Laserfiche WebLink
J 1P PERMIT 60-14S0' <br /> WE�1 304 WE.RLx AVE J'"FI.-STOCKTON CA 95202 -1\a� <br /> n an <br /> ENYIRONNIENTAI,1D1n1.T0 DTeCTAMErvt2� 9;it-7697 POR INSPECTIONS EXPIRESI YEAR FROM DATE ISSUED <br /> e <br /> CC <br /> ABLE FERMI IT <br /> LSlPs -2 C ' <br /> / LAND USE APPLICATION <br /> 2 <br /> '� cl Pnat-x �— <br /> PRONE <br /> r CIr-` <br /> .N111 C \'11TATE/ZIP J� <br /> I PHONE <br /> A"HuSS <br /> t"t<IN /' 11 ala e t <br /> cif G llc <br /> C_ LL - -�/- PUUnP. <br /> 1111N AIInxLNS I - <br /> ,`NAI IIrN ('II\I\1'nl'xl%AP <br /> NA ...N AISHSESNOMRE U E%PIMTION DATE <br /> Seatbn— <br /> .5t ❑Cfil OU-OV ❑Other TowlnhlP— Sanger <br /> Y— [I Soil SamFling/Chemclvrimtion <br /> N ndoprn'1 LfN^am,tpcdny M+miloring <br /> 9nFU.INEtIRMAC <br /> TItIN: anrdlnvles _—� <br /> ❑IiunnnunlAgnarpaal <br /> r 1 nr g'nm fi..mn. <br /> ❑PuM1h.W'^�"SY"`n' ❑Tcst Hula ❑Other <br /> „..x..,. <br /> \\oxN ❑Ncw Well l Kept acrnrcnl Wcll <br /> ❑WeH Allcalim"I"'IiOcation watronnyy ❑Geolechnieal� <br /> p nl wells ❑Soil OorinFls)— �pu).O(Scrvice Well Renewal <br /> ❑MonilorinF Wdllsl_ OOu""Scrvac Wcll CmssConnaction R an L , <br /> ❑well Dsslmclian ❑Pum He ai <br /> p New rum ❑Pum He la¢mcM In push point OtherINemr <br /> O Auger ❑Cable Tad <br /> uNNlxrt pair HnmO' O Open Bonom <br /> a ❑Gravel Pack l Gravel Siu <br /> Alalhod It Mud Rotary in diamHcr R T(l <br /> H CxcaoSp) _ pplher Fly.d5\ell IXP'h I L'onducmr Casing llaPlh <br /> m dlamcmT O Slain)ess Sreel sm,F mot 17 <br /> ❑Co:ducmr Casing_� ❑Smcl ❑Plastic <br /> 1'Mcknessl(iaugelASTM Schcd 13 Send Cemenl—' tied <br /> Lasing Olomemr _—'n 5. ,d xertrd Ci Stan on File OS9eca Su <br /> R ❑NWICcnwM fS4lh lusgl IOR Y Nan¢— •-"� <br /> ml Seal IhPrh__c_.__ pec^.:wbds� <br /> ❑licnhmim RIP:udidsl ❑Manufaaum 5 p Hemrdam I Ac<elmlor lnamel <br /> ❑Cum 1 ❑Frm fall ❑Other 0(),heTBoa ❑Sbve Pipe <br /> hl <br /> b¢meM Method rev 0 Griller ❑.-1 P connaclar in ❑Chdaty B <br /> stsl 0 lcngth_it Thick <br /> I., W1dth_ R Sundin Water Level <br /> ❑Cmsarate Peek"'1 Dlman oil, . IIP— Pump Set <br /> ❑SNbmcrsiM1lr <br /> ❑TurMnc pthhcT <br /> EBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND LAT THE WORK WILL BE DONE IN ACCORDANCE WITH S <br /> NT AND ACTIVE WITH THE CALIPLAWS CONTRACTORS STATE LICENSE BOARD AND THAT 1 AM IN COMPLIANCE WITH ALL l' <br /> �Ilry COUNTY ORDINANCES.STATE LAWS AND RULES AND REGULATIONS. 1 ALSO CERTIFY THAT MY 0.EQUIRED LICENSE 1 <br /> PtNi <br /> MRS COMpENS THIN LAWS RED FOR INSPECTIONS <br /> Bill 24 HOUR ADVANCE NOTICE R DATE <br /> ' TITLE. �— <br /> n V'� <br /> c 4 <br /> CX <br /> M A <br /> T O-_P FIT <br /> (1/ DEPARTMENT (USE ONLY _ Y <br /> Application AcnvpRd Dy "-� Dam 1!_ r-f Area 21L ElopiyeaIM 53 '6 /! <br /> (inwl Insllavnn 7 Ilmc T ❑ SPECIAL Well Permit <br /> Pump lnslNA'No BY Oale�l ❑ WAIVER R¢E¢IV¢d <br /> 1h 1.,,mn hNS,,lion _ .. Dare Constructed Wall DePtb R <br /> PE SC R...Wall Chile" Amaunl Dae Permit/ ImoiceN Well IDN <br /> Codas In/o 81 Remitted I SerAceRemoval 9 <br /> SSR004 <br /> Illna�.at.Nw a"It i'm1eERMR <br />