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T <br /> 03/26/2804 08:25 209433 FIFTH FLOOR <br /> PACE 83 <br /> San Joaquin County <br /> Environmental Haan Department SITE <br /> 304 6"Weber Avow%3Rd Floor.Stoddo%CA 95242 MITIGATION <br /> • (209)468-3449 Fax:(209)468-3433 Wab:www4o ww,-4oaquin.ca.uVchd UNIT IV <br /> NOMMUMIA POOIIT EXNRp!YEAR FROM DATE§1VID <br /> bhweby�� 3" eon <br /> �OWM COO*IN I WM to WWVW w4hr MOW IM work C�aarb�d. This##pkokn a rmmb In camPwA=with Stn <br /> cntpw$-I lis-3 and r4 st *Mb oN$tn.OKWn count'ErnnroMwttl WON OtpartywM. <br /> WILL LeoilierQ. �lrl�.i .a�tsa..; 1�;� c�Ir 1�• tp � t4 ett•ot' <br /> a'�l�t�..,tl�1�3s� �S¢2 �- � a_"f r•��.$-�li:dP �4'ir�z <br /> C47 contaeior MAl. City. _z+b t IcM� 9?9 9'i�tr7 <br /> CwwUftWt/8Ub Cit- +i.=.�CC(-_._ <br /> 01111 CoorOM►alss:X Y_ Township Rutyt BtoAon <br /> 01EW WILL I (epT.agmRCats,wnw4miNcH,HAMR•AUGER,ormw) gDESTRU CTION (&4w tx*btiow) <br /> WELLSOCKWINGN 3 OVWt-SM. D"MER <br /> PROIUMCKOUT <br /> O'er« GROUT' iCATWN3 x,& m <br /> COMMENTS: <br /> TYN LQUN L 1tiaT1LLATIefM 7YPE <br /> P10lEu71I" 0 MOLLOw STeµ OtASMTIPLE CASOM 0 MULTI-LEVEL WELL CAsM <br /> a EXTRACT" 0 AIR HAWAEPWRtVEN CAW4 THICKNUG _TYPE OF CASING' ®STEEL ,IQW OOTHER. <br /> 0 VAPOR 0 MUO ROTARY OEPTH OF OROUT 8 TRENAIE TYPE TO K USED: 0 AUGERS 0 HOSE <br /> G AIR WAROW OZONE 0 PUSM POINT(OP or CPT)GROUT SEAL PWJPW 0 Yat U.%*(NOTE MAXIMUM PREEfALL OEPTM Is 3w) <br /> 0 80L sORNO 0 HAND AVWFL GROUT SMPICATIONs <br /> Q OTMW n OTHER APPROX.50ftW RE!•rit p s(xTEO TKOPic sox er p STOVE Pft <br /> CONDUCTOR CASM PROPOSft 9,pit f ooft"We clon) <br /> 0911111I =..sJsd�' .a:_ <br /> NOTE: WPM BOWNliE REQUM ACClSS OR RKROADWNT PERMITS. <br /> 48 WpRKM HOUR=NO, REGUM volt MSPECTKM. <br /> I hwlby owtthr that 1 haw prepend this applicallon and the#the wok wilt bo done in accordance wleh San Joaquin <br /> Cour Ord01 and lta orts,and off appNcabN Calibrate itoW Lowe. <br /> swwx--A= Tftc*Mw7,drxftde day- ',cL-0;4 <br /> PAns Nitm._ ,.• oto i` �. _ <br /> MPART AKM USL OKY, <br /> SITE MM IN UMIT IV FILE, : L3t.o.F.N ft&.- A* ✓ -- AR 15 0011 <br /> tlXM M ANI QATM: <br /> AkWMAM"led aY (�(1�-,_-� Dar ilowd ,�•��RiNMENT H <br /> ALlti <br /> pp <br /> GMA baecmt BY. taw CNN W"oc On IV ' Ottt <br /> gaz!!tm—btpNom ay Otlt <br /> CarMstrrNs J COMafltOMa• <br /> ACCOU100 ION�Y: ^cw PACO <br /> PE CODES M WO AMOUMT MI IMM C"WK M MV SY DATE PIE 0W/SERVICE FAMUEST V WMVOiCa <br /> �Sr4'L ,�$O•� $`�`iZ 3 si SRS �'��i�,(� <br /> C-57 WC—WAIVER,;_ C-57 Latter of Avfl ruction iv so per It Encroodmftt dotes-_ <br /> ww z&e l <br />