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rpnu�N <br /> SAN 10AY UIN Environmental Health Department <br /> COUNTY <br /> it Greatness grows here. <br /> Water Usage Information <br /> PROJECT INFORMATION <br /> Application Number: PA-1900197 Application Type: Site Plan <br /> Project Address: 3263 E Cherokee Road Project APN: 131-070-10 <br /> Applicant Name: Insurance Auto Auctions, Inc Title: <br /> Applicant Address: C/O Mayall Hurley 2453 Grand Canal Blvd City/Zip: Stockton 95207 <br /> Applicant Phone: 209-477-3833 Email: <br /> Property Owner Name: Garret,Randolph and David Rajkovich <br /> —Property Owner Address: 6475 Camden Avenue City/Zip: San Jose 95120 <br /> Property Owner Phone: 1-408-591-4953 Email: Go mhakem@hemlaw.com <br /> SERVICES INFORMATION <br /> Please provide description below: <br /> Water Supply: California Water Service Company p Y ❑ Surface Water(Attach Water Rights Information) <br /> Domestic Wastewater Disposal: City of Stockton, Municipal Utilities District <br /> Process Wastewater Discharge: Ponds: I N/A I A licable WDR: N/A <br /> Storm Drainage System: San Joaquin County Service District No. 17 <br /> WATER USAGE DATA <br /> Provide for total water usage at full buildout Number Persons/Da Gallon s/Person/Day Total Gallons/Da <br /> Domestic Water Usage by Employees/Customers: 115(+/-) 1 32 3680 <br /> Type of Process/Irrigated Lands Total Gallons/Da <br /> Process Water Usage: Drip Irrigation 40 <br /> Process Water Usage: <br /> Irrigation Water Usage: <br /> Total Gallons Per Day: 3720 <br /> PROPOSED WELL LOCATION <br /> Well Location Address: N/A Cit : N/A <br /> Well Location APN: N/A <br /> Well Latitude: N/A Well Lon itude: N/A <br /> Flood Plain Designation: N/A Well Elevation: N/A <br /> PROPOSED WELL INFORMATION <br /> Well Total reN/A Acres to be Served b Well: N/A <br /> Use of Welestic ❑ Irrigation ❑ Small Public Water Supply ❑ Municipal Public Water Supply ❑ Industrial ❑ Stock <br /> r: <br /> Depth of Corcoran Clay(ft):N/A <br /> Proposed Well Capacity (gal/ft): N/A Estimated Pumping Rate (gal/min): N/A <br /> Anticipated Pumping Schedule (gal/day):N/A Estimated Annual Extraction Volume acre-feet: N/A <br /> Estimated Cumulative Extraction Volume before January 1, 2020(acre-feet): N/A <br /> SITING INFORMATION <br /> Distance To Nearest(ft): Onsite: Offsite: Distance To Nearest(ft): Onsite: Offsite: <br /> Wastewater Treatment System: N/A N/A Sources of Contamination: N/A N/A <br /> Other Wells: N/A N/A Pond/Lake: N/A N/A <br /> Sewer Lines: N/A N/A Stream/River: N/A N/A <br /> Animal or Fowl Enclosure: N/A N/A Navigable Waterway-.1 N/A N/A <br /> Storm Drainage System] N/A N/A Potential Recharge Features. N/A N/A <br /> GROUNDWATER INFORMATION <br /> Depth(ft): Source/Date of Reference: Groundwater Subbasin: <br /> Current Depth to Water: N/A N/A ❑ Cosumnes Subbasin(2-22.16) <br /> Highest Depth to Water: N/A N/A ❑ Eastern San Joaquin Subbasin(5-22.01) <br /> Lowest Depth to Water: N/A N/A ❑Tracy Subbasin(5-22.15) <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-34201 F 209 464-0138 1 www.sjcehd.com <br /> 1 of 2 <br />