Laserfiche WebLink
r <br /> GG ! NA ' <br /> I •i 1 Fit <br /> ENVIROHiAFFITAL 'FIFAU111 CEP"RITTIENT <br /> :4 <br /> 1868 Flaze-Iton Avel itic..Stnck ton, CA 95205-629372 <br /> T61ko1)0W PlM,11 X--, <br /> 44EFUN :3Lr-.P EXEIRES I YEAR FROM DATA If.SLIED <br /> .1 a pIiE;.aIipn N,madeln' <br /> h lDyp to A,-tryl� mg Cpmqt.�fupb permit to covsfn id andfor InsU.411 ME'v,'Ork dwi.�-Iilbsd. T1115 1) <br /> Depilment. <br /> ,)nquin <br /> Sireui (Ay/stal. APN <br /> Address c iy1stateUxa-ox Zip- PhQnrl <br /> Address a&p�lm-tk r;ty/Stita Lie AID Phone q/10- 408- <br /> Lie 9--��Pha a Otp-gsq- <br /> conpultaodSub Gntr Address M9,104 <br /> CALM I <br /> RR-pr�rw CALM L5- Ur-zill plin:"a <br /> X71.10 ' 9th <br /> Niabla <br /> GIS Courallmt.;s:X <br /> Giza <br /> COPIST'RUO ioi-i vifo,R11-6-ag PrpmprimEri: <br /> LIN Ff �TIIEF) <br /> 0-virt-L Iris- <br /> 0 OTHER 111, <br /> 'I'y P 2 c 10r%,VE L L!2 0 P U,1 I;jSTj4.L.f%TI014TYPF Co-gNTIRUCTIO-M 8P2CIyICAXIQI1I$ <br /> MoNTORING 'rAOLLOW STEM DtA.or BnPEHOLE jj!�_ [] n MULTI.I.EkIEL�-YELL CA,'ING 01A. <br /> ExT Pmn'fiof i:`!aper!'Amar 0 HAMMEFUDRIXIFN CASNUTHIGNMESP, - TYPE OF CARING.: 171 r.TFF.I. 0 P4(; 0 OTHER_ <br /> U011.IMIOR morti 0 W.UD ROTAPY LIUM I Or C;F'(.)IJT SEAL• TREwuE rypc-TO v.r USED. VO-UGEM3 1-.]HO:'.F _21K <br /> BOMMG Pt)jt.JT(QP,1 1717T) GROUT TEAL 171,11APED:pelyes L th(MAXIMIVM FREE FALL DEPTH IS:iv FT) <br /> 0 HAND AUGCR GP0111 --------- <br /> _U UTHFR: El OTHER:_APPROA.BORING DEPTH Ij PJXTrA)TRAFFIC PDX' OR Q GTOVE PIPF <br /> (,GNOjjr.ycjp(;AEjf,IC,L-]h10 0 ycs:C-.1strig Dia:__Ging Mpitv­ Bt?fliv Ms: <br /> MOTE, OFFSIYEE VVEL.L'S &GORINGS REQUIRE AC GFUS AGRE-L9 -ITS OR r--MGROA0,M1v1EtjT PERMITS <br /> WORK r0.r:5I= 55 <br /> 'P11ORM,50- DESTBUCTI <br /> DE EE * Tr,�TtI6U,,(IFErK]47l-1-14AT APPLY) <br /> Ur 0 OVER-B01'1E DIAMETER OF <br /> IPIELL(.�)TUBE DE$TF40'rE0 jNCHES TO DEPTH OF FT <br /> WELL IDS:_- 0 PRESSURE GRoij*r TO[jEpTw OF FT BELOW SURFACE <br /> GROUTSPECIFIcA.TiONS C1 F-XPLOSivr::s FRom OELOW ZURFACE <br /> TRUAIE TYPE TO BE USED:El AUGER;; 0 HOSE 0 PIPE E]A4U5jjR0OtI CAP AT(--3 FT) P I BELOW SURFACE <br /> -FECTION APPORITMENTS <br /> s 7 MICING D Av,S NOTICE REQUIRED (AFT€??P ERMIT IS Ura( FOR MISr <br /> u-nuu <br /> — ln-count"01- 11811ces-, Ild <br /> hu <br /> tITIj a'ppjlc�,tjojj sild that %vorlt 1-r,-d-5-n-a--urMXzrrd l <br /> lawa. <br /> TitiWCompany <br /> Print Nal- ilia <br /> "AIR TNIElei T <br /> ITC <br /> -' NIT IV Fit E-SITE ADDRESS o46-eZ <br /> S - P 11V UITs ss A) & <br /> WORK PVM DATED A4 j9 Pe H 7 V <br /> Al*,Pl.fc'4kTil),9AC,17.'I_rTEI,BY <br /> "AQ FINAL 1jIt:Pr-C.TI0II UY <br /> Gy <br /> 17jr-STRUCTIOM 11,15,FUJION Vr-( <br /> .... ...... <br /> 117) <br /> J <br /> 94/ <br /> 7q <br /> T-.. <br /> j.1..jj'j IT rr:, A, <br /> 11T <br /> jlo� . <br /> '7 <br />