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SR0070618
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JACK TONE
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2600 - Land Use Program
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SR0070618
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Entry Properties
Last modified
1/9/2020 3:35:51 PM
Creation date
9/4/2019 10:35:32 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SR0070618
PE
4369
STREET_NUMBER
17520
Direction
N
STREET_NAME
JACK TONE
STREET_TYPE
RD
City
LODI
Zip
95240
APN
05303004
ENTERED_DATE
9/22/2014 12:00:00 AM
SITE_LOCATION
17520 N JACK TONE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\sballwahn
Supplemental fields
FilePath
\MIGRATIONS\B\BRANDT\13600\SR0070618.PDF
Tags
EHD - Public
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SSAN t7erAx EL.UPUMP PERMIT <br /> AN JOAOVl, COUN-E PERMIT 1888 EAST HA�LT0m Avenue_STOCP(TON CA%SM_(209)468-UM <br /> 0 9$3-7697 FOR lN3PECTItJNS EXPIRES'I YEAR FROM DATE ISSUED <br /> v <br /> Joe <br /> �' crr,o, Linden 852.36 <br /> APN PARCV-S "' ' LMD UW APPUCAVON t $ <br /> i�JOii A, <br /> i re Pay Colline � <br /> A 1257 Jenevin Ave — PHONE <br /> CtrrdSTArelZ P San Bruno CA 9 6 <br /> lCOMOR Puiviance Drillers, Inc, 209_8837_3 <br /> Coxm4cTOR Aar P, ©, 13clx 6 aJ-nen, <br /> Crt'Y7$TATEI�P <br /> art: - <br /> PHOur <br /> crrr:Antaim-Ts <br /> -- CrrfMTAT9rbP <br /> csr cert DtK1_cOther N��t. 377923 7/31 15 <br /> ---- ATSON DATE <br /> CrssrriAauAy 3a1: CetxrdinataaX <br /> rut use Township Range section <br /> t7¢hest FP irate 11»gatfonrr+grcuAuraf a industrial ❑water Qualify Monitoring II Soa Sampkngicharac7ar¢zdtion <br /> "�Pu3si�water system <br /> �Type or WMK / ieq G Rgp .eM'Nelt 0 Well A.'beratio <br /> edification C Ottw <br /> &+Vnito(irrg' *R3) 4 Of tiwetls -Sed Boning(s) 0 ofbiwimp a ct5vuys <br /> O Out-Cf-servao-wen cnicat <br /> G Out-Ot-Service We€S Renewal Cr Cross-Conreecirnn Repair <br /> Dw Replacement v Punta Repair a Raise Weft"&V Method Cueing <br /> a{yid Rete C Air Rotary h Auger Cable Tool Push Point C Other <br /> ted y4teit O do 8 Eaza"uon—in diameter •Open Bc t rn a Gravel <br /> ",oridursor Casing i' 7tira a S m n dm7We r <br /> i rg � in diameter f Conductor Casing D"th R <br /> W+ i Geeing Di�m. �r/ n 'd'ta�cdsrtesstGaugaJ.AS7RA S:rhed _i dr p r Steel 0 PiasCo 0 Siainiess Steel !;other <br /> armst Seat sept t ,�.� it -Meat Came nt t94 ib Oary5-10 gal water Sand Cement_ �a. <br /> &-rit"de(20%Solids) Q Cater s8sk mh/r gal ararar <br /> LO"'o'er Pla 'eni MaithOd •PumPed L� Free Fati ^Otho >;Retardant d Accelerator(name} <br /> rA h ed Sit C Dyer t;Punlp Contractor - OtheEEm <br /> D P l'.'Dirnarxsdoras;W3d2H ft Leruia Think 3 Christy Boz E;Stare Pipe <br /> C Srlar3 Turbine C Other Np '—Pump .— <br /> tt Standing Water Level 4 <br /> I HERESY CERTIFY THAT! HAVE THIS APPLICATION AND THAT THE WORK WILL SE St IN ACCORDANCE WITH SAN <br /> JOAQUIN COUNTY O CES, STATE LAWS, AND RULES AND REGULATIONS. f ALSO CERTtt Y THAT A fl� C WITH S t5 <br /> CURRENT AND ACTIVE VATH THE CALIFORNIA CONTRACTORS STATE UCENSE BOARD ANI} THAT i A IN COFAP(S ED CEN At.t <br /> TIO�t LAWS <br /> UM 24 AMCE NOIJCE REQUIRED FOR INSPEC NS-PLEASE CALL(209) 697 <br /> � Corporate Secret-a 9 <br /> t i s t <br /> 9 � 7 <br /> I <br /> l UXN <br /> Ol��H nuN'7'y <br /> J �PgRT� <br /> DEPARTMENT DISE ONLY y; <br /> Gtaut `�����Date �. / Area 190'' I yae i€h J.O <br /> Emplo <br /> Date 3 SPECIALWell Pe�rTnft <br /> Pump Inspection By .e� Fate_ D WAP/ER Received <br /> 7"trrspedmn 8 Date <br /> COUNTS ConWructed_Won Dejtitr R <br /> -24 <br /> SC <br /> PE <br /> o �6 �PWMW <br /> Cade! tt1l6 y"ice � Dal® SWM x hw'n m A V&A M4 <br /> ! � Cc =22- <br /> 010 <br /> 2. t+ <br /> rsrfv`io' <br /> + t('a-jZJ �,v�`>• iv�(�;reek �..Ui C✓'� (.?yam +ya.t.eruserrrwrr <br /> <Set A. krrl�..�- Lt>�.�t i,cttr I<PZ.u► <br />
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