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%01 WELL/PUMP PERMIT *401 <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEN.TX DEPARTMENT 600 EAST MAIN$TREET-STOCHTON CA 95202-(209)468-3429 <br /> NON-REFUNDABLE PERMIT CALL(203)30s-7697 F6ft INSP C-ii=3N5 EXPIRES I YEAR FROM DATE ISSUED <br /> JOB ADDRESS 550 WEST VALPICO RD Cm/7JP TRACY <br /> CR093 STREET TRACY ppN 248-020-16 PARCEL SRE_LAND USE APPLICATION# - <br /> �T. OWNER NAPE VALPICO INVESTMENTS,LLC PHONE 925-548-7910 <br /> C Jpy OMER DRESS 3400 WILLOWPASS RD CmER <br /> ISTATv CONCORD, <br /> a CA 94519 <br /> AD <br /> W W TOWN&COUNTRY CONTRACTORS,INC. PRONE 916-636-9500 <br /> C.9 CONTRACTOR <br /> N ``=5 3181 LUYUNG DRIVE,STE A CmISTATEMPRANCHO CORDOVA,.CA 95742 <br /> G ¢ CONTRACTOR ADDRESS <br /> yy Lil SUBCONTRACTOR CGRS PHONE 916997-1100 <br /> 5444 DRY CREEK RD Crt ISTATERdP SAC,CA 95838 <br /> O ¢ SUBCONTRACTOR ADDRESS <br /> 803616 JAN 31 2012 <br /> LICENSE G57 X C-61 C D-09 C Other NUMBER E%PMTOx DATE <br /> o Za <br /> LLI GEOORAPXN:AL Ixroaxnnox: CoordinatuX Y Township Range_ SeRion_ <br /> INTENoeO USE ❑DomasfiWrNate D Inigation/AgrlwRural C Industrial C Water Quality Monitoring D Sail Samplthg/Cherscterization <br /> Public Water System <br /> Ifdifa2rafmmO .1- e r y em me on me ar one u r <br /> TYPE or WORN ❑Naw Well ❑Replacemant Well C Well A9emtion/Moddiestion X Other —2 1 TNG <br /> Geotechnical C <br /> C Monitoring Well(s) z Ofmdnss_#of wells =Sod Bodng(s) #ofbodnas <br /> Out-Of--Service Well C Out-0f-Service Well Renewal ❑Cross-Connection Repair <br /> ❑New Pump C Pump Replacement C Pump Repair 7 Raise Well Casino <br /> WELL CONSTNUCTmN <br /> Drilling Method ❑Mud Rotary C Air Rotary C Auger ❑Cable Tool ]Push Point C Other <br /> Proposed Well Depth ft Excavation in diameter C Open Bottom C Gmvel Pack/Gmvel Size in diameter <br /> ❑Conductor Casing_in diameter / Conductor Casing Depth ft <br /> Well Casing Diameter_In ThicknessfGauge/ASTM Schad C Steel C plastic C Stainless steel ❑Other. <br /> Grout Seal Depth ft i Neat Cement(94 lb bag/5-10 gal water) i Sand Cement sack mix/7 gal water <br /> C Bentonite(20%Solids) F Other <br /> Grout Placement Method D Pumped C Free Fall ❑Other 7 ReteMenl/Aecehralor(name) <br /> Ej2ljIrwL Installed By C Driller ❑Pump Contractor ❑ Other <br /> ConuB[e Pedestal Dimensions:Width_ft Length ft Thick m Christy Box Stove Pipe <br /> Pu ❑Submersible❑Turbine C Other HP Pump Sel fl Startling Water Level R <br /> I HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THAT THE WORK WILL BE DONE IN ACCORDANCE WITH SAN <br /> JOAQUIN COUNTY ORDINANCES, STATE LAWS, AND RULES AND REGULATIONS. 1 ALSO CERTIFY THAT MY REQUIRED LICENSE IS <br /> CURRENT AND ACTIVE WITH THE CALIFORNIA CONTRACTORS STATE LICENSE BOARD AND THAT I AM IN COMPLIANCE WITH ALL <br /> WORKERS COMPENSATION LAWS. <br /> I MU 4 R ADVANCE NOTICE REQUIRED FOR INSPECTIONS <br /> TmLE CONTRACTOR DATE 10/6/11 <br /> p.\ DEPARTMENT UY <br /> Application Accepted By^I � I �—I nv Date �O � Area Employee ID# 6 <br /> Grout Inspection By Date SPECT L Well Permit <br /> Pump Inspection By Date WAIVER Received <br /> Soil Boring Inspection By Date Constructed Well Depth ft <br /> COMMENTS <br /> PE SC Received Checkef Amount Data PermW Invoice Well ID# <br /> es <br /> CodInfo B Cash RsmHhd SarvkeR uesti <br /> �2k�s �y to / G3GGL <br /> EHO 4348 WELL PUMP PERM? <br /> eN4TB <br />