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WELL DESTRUCTION PERMIT <br /> PUBUCWATEASYSIEM❑Ye<�No <br /> F,\ryJ1).\QIIIN I.1lNW ENVIRONMEMAL I I EALTII DEPARTMENT 304 E WEBER AVE 3"FL-STOCKTON CA 95202-(209)/(9-31120 <br /> NON-REFUNDABLE PERMITCALL(209)953-7697 FOR INSPECTIONS EXPIRES I YEAR FROM DATE ISSUED <br /> JOn A.n.Es. 1050 South Diamond Street CITyalr Stockton 95205 ,fit <br /> CROSSSTREra East Worth St. APN PARCELSIZE A n USE Arn.ICAnOK ff <br /> OWNER Diamond Walnut Growers PHONE 209 467 6000 <br /> OwNEBABnRTss 1050 South Diamond Street oTP/STATMlr Stockton, CA 95205 <br /> ^A„__.a Drilling cunrnn(Ton ''^ S PRONE 707 374 4300 <br /> corcrrtncroa no.RE.ca ssn ol..e� RnwA orvrs'rATelGP R10 Vista, CA 94571 ` <br /> N CA7WEI.I,DRILLINH LICENSENvOun, 710079 ElrIRAVON DATE 17-05 O <br /> P[RSO.ATIONCONINACTOR Woodward Drilling PHONE 707 374 4300 <br /> PI.PORATIONCONrRAQURABINESS 550 River Road COVATATIA&M Rio Vista, CA 94571 0 <br /> N C-sI WeR DOM, Llnense Numbo 710079 ..pimdon Dake <br /> ❑ BureanpfAk.bnl,I'nh.cm nlsd Firearms-Usm of High EsMosives Licwue NRRbe, Expiration Date <br /> ❑ CUT Iln.,&H Material Tmllsp Hkk.n for E.Plo.lvea License Nu nb RYpimtlan DO' <br /> ❑ Sun Jonnnin County Sheriff-Conner Explosives Application.nd Permit License Number E.pirallon Date <br /> ❑ Callrorita fkcupotlonal SaNty I lealth-master License Nampo, C.pilnlidli Dole <br /> R.AtoNrimOgImS— ❑ Dry ❑ Repl/OC�Cn nt Well ❑ Laved In ❑ Pit Well X3 Illedive ❑ Test Hole <br /> Ihtectal/Suup ted\Yell WRler C.nlnmbwnlp) L � ” <br /> Adjaeenl properly with mnlnmina,lon(Address) <br /> Known Suit/Wnwreualaminanb m ndlucent p,openy <br /> N <br /> pY mtnched U 01.Open Bon.ul ❑ Grawl Pack ❑ Unal ❑ Olher <br /> Yes $I <br /> 3\'ell LOR m ❑ YNn Grunt Seal ❑ No 13Ya R below ground surface(bgx) 11.Ie Dbmeter 18 i1Rha <br /> \Voll Cnndnrtnr Casing ❑ Yo XJ Na Deplhor C.Rdwtor Csi <br /> ang Rbgs DlRlrek,of Canduata,Cui.g ioohca <br /> Wen fining nlmneler 12 itches 'r.tal DCpT. 133 n Ilep01a3Vger 19 n nenthnrclum.g 106 Rhgs <br /> D - - UY Srrr C�$TIO1jI <br /> Selling Mulerml from _ _0 R bgs to 1 3 j hugs F111er Rinlerlal from D 66s to R bgs ,/f <br /> \\'ellrnsmgln be pe lonteJ In nealit riollowine nrelRada: from 8 Rbgs In 108 fib, dVCI <br /> ]�[hlills K.He _�___Numhcrnfwlsevery 1 Hutt/., <br /> ❑ Esplmhve ❑ M,u.uktingco,d ❑ with puHmlilasevery <br /> kw ' R ❑ widlmA projectile <br /> ❑ Da ing cmd Butbu.h,. ❑ with Pt0jmttloewry R ❑ widwulpmjxllie <br /> ❑ Olhe,__- _- <br /> $eallnRRlmerinl KI Neat('enrenl f94lh Mg/Sfi Xal mMor/ ❑ SanJ Cemea ,oA mirlT yl wnkr ❑ Benbnlm Pelleb <br /> ❑ flemm�Re(2nX mIMa) ❑ Muluilctucr Spec%solids % Name O SBl:u.n Pile ❑ Specs Submitted <br /> Piacnnout R%.,hkd XI Pwalxd ❑ FRce Fnil ❑ Gtlwr <br /> Seal Cnmplclhrp ❑ Cnx6rlete rvilb AlusM1reom Clp Il bgs N Cumplelem E.bD.g Sn,f..Pad <br /> 1 DEIIFDY CF.R'I'DIV l'IIKT 1 HAVE PREPARED THIS APPLICATION AND THAT TOE WORK WILL BE DONE IN ACCORDANCE WITH SAN <br /> JOAQUIN ,,UNfY ORDINANCES,SPATE LAWS,AND RALES AND REGULATIONS. I Al-90 CERTIFT THAT MY REQUIRED LICENSE 6 <br /> CURRENT AND Acrivu WITH THE CALIFORNIA CONTRACTORS STATE LICENSE BOARD AND THAT 1 AM IN COMPLIANCE WITH ALL <br /> 11 <br /> W'ORKF.RS COMPENSA'T'ION LAWS, <br /> NIININIURI 24 IIOU ADVANCE NOTICE REQUIRED POR INSPECTIONS <br /> COMRAMASSIC.NATIIR �' _ __TITLE JeA�� DATE �S ILS <br /> aK.R lriS3tofit <br /> p;2 o <br /> 0 Pp�of <br /> l f53zo B <br /> O REC'EI VED <br /> IJill JUN 2 4 2005 <br /> SAN JOAQUIN CoUlk," <br /> iA ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> /w� DEEPARTMEN'r USE ONLY <br /> Applicaliml ACCeMcd ll',y (�yrrii__ fete (P' �/ '�/ Area <br /> IksWrtimr lnapcaion In —0S Employtt lOM <br /> CoMMF;NI'S <br /> ti <br /> Renked Che ARwa.l Permll/ <br /> Uek Invkill WeB IOp <br /> odea tofu D GRh Remh1R1 6ervke Ralp <br /> � 6� i 3 25a � 2I•o5 SCoo L8 <br /> FILE COI" <br />