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09/15/98 TUE 15:23 FAX 2094671118 AGE STOCKTON % "— <br />� <br />BACKFELL EXCAVATION CERTIFICATE <br />Project Locatlam 4032 North El dorado Street y Stockton ca <br />Owner Bob Eustis Atone No. 209 471—n5nl <br />Contractor AOE Phone No. 467-1006 L.iceoseNo. 680227 <br />INDICATE METHOD OP SACKH .L QUALITY ASSURANCE <br />_ 1. Submission of Soil Engineer's Compaction Report within 30 days of project completion. or <br />-'*'�2. Submission of verification. e.g.. load ticket, within 30 days of project completion that one of the following materials was <br />placed in the excavation in 12' lifts: <br />✓A. pea gmvel-staooth. rounded material not more than one-half (112) inch in diameter <br />B. Crushed tock -self -compacting material not more than three -quartets (314) inch in cross sectional <br />measuremem. (Use of crashed mock will not be permitted for backfill if contact will he made between the <br />backfill material and tanksfpipes made of poly resin glass of similar mrteriBls-) <br />DECLARATION <br />I hereby certify that a Soil Engineer's Compaction Repan will be submitted within 30 days of to complcfiw. or submission of <br />verification that the select material described above will be placed at a mini>mtm of five (5) =ic yardsper 1000 b�all1lon took <br />displacement and that the entire excavation will be backfilled and compacted to tome complumcc with the Uniform Budding Code <br />Appendix Chapter 70. <br />h if <br />" Shall be the responsible managing employee on the license or authorized agent. <br />I;(sa1{ q <br />SEP 15 1998 V <br />ENVIRONMENTAL HEALTH <br />PERMIT/SERVICES <br />