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MAR-05-2008 WED 1029 AM Geobdrologic Consuftaat FAX NO. 714 898 5701 P. 01 <br /> xe l sari Joaquin CountyAE((-,) <br /> a Environmental Health Ve artme �' � SITE <br /> .� <br /> q x 600 E.Main street,Stocklon.CA 45202-3029 MITIGATION <br /> (209)468-3$449 Fax:(209)468-3433 Web:wrTw_9j$Ov.or1M#1 0 2 2063 UNIT IV <br /> Well Permit Application ENVIRONMENT HER <br /> NOHatEF>,J?IBA6LE'PE'R1MIY I?7CPtRE$1 YEAIR FRCrb PATE LIEIIL�zM�T�SERVICEJ <br /> Appllta[Wn le hereby rnsda to Sm n Jpbattwln Cnu mr far a perm)!b GGsatnld 8ndlor Inslei C1a w+eCK desen6ad- i111e e13106= on k MWO In comAlace wllh San <br /> JWUII Courtly Dpvelnpment 711W Chaplar 8.1115.3 and the$tender4i of Sart JoaWwln County E'tvlrnnmontal Heegfl D¢pellrnentAswmn <br /> WELLLocolkm kV 2RUtL u�F CF0306119 1 % —Qtr��n`�5�Y;;;Zy Bary <br /> owe1„r:�L>w t3,4 (e .- _Adera" 13 1— . �t�- Cilyan4n v. --vtwrldA, pt'��'�ti <br /> ee4 loll, �S�.Iktl�Rre clyP�scas_�Ip�t�' -pnwl�e,��¢,�596��°- Y <br /> C41CoAlreu <br /> CnnWllanl180Cntr u( . dd»e��ll7_l�sw�t��a CI1YJ¢+��Llrf Y � P)ropei�� <br /> Oli Coadlnalae: <br /> e rr Y ° TownshlP Renpc s-W" - <br /> �iD1• b <br /> r�i below) <br /> EW WELL I SORINt4 (CpT,GEOPI�OBE,HYDROPUNCH,HAND-AUGER,OTH91W) �������"ETE�e>f'vP <br /> I�`BORING 0_ Q H"P 0 PRESSURE GROUT <br /> =OthLA — �p GROUT SPFCFF)CAT(ONS <br /> COMMENTS: r wl-11 <br /> r11v-I g "Di^EA.. <br /> Type gr WE INIZALLATiOldlyEg-AUONITGRING HOLLOW BTFM dill OF oOAEHOL-- n J*MULTIPLE CASINt3S p UULTI.LEVF.L MLL CASI PIA: <br /> ,AexTRAcnoN 11AIR HAMMFR43RIVEN CASIN HIIr71q�ESB*j,... TY OF VS[NG: QSTEEL�VC QOTHER: <br /> •N�i J� 'c 4'"�....T YY•p <br /> II VAPOR I]MUB ROTARY DEPTH QCGjwRT�AL'f!Z 'Z�L+ wMIE TYPE TO RE U FD: p AUGERS II HOSE <br /> 0 AIR 5FARGET OZONE ,PUSH POINT(OP or CPT)GROUTSEAL FUM?VD: •Xyos p No (NOTE:MAXIMUM FREE-FALL CEPTIi 1S 301 <br /> -ASCIL 9ORlHG 0 HAND AUGER GROUT SPECIFICATIONS +a""f <br /> I),DTHER POTHER APFRO}f.DORINODC-PTH Sg0 "OLTEDTRAFFICBCIIC -j6TOVEPIPE <br /> CONDUCTOR CASING PROPOSEb— fo_- (1f TES.Ilet spacHiC wn,41 oommom tow.) <br /> COMMENTa: <br /> NOTE: OFFSITE BORINGS REQUIRE ACCESS AGREEMENT OR ENCROACHMENT PERMITS. <br /> 4@ WORMO HOURS NOTICE REQUIRED FOR INBMCTIONS. <br /> !Ilalrby a artily flat Thaw pnP+rad kadon and that aIle work will be 13o11a to amordsnw Wfth son Joaquin <br /> County Ordloancss.RuJla�afand ations,and all appNC4kbI9 Ct ftfrlto Stab LAWIL <br /> $ipnedxC. �s `•" -Y" ' TY11e/Cornpanr ��^ ZA '�N`- � 3i-/F+..rc7ucil ONu,.rG <br /> PdAl IN <br /> DEPARTMENT U E Y <br /> SITE MAP IN UNIT N FILE,ADDRESS: <br /> t or <br /> WORK PLAN DATE <br /> dw <br /> Appkabn Av eptod By LSaYe Mwad <br /> M111Aul <br /> rolneveaUon Hy 'f l ?Flnallnsp�tlon By <br /> D/r+rtruatlon I <br /> cctrwarrrs r caap)TIOWa: <br /> ACCOUNTING ONLY: ADS FACT <br /> Pr)CoDes PaE I po AMOUNT Rati8TTE0 CNECKs RT.C'D 99 DATE P4MAn 1 a1IRYi0e f1aCUCbT i )MYi)lCtg <br /> •aD �JFb Glc !- �'�' SlItiF a <br /> AW <br /> G-37' WG -WAr* C-'37 Lener of AU**1'tmtI&n To sign pwntifi...,,_.EncmchhW4t <br /> EHd1444-001fth <br /> arzuo+ <br />