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Mar. 6. 2017 6: 17AM Canepa & Sons744LAX 5LIR^ ) 7`lil 9�1� No. 7851 P. 2/6 <br /> WELUPUMP PERMIT <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTWW 1668 EAST HAIELTON AVENUE-STOCKTON CA 95205 -(209)468-3420 <br /> NON-REFUNDABLE PERMIT CALL 209 953.7697 FOR INSPECTION$ EXPIRES 1 YEAR FROM DATE ISSUED <br /> Joe ADDRESS 2125 SNYDER LANE CITy2tp STOCKTON 95215 > <br /> v <br /> ORO33$T1EET WATERLOO ROAD APN 101-022-21 PAgOFLS12E 2-„11 a App ATTCNyI <br /> OWNER NAME ULLOA JOSE - 519Mp CO T.��'���yt>� [Am. <br /> DAICT//,CO 'PROM 1209) 290-3069 <br /> OWNER ADDRESS 8650 WATERWELL WAY 616N Wa'TLIG [A -CIT'9ATpIG TRACY, CA 95304 <br /> CONTRACTOR CANEPA AND SONS, INC. PNONe (209) 532-1136 <br /> CONTRNOTORADDRE9a 14384 CUESTA COURT CITYI9TATE/LIP SONORA, CA 9S370 <br /> SUBCONTRACTOR PnONE <br /> SUWON TRACTOR ADDRESS CITYISTATE/LIP <br /> LICENSE X C-67 0 C-61 7 D-09 _ Other NUMBER 425799 EXPIRATONDATE 7131/16 <br /> GEOCNAPRICALINPORA&I Coordl.*W.X Y Township. Range Section_ <br /> ItDESDEDUBE X D.ma.Oc/pdvale ]IRIgatioNAgrlmllurAl C Industrial C Water Quality Morlloring C Soil Sampling/Chereclerization <br /> - Public Water System <br /> IlagRnm lmm Owwc er ys em ReL.Rel N.re.r 111.11.NIJCMQr <br /> TYPE�P WORN XNew Well C Replacement Well C Well AxeralioNModinCBtion 0Other <br /> _Monitoring W.s(z)_9 of wells uSoil Boring(.) a.rbcrm9 UGeotechni.Al Bamd's <br /> OM-ofService Well D Oul-Of.Sarv"WBII Renewal O Croea-Connection Repair <br /> - New Pum - Pumit Replacement rl Purnp Repair n RBlse WBII Caeln <br /> INELLCONSTRUCTDN <br /> Drilling Method X Mud Rotary -Air Rotary "Auger Cable Ta01 n Push Point IOther <br /> Proposed Wall Depth 300' I Excavation 12" .diameter ]Ope�nwASMotlom X G avel PacWGrev.I Site 3 S" In oiameler , <br /> X Conductor Casing 16" Indiameter I Cenducler Casing Depth I# R <br /> Well Caeing Diameter 6" in Thickness1GsugerASTMSched .250 Og SWel O PlaStic U 81SWIP, I n Other <br /> grout 5001 Depth 100' R uNeat Cement(94 to bag/5-10 ger wCler) 215and Cement 11. _sack mtx17 gal water <br /> L Senlonite(20%solids) C Other <br /> Grout Placement Method X Pumped C Free Fall D Orwr D Retardant I Accelerator(name) <br /> rA Installed By L. Driller X Pump Contractor Other <br /> -Concrete Pedestal-Dimensions:Wldlh.11 Length It Thick In - Christy Box 'I$lore Pipe <br /> SuhmenibleL Turbine C Other HP Pump Set n Slanoing Water Level Il <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. I 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 CO PEN SA71ON LA <br /> Re HO VANCE NOTICE REQUIRED FOR INSPECTIONS-PLEASE CALL (20 9)96 -76 7 <br /> SIGNED nnE PRESDIENT DATE ID <br /> ARECEIVED <br /> AR 0 6 201? <br /> PAYSU ALWAITH <br /> REC IT/S�a <br /> MAR 0 <br /> y JOA ut c <br /> Eyrr1R `; -fd-w <br /> N�TM <br /> A� MENT 9 ONLY / <br /> Application Accepted Bk eta'+ Area 4lgI Employee lOA�'GD <br /> Groh Inspection By Dale G SPECIAL Well Permit <br /> Pump Inspection By Dale 0 WAIVER Recolved <br /> Still Voting Inapecuon By Dale Constructed Wall Depth R <br /> COMMENTS <br /> PE I SC I R.c.ived Ch.okOf 914�- <br /> Wo( <br /> bale Pe mill Invoieex WBII IDS <br /> codes Into ash SONIC*Ra uests <br /> two I Pit dlf� /SQL3 -7/1-7 S UU 1 <br /> Sar— l77,<;2> -j Cy 33.1 -ELL/PUMP PERMIT <br /> Received Time Mar, 6. 2017 6: 28AM No. 0945 <br />