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2154 <br /> J& WELUPUMP PERMIT ` y <br /> S AQ LINTY PUBLIC HEALTH SERVICES Pd{VRONM He-TH DIVISION <br /> 306 E WEBER AVE.THRDROOR STOCKTON CA 95202 (289)468-342D <br /> NONREFUNDABLE PERMIT EXPIRES 1 YEAR FROM DATE ISSUED <br /> JOB ADDRESS 10100 Lower Sacramento Road p" 094 -ozo- dl <br /> CRYTIB Stockton 95210 PARCEL SIZE-1--I-r4-L <br /> OWNBRNAME Val San Asaociate8 ADDRESS 433 N. Sierra Nevada Street <br /> Cr1Y2IP Stockton 95295 PHONE 948-6181 <br /> CONTRACTOR Delta Stockton Pump MORESS 646 S. Caffiomia St. _ <br /> Crryop Stockton 95203 PHONE 466-9625 G57 I3CTNSFD EXP DAM O <br /> P <br /> GEOGRAPHICAL INFORMATION:COORDINATES X_ V TOWNSIlV_ RANGE_SECTION � <br /> TYPEOFWELL: ❑ NEWWELL ❑ REPLACEMENT WELL ❑ MONITORING WEILM_ ❑OTHER Z <br /> INSTALLATION: ❑WELLSYSTE.MREPAR ❑CROSS-CONNECTREPAR ❑VAPOR EXTRACTION WELL• <br /> TYPE OF PUMP ❑NEW JtXREPAR H.P 1-, D VM MMPSET 147a Fr. FIRST WATER LEVEL 861 �. <br /> 0OUT-0FSERVICE WELL ❑GEOTECHNICAL# ❑SOILIORING ❑DESTRUCTION: a <br /> ' INTENDED USE TYPE OF WELL CONSTRUCTION SPECIFICATION <br /> ❑INDUSTRIAL ❑OPEN BOTTOM WELLEXCAVATIONDIA CONDUCTOR CASING DEA_ <br /> ❑DOMESTIC PRIVATE ❑GRAVELPACKBME WELLCASINGTYPE WELLCASINGDIA y-9 <br /> ®PUBLICIMUNICPAL omwW GROITTSEALOEPTH SPECIFICATION <br /> ❑RRIGATIOWAG OTHER GROUT BRAND NAME <br /> E3 MONITORING CBROUTSEALPUMPED 13 YES ❑NO <br /> ❑CHRISTY BOX 13 STOVE PRE CONCRETE PEDESTAL BY DRILLER: O YES O NO <br /> APPROXIMATE WElLDEPH 2751 vT <br /> PROPOSED CONSTRUCTIOWORILM METHOD MUD ROTARY_AIR ROTARY_AUGER CABLE_OTHER_ Rj <br /> IHEREBY CENTRO DINA1HAVEPREPAAW THIS APPLICATION AND THAT THE WORK WILL BE DONEIN ACCORDANCE WITH SAN .may <br /> JOAQUINM ACTT COUNTY ORE CALWOP1 STATE LAWS,AND RULES AND REGULATIONS 7 ALSO CERTIFY THAT MV GST WITH <br /> ALL W RKMAN' d' <br /> ANO ACTIVE WITH TINE CAI.WOIOOA CONTRACTORS STATE LICENSE SAMIN LA AND 771ATIAMINCOMPLW{CE Wr1I1 ALL WORKMAN'S Z <br /> COMPENSATION LAWS <br /> MINIMUM 24 HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS <br /> SIGNED M'LE CEODATE 10/15/02 <br /> i <br /> I(JI/. ' /A�� �� DEPARTMENT UBE ONLY <br /> Application Amcpwd By \)W4A <br /> c.nn6laapati®By D.l Pam W. wa By W-IVGf Dale <br /> Dvvuclian Wpc/ian By naw <br /> COMMENTS: <br /> PE SC AMOUNT CHECKM RECEIVED I DATE I PERMOISERVICE REQUEST# INVOKE# WELL m# <br /> CODES INTO EEMfI'IYD BY <br /> 4350 WP Cz; g <br /> i <br />