YIew SyeMm _ <br />x aererd eew Orrrrar VMW efebM Naew <br />meme ar $alum ree.0u <br />Thr. Or Wottx Now WY$ Replac""" Ww We$AaralbrtlMOd$ea0on <br />n A$Iw <br />Mongortv Wd(S)_. i of rale Sod BodnWz) <br />eefledo " a CWOMClricel_',}ofbwWp <br />Out-� WON 04-OrSwvice Wal Rwwwal 0 CrvwCwr»cYOn Repair <br />ILS <br />Dr&" Method Mud Rotary Ar Rowy x Augw Cebie Tod Push Pali C Olhw - - <br />Prvpwd Wea Depth 20 R Eacawaon S kvch in dirrrlr ;, Open Salim Greed PadJGravN Size In do <br />Conductor Caskq h ditrrww Cordrrior Casing Dao —.--- R <br />Wall C"" Dirnd r In ASTM Sdred Steal i7 Pkee$c Stak,laaa Sad 0$w - <br />Grout Seal Depel . t A Neat C w w x (Dt b b*05-10 gat me" ^ Saud /aide 0r <br />Soft LU (20% eddy Cow �/ <br />Grout Pleconwnt Method Pulped Free Fd )(ON, RuMrdaM / AoedwMor (ewer) <br />PEMSTAL MletaaedBy tDrew PurpCorMracbr OMw---- <br />CuNwreM feel" l DW4ewitim w6m A Long. R Thk k _ in Christy Box Steve PIPs <br />Submergible Turbkw ^ Oltw HP Pump Set R S Webr Level R <br />I HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THAT THE WORN WILL BE DONE IN ACCORDANCE WITH SAN <br />JOAQ411H COUNTY ORDINANCES, STATE LAWS, AND RULES AND REGULATIONS. I ALSO CERTIFY THAT MY REQUIRED LICENSE M <br />CURRENT AND ACTIVE WITH THE CALIFORNIA CONTRACTORS STATE LICENSE BOARD AND THAT I AM IN COMPLIANCE WITH ALL <br />WORKERS COMPENSATION LAWS. <br />MINIMUM 48 HOUR ADVANCE <br />/ry���T}CL R�EQfUIIFR/ l) FOR CTIONS - EASE ALL (209) 9953- n9�7f <br />SiOwEn L t !_-at Y �rJT /! t �✓ Y TRLE DATE <br />PA TMENT <br />App5cs0on AOcapled ByDale . Mea ! S Emphryee ION <br />Grow . Iii SpEmAL Well Permit <br />pump Mgecoon By Dote -- WAIVER Racetved <br />SO4 Boring kupedi n By Dab Corwtructed Well Depth R <br />-- <br />aw esae MAW widna VIVJI~ PNaalr <br />