My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
FIELD DOCUMENTS
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
M
>
MAIN
>
4040
>
2900 - Site Mitigation Program
>
PR0545496
>
FIELD DOCUMENTS
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
3/24/2020 3:28:51 PM
Creation date
3/24/2020 3:05:13 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0545496
PE
2957
FACILITY_ID
FA0003564
FACILITY_NAME
BLUE STAR
STREET_NUMBER
4040
Direction
E
STREET_NAME
MAIN
STREET_TYPE
ST
City
STOCKTON
Zip
95205
APN
15727503
CURRENT_STATUS
02
SITE_LOCATION
4040 E MAIN ST
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
170
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
FILE COPY <br /> �: I. .;•j ENVIRONMENTAL.HEAI:TH DEPARTMENT LOP <br /> 500 East jUlain Street;:Stookton-,.CA 95202 3026 SITE MITIGATION <br /> .: Tele hone:: 209 468-3454 Fax: 200 :468=3. 33 Web;:www:sftaov.otc le-hd •.U.NIT.IV <br /> :- ( ? ( ) 4. <br /> WELL:& BORING PEirVIIT APRLICA710N RECEIVl <br /> F.:9R:WI L,LS`AN.p.0ORINGS U$ED FOR 0ONTAMlNANT,*_ ST1000.NS ANWREMFOIATION <br /> NON>REEUNDABLE PERMIT EXF�Ifkt S8 f YEAFt`.Ff2bIV1 DAfiE ISSUED ptz 04 .zol <br /> ,ApjSllos116f1 Is hr<1i'6y mitde tb StitrJbaqulrt Caulft y::tome�iennil)o conslrucl Lelid(or lrislall lfiB�vJork(iesl:rlhed, Thls a{i Jlcallon[g made jn compll$nce.vAlh Sar <br /> Joaquin Courily Develblr 'tit T(tle,Ch pter j i15 3,aril the St n ardg of the San Joaquin Counlyl nylkopmenlal 1�eallh 0eparimpnl. ENVIR�N�1EN� t I1 At <br /> 11O �Ql. . � pp��( Vti�ES <br /> Site Looatlori f:toss$tree!• - silty. �G•-•K Tip�5 t'� Al'N <br /> Property , <br /> owner�tn�oGr' .kl�a�(.ii Addressv ciiXc� �(lVtl( ,Xfp`��t�i' Z Pt�on c�nv�ixvli <br /> •C b7Conirer'tdr. C� I>�'ii(+dc i4i1(lress ^u ��• Cfly Jy Vrs Llc`7rlwj{ Phoas3 <br /> 0onsult2lii►'sub:cntC 1 �.iG I Add ets Citi &,(,A c_1(4 Lie�P.iiont(701S23-(010 <br /> Billablo party rI i t b OO ress Z ?,s Wk.r�u,o l% pity, t :Zlp <br /> GIS.C6ordlnates:X 1!",qy S Z:O'I_Y 12 60�'�b <br /> CONSTRUCTION WORK TO-6E.P0 FOR_MP_b. <br /> [I NEW WELLIBORING(CP r•cFOPROBE;HYOROPU1f'CH•HAND-AUGFR•10THER) <br /> ❑SOIL BORIC; aG.j <br /> 'E]WELL ID's ►�' Mwz SS` <br /> P-OTHER 103 <br /> .TYPE&#OF 1MELLIE16W 3} IN§TACLXnbI4 TYPE d64§fRUdT10A..SPEC(0ICATIONS <br /> [�A10NITOIZIN ❑HOL&O'SlEIA DU1 QF BO(tEHOI C. �r 1 [J fAV. TIQ),�'aASINGS IQ Mtll.f-l•EVEL WELL CASING DIA` <br /> _[]EkTf(AtlrltjlJ:Vpporl,{lyatpt. WfAh1f;(ERI-AP)tN CASINQTHICKNESS.3i�+`1 _TYPEQPSASING'11STEEL KI PVC, [3-OTHER <br /> 'fl 6,011.VAPOR PROBE ❑tdUR.ROTARY DEPTH OF GROUT.-SEAL M(Emw TYPE TO l) USED: ❑AUGERS ❑HOSE 90i.P' <br /> _CI SOIL GORING q PUSH POINT(GPl CPT) GROUT 6EAL PU61fj f);IgYsa Q No(W\5dMU)AYfTE4''FAI,L DPT-H is sQ.FT) <br /> _I]INJEG`TIOT!(I<q�rsnrao:Org,g)!]'(Mf)'A11CaEROROUTSPECIFICATIOtSST]k�� ' <br /> _O dTHEft: . ❑QfNERt . APPROX,•BORING gEFTIi-. .5��. (101.T6D;iR(fFFIC BOX-:OR ❑,STOVEPIPE <br /> CONOUCTOR:CA$IUd®Rd[]Yes:Uksi(ig Ola:. 04p 19 Depth: .Boring Dla; <br /> commX14 b <br /> NQTA :QFf$1TE WE[_L;5`.A Yokes s.fteaum:ACOESS AOREl;AtIENTS OR ENOROACHMl NT hERMITS <br /> DESTRUCTION WORK TO BE PERFORMED,' QtS%Lf0—IdA METHOt):i6H9C_k LTHATAPPLY) <br /> #OFWk LL(S)TQii� DE'STt2QYCD ❑OVSR-BOI3E01AMETEI2QF. INCH]%TODFPTf14f FT <br /> WELL IDs ❑p1jESSURE GROUT-rookpyKQF TT BELOW SURFACE <br /> GROUTSPECIfICAlTIONS ❑EOLOSIVES.FROL1 pro r•TDELOWSURFACE <br /> fREWIIE TYPE Tg BE USEp:❑ UORRS ❑ SE ❑PIPE CJ MUSFJRt)OM CAP Ai(>3 FT) FY IJFL6w8URPACE <br /> COMMENTS.. <br /> 5 WORKIN DAYS NOTICE REQUIRED(AFTERPERMIT iSSUANOP-1 FOR INSPECTION.APE'OINTMENTS„ <br /> I t;eieby CeltlfY fi K?! <br /> e(od this aplipcatidll antl tha(Itto t4oJk.Wtll.lfe dpttp In.a4EQrdartco wjl'jr Saq Joaquin Counly,Old'Inances;Ruler,and <br /> ReUulallons, tl Ciaii(orrllaLawn. <br /> Signed 71tIe1CbtnPt)njrrs GI; 1 • - wr ,L. r(!�� ^G <br /> Pahl Name A'QaVcb. l)ele Zv.l <br /> DEPARTWIENT USE ONLY <br /> SITE h1AP IN UNIT IV FII.E fWrz A(hMfsS` /) 4 o C: M 1 !l sS'�ree_f _ <br /> ;WORK PLAN DATEI).. V1,1A!L•.4 . . : .. a-04r <br /> APPLICATION Act3Ef!TED.BY ' V' qAT�ISSUED"- 1116-1)2ARfxq�,� <br /> GfjOl1T Ij( PEc1f.ON Ry (ci fy'I g 11'1 r t?1ir�� FINAL WSPECTIQN BY 11IC y 4 1 fGf C DATE.z-/d-1Z- <br /> DESTRUCTION INSPECTION PY <br /> :GpMMI N'YS/OONUITIONS; 'YAC r�M i 4Z VI M�S" 1 Yi 411� .c►/Y(����G,��i! o f C . �J f'o I iVR� <br /> A CRUNXING ONLY,- lUp H' -- FAC((: <br /> ---.. _.. <br /> PE-i;0,00. Ft O INFO' .AMT.IkEMITfED. ONEGK.i(. RECV'D BY DATE SERVICE 110.# INVOICE <br /> _ _ RPOUI S'f PR-T <br /> qo $l2;x S'fI.ll> _Ll--2t�ll�... .gR# <br /> / ROW <br /> ,�9 a• 3 3.7.5 a _ ,3 ��•. tri. 3500 . <br /> PR o <br /> /AIVF_�t_, _, G57 ETTER OF AUTHORIZATION TO SIGN F'FUMIT ENCROACI IMENT DOC__. --. <br />
The URL can be used to link to this page
Your browser does not support the video tag.