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WP0040297
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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88 (STATE ROUTE 88)
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10624
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040297
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Entry Properties
Last modified
11/20/2024 9:24:26 AM
Creation date
1/29/2020 1:23:01 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040297
PE
4380
STREET_NUMBER
10624
Direction
N
STREET_NAME
STATE ROUTE 88
City
STOCKTON
Zip
95212-
APN
06312018
ENTERED_DATE
11/12/2019 12:00:00 AM
SITE_LOCATION
10624 N HWY 88
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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�B(� "N WdWE FIZZ W"N 11111 p1A11)1� <br /> E ELUPLIMP PERMIT <br /> $Ml laacuvl CaUNrYFNv[paNarravm_HE=__M 0EPAWWMT 1868 EAST HAZETON AVMUE-$TDC=N CA 9SMS-(209(46S-=D <br /> �IOIU-REFU3VDASLEPl T CALL 209 9S3-7997 r-oRINSPECTIONS SIPIRES-1 YEAR FROM DA7EISSUED N <br /> Lrosaaa 1 0624 N ST -Rt 88 Hwy <br /> �,nrnrStockton sz4z Q <br /> �eos57n>_c �' 1Q)flt MZ.le_B(LAP�I ���3 ��O�d 3'aFlr�7-S IJvlaUseAPPL�a7ID1t� <br /> ,�,209-479-3865 <br /> CtVNE.t raf.IE P P t P F& m i 1 v � 'T'K -H E 1305 P,.,a <br /> •Ot,7r�Aaatz:� <br /> 12133-- Bake r Rd Crrws_xTwb;Q t o c k i n Ca 9- <br /> Ca:rtaAcmR Purvlauce Drillers , In.c P,orC- 2n9-887-3554 <br /> calrrtncmrlApunr ss P O fi5 o x 64 ��,,, iz,�i n d e n, C 95236 <br /> Qtie�� <br /> 1SneeoNTaAcroR <br /> 5useavrlrAema ADDRESS. GrNISTATErelp <br /> 377423 773'7 <br /> LICENSE n CS'r D C-W 3 D-0-1 13 Orr--x_ NUMBERi`7tF>ftATIDN DATE <br /> 0n_z_=SaCUJ_c SAraPLWo=Fn Gerteral MineralfCerdorm BActeda(4381)=Dr=Mochloropmpane(4 392)=Arsenic(4393) <br /> !NT--WMED USE 0 DameskrJPrivale IrdgaGm1AgrLru1ftcel G[ndusici3l G WaLarQuabty Mcaaring O S0SznP6ng(Charaderim5mr <br /> CPifoon- ie- erSystem ( Cm ��PirrsanNrratr•1 <br /> UdLueitfrom Crsrer 'Ls7ErS�'�`1n tart. _ <br /> TvPr;OFWoaK CNerfWel CReplmrmentWag CWeEPJIzratianR:arLFicaticm 70ttr� <br /> :at Ccifoas =af1,�t,3s <br /> n[domlariagUYeBISLL =CfVC4's G S038131[ng9s1 L Geotechnical <br /> -0f Senior Well n Oul_C)`.SemR:a Web Rene'ra[ D Grass Carntecilan Repair <br /> Nr xPump C Puma Reprecem ent P.P Ream, 7 R2iseVM11 r sl^^ <br /> .i Ly�1.L Lbrrs7nvcao. <br /> `IIri111ng16eChad ❑AludRobuy G Air[ttary U Angef 7 CaD{e iool D PusnPcinl D Oihcr <br /> �RroposedWetl Deplh fl E=vakan in diameter =OpenBotlom CGravelPacWGravr]S'me indr-mreler <br /> G CDtducWrCasing in dcarceler I Conducicr Ca9ng DEpth 1 <br /> J Well Casing DiamztEr_in Tnidace2SlGWge/ASTMSchetl --Steel D Pleslic SEanlesSterJ D Other <br /> IIl C-routSeal Depth c: D NeaiCenMI(3Tlbbav�TOgal rrakrl 'Sod Cexnwd �sackr2rIT3dI1'r&-- <br /> + C 6en[anite(20°t saLds) D Other <br /> GcoutPtarrraent[fiethod a PumPed D FreEFall 7 Other RetatdantlAcderalar(rmne) <br /> PeoesTAL- installed 6y D Driller 7 Praap CwjrE=tor ❑ Other <br /> CcCuncretePedestaltafinerrstvns9lydth R Length B7lvrJc fn ctrdgye= o5mmPipe <br /> PIfM1IP c-]Sllbrner9b1urbias D Oiher HP Pump Se! ft S1allG'in9W21erLelmJ ft <br /> ticRE3Y G'RTIFY Tf=I HAVE PREPARED TjM APPLICAT1Dtd AND THAT THE WORK WILL 6E MNE IN ACCORDANCE VJ[TH SAM <br /> JOAQUIN COUNTY ORMNANCES,STATE LAWS,AND RULES <br /> AND REGULATIONS- 1 ALSD CEFaIEY THAT OQY COMPLIANCE <br /> VRTHSE IS <br /> CURP•ENT AND ACTIVE VnTH THE CALIFORNIA CONrRACTDRS STATE LICENSE BOARD AND THAT 1 AM IN GOMPUANCE ZIIRTti ALL <br /> 'Iva <br /> RKERS COFAPEIIEtlTio <br /> �1I 1�Ilu <br /> VANCE MCMCE REQUIRED FOR INSPEC 10IMS-PLEASE CALL(209)953-7697 <br /> ;�ozporate Se cretar�A,E /j- <br /> 12, <br /> Star- <br /> I I I f 1 1 1 1 ! I I I I <br /> Ill ? 111 1111 II 1 I 1 If 111111 <br /> 111 ! I Ifl I flll II 1 I II l 111111 <br /> III I III 1 III 1I II II i II <br /> II 1 ! I I II 1 -11111 1111 1 <br /> 1111 11 i ENT <br /> � iEl 1111111 ! li I 111 111 iVED <br /> 11 1111 11 1 1 ! I I ! 111111111 11 <br /> III ! I I I I I II 111 I <br /> 1 1 � ! III !. ! 1ivi1l 1 ili li iI':t,'" , 22019 <br /> 111 1III <br /> ( f l I f I I 1 1 1 1 1 1 1 1 PI IUIN COUNTY <br /> i1I I I I II I NMENTAL <br /> 11 I 1 1 ! I { I III II II I III <br /> EPARTMENT <br /> 11 ! f l l <br /> I±71 Il <br /> IIE I II i ill I <br /> p R M E N T U E D LY <br /> App(affan Aarpled By4&AuPres*::j1ECIA1UV-11 <br /> cdnPl�ae lL _-t_[.lYr— <br /> GlanllaspesUanBy Date Permit <br /> Ac r Date 12. en <br /> 0 1AFArvER Recled <br /> cy <br /> PtahrsFec6on BY fl <br /> Sol Baring InsPedion 6y Cal CM SD;ucted We11 Depth <br /> CDHItdENTS <br /> PF Sc Received Clrecic7 pmounl I PetmiU Invoice# I -tNelll <br /> Codes _. Info.-_ Y -- Cash -R milled / _ I Service. C7 q I <br /> � I <br /> 1 I I I I I <br /> ! I 1 I <br /> I <br /> rm—Mires PERur <br /> Z'd oUl slejji-iQ eoUeiAlnd eL0:L 6L L L AON <br />
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