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'.h <br /> i QCT-9-2008 i0:05A FROM; 2098873574 TO:4640139 P.2 <br /> 4. <br /> WELUPUMP PERMIT <br /> ' SAN JOAQUIN COUNTY ENNRONMENTAL HEALTH DEPARTMENT ON EAST MAIN STREET-STOCKTON CA 90202-(209)4E8,3420 <br /> NON-REFUNDABLE PERMIT CALL 209 953-7$97 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED <br /> JettA9a,ee `8356 N. Beecher Rd. C"mp Stockton 95215 <br /> CRoea STREET M3'�t a Rd, APN 089-150-20 PARCEL,SIZE 40 LOM USE APPLICATION N <br /> OWNER NAME Frank Frank Stonebarer5408 N. <br /> gPHOHE <br /> eec er Rd Sroc3 on, a m <br /> OWNER ADDiIEia CITYfSTATWLP <br /> CONTRACTOR Purviance Drillers Inc P..,249-887-3SS4 r � (� <br /> ' CONTRACTOR AOOAPJO p•fl•$ox 64 crtrtBTATPP Linden r Ca 95236 <br /> _~ <br /> StraCONTRACTOR PHONE rn <br /> C,a1 <br /> SUBCONTRACTOR AoDRCai CITYISTAY1101' I�"M <br /> ' LJCENBE 9 C-57 7 C-61 0 D-01) 7 Other NUM9ER 3 7 7 9 2 3 Exp"TioN DATE 7/3 1 /0 9 .. .. �m 2 I <br /> CD <br /> GeooRAwrICALIMFORMATION! C60"91`10e11 X Y TowRehlp-- Range„_ Section— )fit dD U U!1 <br /> INTGNODa Uea R DomeelielPrivate 0 hnpalionfAgrioUlUaal 0 Wuelrial 3 Wafer Quality Monitoring 0 WI SomplingrChoraaterixatton �J <br /> C Public Water System — - �.`r,J <br /> ' If Own.' a w m sore o Mme or no um o <br /> TYPeOFWORK C New Wag 0 Repieoemam Well D MiAheratior~fficauon 3 Other <br /> 7.Monitoring Won(s) Molwalh 0 Sell Bonng(s) 0o tvxhom 7GoolachNwl aot bo�lnpe <br /> E Out-0hl3enice Wall 0 Out-0r-Service Nall Rerrowel 0 emee-Connoctlon Repair r ,+ <br /> I.New Pump D Pump Reptncemern IV Pump Repair ]Raise Mil castn <br /> ' WeLLCONCTRUCTioN - -allot , ` <br /> Drilling Method � Mud Rotary a Arc Rotary J Auger u Cable TOO L Push Point u OUnsr 'S <br /> Wopomad Well DOW—0 Excavation in diameter C Open Bottom -I Gmvel Pack/Gravel Slxo ____—_In diameter <br /> r Conductor Cecinp in diameter r Conduor Caning Depth e <br /> ' <br /> Well!CnWng Diameter_in ThdaroaalGaugeASTM Srhed n Steel n Plastic r StalnlesaSleol 't Other <br /> Grout Seal Depth B C Neat foment(94 Ib b8915,/0 gal wafer} 0 Bond Camelsack MIX R gal water r <br /> F Bentonke(7011 solidal 0 Other <br /> Grout Placement Method u Purnp25 u Free Felt j Other u Retardem I Aacelaetor(name <br /> pEpE�TAL InaDlged By n Driller n wrap Contractar n Other m <br /> C Concrete Pedestal Dimensions:V44h R Le it Thick In 12CkristyBox nStovepipeI' <br /> ' •Submamibleft Turbxte r Other HP Pumps-o-FTPft Standing Water Level N <br /> I HEREBY CERTIFY THAT 1 HAVE PREPARED THIS APPLICATION AND THAT THE WORK WILL BE DONE IN ACCORDANCE WITH SAN <br /> JOAQUIN COUNTY ORDINANC. STATE LAWS, AND RULE8 AND REGULATIONS, I ALSO CERTIFY THAT MY REQUIRED UCENBE IS <br /> CURRENT AND ACTIVE WITH THE CALIFORNIA CONTRACTORS STATER LICENSE BOARD AND THAT I AM IN COMPLIANCE WITH ALL <br /> ' <br /> W=ORKERS <br /> IAA M 24 HOUR ADVANCE NOTICE REQUIRED FOR 9N5PECTIONS <br /> TTTL,fCorporate Secret�Ty 10/9/08 <br /> XLV <br /> 2008 <br /> W UNTY <br /> ' E NVIF 0 4 L <br /> p HENT <br /> X <br /> ' <br /> Application Accepted � OEAARTMEN4 UB O AlY <br /> Dole U O Nos <br /> By employee IOdIJ <br /> Grant inapagWn / fe SPECIAL Well P9R111t <br /> Pumpinapedian8q- o' �fJG~ WAIVER Rocaivetl <br /> Sail Boring ins ion By Data Ctx4otru.ted Well Ctp- N <br /> COMMENT <br /> st% L <br /> PE 9C Rocalwd C Amount Data ParrMg Invdco 4 Wen 100 <br /> ' Codes Into BY Remitted BerNce R sat N <br /> q3n OSO N fr `S �sLl r 9 08 �tZ0655 o®3a <br /> ' Mae X37 <br />