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0'/24/2006 15:23 2094633433 EHD PAW 92 <br /> WELV�SSTR UCTION PERWIT .A.DIr NDU;l'I 1 L; <br /> SAN j0,%QUtN COUtiTY CNVtTION=', rAL HCALTR.)EI ARTMOT 304 E WT13FR AVE Y'FLOOR-STOCKTON CA y� ��` � l'S4T;�20 <br /> NON-REZ+LNDABLEPBRMIT CALL 0019)95346971>2!%LNi PFC.I llONI; L?�Pd.RE$1 YFAR FROM � 06 <br /> pombc Ranch lracili`Y at 24107 S. Lammers Road C!'i YlZTP Tracy 95375 ��J#�UNMENT HEA <br /> .TUB ADVItE3s <br /> iV&W Drilling / t1,0, F,1ala-.rdanz & A390clatt95 pltp;cs 926-7 7 47Ot; / ��S-5'7�-81t3s �T I � <br /> CON'MACTOR <br /> CONTRACTOR Afltt[s&s5 p.0. sax 596991, Mccleet.o, CA �MJKLA) STV STAXZrZrn Modast:o, CA 9535'7 ' <br /> L � -- _-- ---- ------ --r---J <br /> WVLLFVATW WITIt CaFol.ine �hTAMWAI�T& I <br /> 1I AWACEN-YPROMTV AT wvrw4 SODUWATCRCONTA:N'wG <br /> CQNTAMIttiA:VTS OF <br /> WELL LOG COPS' ATTACUED ❑ Yes ZK'No on file at SJDRH D wgrER uF CONP:WTOX CASPNG inehes <br /> WELL Wr'rtl CONDUCTOR CASE40 0 Yeti ZX NO U r3M OF M.ND.UCTOR CASING <br /> LICENSE <br /> &KC-57 Well DrtWng iccnseNumber C"r37-7�o9fl4 �xpirationDate 4-3q-07 <br /> ❑ Hurxau of/llcohVi,Tohacw Had Cirsrms-CiSCry of FiigA EXpf9s�vcs iacnsc Numba EXpiration Date._ <br /> I <br /> G CHP F(uz u3otis hlatcriat Tr_ncCortstion for ExploslVcs1,imisc Number -- Cxplra::on Dale <br /> fla San Joaquin County Shc06-(�aroner£xpiosices Application and Permit 4,iteaeNumbef &Viralwn <br /> ❑ California QtXupatiDUI Safoty Health-Blastor ' icense Number —Rxpiration Date <br /> t Moaitori,n wells <br /> 13 ELL I)ESTitt•L-i'.tC3N C!Opza Sottnm >:7 Grovel Pack �Uocasud ��her 4 — <br /> 'c11 l3iame[er 2 is Total acpth 20 & 44t Dsptlt to water -.22' tt ❑Casing to ue Perforated from. _ft to 8 <br /> SraYirrg yIatereat JN4:4at CC:ricnt(94 Pb bag/5-10 gal wa:0 ❑Sand CC,,T tt park mix 17 pi walar Cl eeki,nitc Peltas <br /> ©Bentonite(20%solids) ❑l~tanufacturof Spec%solids % 14amr ❑Specs on pile �Spec;SubtnittCd <br /> Ptacctntat mi tthed M41U"4pc4 O Freo Fall 13 Other— <br /> r3 COmDlele with Musbrnom Cap 3 14 W.0%%grade D Cotnpietc to?rrisrirtg 5u'fttce Pad <br /> METHOD OF WELL CASING PERFORATION NA <br /> i <br /> Well cas:nn to be perforated from_____•r,,,,,._--.- V bgs TV� ft bgs <br /> Q Milts Kaire Number of cuts svcry <br /> ❑ Explostvel d Downatingcord only with or WAIMIT projactiiet every R <br /> ❑ i]etonatin6 COrd and bogSteT$with orwtthout projcetilcs cvsry —t1 <br /> ❑ Other— - <br /> ❑ <br /> I HEREBY CBtrrIFY T'1tAT t HAVE TRE AUTHOfcITY TO COMMIT THE ACTIN V DESCRI1i1CD ABOVE FOR THIS CONTRACTDR,THAT I I1AV)1 ! <br /> ]PREPA12ED 7Ii1S APPLICATION ANO TIUT THR WORK WIL BE DONE Il"t A RDANCL NVIT14 5414 JOAQUIN COUNTY ORDINANCES'STATE <br /> LAWS,RIXES&ND REGULATIONS. I AJ SO CERTIFY THAT MY Rt3OVnW LICENSE IS CU-gRE?stT AN'D ACTTYE Vt'I.'I'H THE CALIFORMA <br /> CQNTRACTORS 57'ATE LICENSE.BOARD AND THAT 1 AM IN C()MfLIANC'E W 1 H ALL WORKERS C.O."PfNSATIO"t 1 AWS. <br /> NI N]iMUM.24 HOUR ADVANCE No Tf('.r R••Q�T;RED FOR INS14ECTI.ONS <br /> TITLE esi-.- _f__":- DATE-2--j2-1:242 _ <br /> t <br /> DFPARTMEINT USE ONLY <br /> Application Accepted By _ Date '4 t? tw Z t d <br /> l)astrvation Inspection By Date t mploycc dUH <br /> Ca;AIMNTS� ( J <br /> r ' <br /> pr �SC Received Chcclif! Amount te Permit/ Iavoicc# 1Ye111Dq <br /> Dal <br /> ! Cwleslafo- $ Coln Remitted Srrviea Re cert N ____ 1J <br /> -3';07- ; (vv ^�- IS to-d 0 1 LY l; L <br /> C -- _�' Vka!Y rkf'�++�aor Pumit AAdrndun.dx <br /> ]r]�OL4 <br />