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JUL. -12' 95(WE0 15:06 RB CONS71CTION 1N TEL:510 683 $182 P 002 <br /> 07-12-1995 09:49Pr FRCh.i TO 15106638762 P.10 <br /> SA JOAQUIN COUNTY <br /> t- ?` CoNWry DEVELOPMENT OEPARTUENT <br /> Beier t <br /> _ neo a wy3,rrya raE araao'ow to as2as <br /> j "Ra .r �5�t30et�ma.7r2e <br /> Rmre.(d061�NarZp <br /> Rev's_¢Qael a;8art1 <br /> � ems' R+E56emn7w FMnNE`Q091,et.m� ; <br /> BAC$p'ILL EXCAVATICH CERT3F!ICATS <br /> Pzoject Lnocat'on vh�111S?1 to f <br /> Y 12.5 V <br /> Owrte= rr]] Phone N4a.� �449 <br /> Contractor D- Coti G Phone No S1llR 7 - <br /> ',SSO License No. <br /> Z10 'M= K=9D OF BACKF*LL OUALZTi; ASSURAMcg <br /> 1• Schat Stan of Soil 2gineer's c <br /> comp etion., Or nompaction Reoort within 30 days of or❑ject <br /> I - Z. Subm eion. pf vetification, e.g. load tIckbt, within 30 days op project <br /> i 12"coom 'ifts: that one of the following materials was placed in the excavation in <br /> I 12" iiftn_ <br /> i <br /> pea gravel - smoothr rounded material <br /> inch in diameter. not more than one-half (1121 <br /> i <br /> Crnshed rock - aelf-camoactinq material not more than three-quarters <br /> (3/4) inch in cross sectional measurement. (Use of gushed rock <br /> will not be permitted for backfill if contact will be made between <br /> 'the backfill material and tanks/oipes made of Poly resin glasa or <br /> similfa7�lr Materials') <br /> GPACIti4 <br /> 1 DECLARATION <br /> i Z her eertiey that a Soil Engineer's Compaction Renort :wiLl be submikted within 3o days <br /> of Project compl ion, n; submission of verification that.tlie Se <br /> wi 11 be pllaced a ' 8 41himum of live 5 cubic Lect material dw within <br /> 3 above <br /> II that the entire caw ( ) yards set 7,000 gal-1011 tank dibglacement and <br /> Uniform Bpi2 attan will -be backfilled and comoacted to insure compliance with the <br /> dicg Code 9{IPendir Chapter 70. <br /> i <br /> 4 <br /> ams (Print) <br /> Ti,01 11 cLJ <br /> (Print) <br /> i <br /> Signa <br /> * 22, ent_Shall be a r'eseansi le managing <br /> aemployee on the license or authorized <br /> 1 gen <br /> 16/91-LG/HSCERT.p�C <br /> I <br />