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11;0 D WELL 1 PUMP PERMIT <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 304 E WLDLR AVE 3m FL-Srwic N CA 95202 - (209)46&3420 <br /> NON-REFUNDABLE PERMIT CALL(209)953-7697 FOR INSPECTIONS EXPIRES I YEAR.FROM DATE ISSUED <br /> v <br /> Jos ADDRESS 24500 S. M a C A R T H ZI R S L V D_ CtTY/ZtrTRACY � 7 � <br /> CROSS STREET % MU S. OF 11th PN 2 5 0-2 4 O-O 1 PARC$t.SIZE L'v • LAND USE APMICATION 0 <br /> OWNER NAME WESTERN REFREIGERTATING AND COLD STORAGE PHONE (251) 564-1928 <br /> OWNER ADDRESS 2826 E. OAKLAND PARK BLVD. crryt&rATvziP FORT LAUDERDALE , FL <br /> COYTRACrOR KENNINGS e. 0„ n:RILi_l01; -r-0- 6 't'kr_ PHONt 5QR_7IA1; 33306 <br /> COWZWTOR ADDRESS 3525 P E L A N D A hL E 'AVE. crrYnTATtslzrr M 0 D E S Tr+O� . C A 95356 <br /> susai CTOR W� LJJ-tl - PHONE -710 �.3 J o� <br /> TRA <br /> 3UdCONrRACrORADDREM 2� ��V�L--54k;. - ---- _-- ------- CtrYISTATE/ZrP `'moi �q b <br /> fo <br /> j E <br /> C-57. O C4I O DO D Other NUMBER ExrrRATroN DAT>r _ <br /> Township Ram. section <br /> GZNRAPBICALINFORMATION: CoordinaftsX 0 Soil Samplingicharacteri2ation <br /> �'��p �JAfIYIIIe D lm�ti0>7/pga'icUltlrrai <br /> (3 Industrial ©Water Quality Monitoring <br /> lA[ N14D USE D ppm n t .rale er um <br /> ❑public Water$yStGft star stem oma <br /> if diffewt from Owner ❑Test Hole Other s ortarina C <br /> D Well 00000 pol""'0n #of borilta+ Q GEOt�hnical �. <br /> D <br /> TvpE01,WORK 0 ReDlac�tnot Well , <br /> New Well ❑soil 9orin6(s)--- Well Rtae"I <br /> 0 Out-Of-Sctvtcc <br /> Wcll(s)��Of wells Well <br /> p Monitoring 0 Out-Of•Serrdice 0 Croas.Connection R it <br /> C1 well Destraetion rat 00311 u R Air <br /> �Pum R laceme pother <br /> 0 New Pum 0 Cable Tool 0 Push Point in diameter <br /> WLLL CO�{RUCnON 0 Air Rotary Auger 0 Open Bottom D Gravel Pack!Grovel Size�— <br /> DAIling Method 0 Mud Rotary in distracter ft <br /> r ation�.--.�—� <br /> P��Well Depth —�—~—ft Excavin diameter 1 Conductor Casing Depth Steel Cl Plastic D Stainless Steel ❑Othe ,;*,nix 17 gal water <br /> O Conductor Casing - — <br /> sn ThicknesslGaugdASTM Schad----��er) 0 Sand cement on ale ❑Spas Submitted e <br /> Well Caalag Diameter r_ p flat Cement(941b 15,913-100 . 0 Specs <br /> Grout Seal Depth���ft 0 Manufacturer Spec%solids _�°�+ Name <br /> ❑Bentonite(20%solids) p Retardant 1 Ac <br /> celer*tor(name) <br /> Grout Placement Method C] ❑Free Fa!! 0 Other Pumped p Other BOX Stave Pipe <br /> 0 Driller ❑Pump Contractor ft Thick in D Christy t <br /> PEDt:srAL 18 ft Length ft Standing Water Level —�— ft <br /> 0 Concrete Pedestal Dimensions: Width HP Pump Set— <br /> a Submersible 0 Turbine 0 Other�---- 0 Other ft <br /> PUMP <br /> Gravel Pack 0 Unps ft to <br /> WELL DEgrTtUGT10N O Opel Bottom ft Depth to Water ft 0 Casing to be Perforated ttortl <br /> m Total Depth �� l water ❑Bentonite Pellets <br /> Well Diameter�_ l sand C t�- $ack prix!7 p 0 Sia on File :CO3 Specs Submitted <br /> Sealing Material ❑Neat Cement(94 lb bag/3-1.0 gal w'e'ar)%solids�,_% Name <br /> 0 Bentonite(20%solids) 0 Manufacturer Spec,kfPumped 0 I I <br /> Placement Method free Fall O Other <br /> ,4 ft below grade 0 Complete to Existing Surface Pad <br /> I�Com lets with Mushroom CapHE WORK E IN ACCORDANCE WITH SAN <br /> [ HEREBY CERTIFY THAT 1 HAVE PREPARED THIS APPLICATION AND THAT LICENSE HOARD AND THAT�AM IN,COMPLIANCE WITH ALL <br /> JOAMU <br /> 1N COUNTY ORDINANCES, STATE LAWS, AND RULES AND�GLHS' 1 ALSO CERTIFY THAT MY REQUIRED NC WCENSE IS <br /> CURRENT AND ACTIVE WITH THE CALIFORNIA CONTRA <br /> WORKERS COMPENSATION LAWS. <br /> MINIMUM 24 HOUR ADVANCE, TIC.REQUIRED FOR INSPECTIONS ATE - <br /> L. <br /> SIGNED <br />