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09/10/2001 13 47 20946SC433 FIFTH FLOOR PACE 02 <br /> • <br /> WELL PERMIT APPLICATION FO M SITE <br /> MITIGATION <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SER ICCES UNIT IV <br /> ENVIRONMENTAL HEALTH DIVISION THS•01413) <br /> 304 E, Weber, ThIrd Scor, Stockton, CA , 9520 <br /> (209) 468-3449 <br /> NCH RE-1fJaABLE—'PFS I Te 1 SUED <br /> A.Vgllcatoa s"Imby made to San Jc=uln C06-tiy fer a permi•x�umal-3n r5r instal firework�ssatn aCVkmjl;n 13 r lade in x+rplt neeVn!h Sar <br /> ,'caquil Gaunry pt!veleprcnt'iut Cnaptzr E-'"#5 3 and ?a Standwds of Ssr laapItn C.ourr1 Pi.Zllc Heanh 5crvlr"s Enriror re MJs-e lji 3OMSion <br /> WELL 9L-catfVllafiNwts bi cty �— <br /> PROP=R=rOwterr/IeJ<Co,,� _Addo <br /> C-5'Ca ntac'sr 4far a�a ,c�Iorwr4�[l+� —adereea <br /> Cbra�i•ent t Sub Co»:dor ACe'nsa nt G:tr�e Uz# Phcre-i <br /> GIsCootcrnate5 X,_,r. v _ Township Range I EeCt�r <br /> Vvc!KHE PEi7F0RVr; '=„7ALCTIQ%+c`co90 r58 ZVOw) <br /> o N EN WELL a EC%R.lN5 i CF- GEODPOB-hvUR0PL"V-M rf+NZ aUC�R OTHEq-) I ^^ a�]C%,EB-F.e <br /> a SQIL BORING x I ;=35U�GROrT <br /> 'KWELL+f y� <br /> 'D1or, C,r�U.aPaQaC�+GarsxXtK £ <br /> GQ�dil�3fr5 - - Q <br /> I <br /> I <br /> TYPE Cr WF L 11%5TALLA ( '�tti 7PtfCnOH 9d�C17'ICATi4N3 <br /> a r•C's rG NG L��OILC+K 9T=�� MA OF MLLTIPL=Cts H Ic7 p Y_s a NO 4,ELL:AZING DIA <br /> 13 'r-•S,C-17Oti C 41R 'Au'vIi41EfR'Cnl`�WN CASIi',GTHIGKV�Ss _TAPE <br /> ;7 V a?C)ft ©`d'_'7 ROTr 4 t7�eP I Cr GRC�T SeAL- iFzElll�'Y�E'Q e L'S ]y lGc�S 5 r175= <br /> 13AIR 5P^RC"c C=L$rl PClk1T ri .a (NOTE. MAXIMUM, FREE-TALL DEPTH IS 3C') <br /> (3BCIL9OR'NC Q-A;4::a.LCER GPQ�[7 SP=-CIPICATI'DN5 I <br /> OTFcR_�1►"TrCrZR AzPRC:X-BC7RNC3 Ili:—I li [1 "LT=C Ii AFFiC EOX ce 'tS 5TD`!=aiPE <br /> :ONC;UCTCRr-AS,NG?RuP05rD' fr G3, is Sir-tiGalxss'ierel <br /> 1= 1YENTS <br /> NOTE: OFFSITE BORINGS REQUIRE ACCESS CR ENCROACHMENT PERMITS. <br /> CALL THE UNIT IV INSPECTOR 48 WORKIN3 HOURS IN ADVANCE FO ALL REQUIRED INS21ECTIONS <br /> I hereby cerity that I have prepared thla 0ppl1eZtL0M and that the work wi:l be dan�in accordance m h San Joaquin <br /> CoL'ri-y Ord a a, ;as and Reputations,and all applicable Call€ornia State La s <br /> 9,gie.z <br /> Ti[elCcmpsny <br /> mint harne . r <br /> DEPARTMENT USE ONLY <br /> SfT!MAP IN UNIT IV FILE,A13DRESS: <br /> WOPK PLAN DATED' <br /> /� j �+ d t nraaa <br /> A; -hon Accepted Ey_ [38'r issc ed <br /> Crmd Inspecton 3y Date Frnzl Inepe-:2nn By <br /> Ce tictcr r4crcu_n 3y pare <br /> COMMENTS f CONOMWIS <br /> A=OLINTINQ ONLY A DY <br /> PE Core$ >=E6 INFO ANCK,INT REUrt-rED CHECKS RECD 7f DATE 2mrr r SEROCE RBCUEST aZ iavOICE <br /> sn-1- I ("o- (PO' 01 n' 2 Dl <br /> �.Iarkrcr. -.F7 i e+tar of Astibmrl7rTion to SJGn= +ntc't EnGr=rh nrAt doh 9/27/03 <br />