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SITE INFORMATION AND CORRESPONDENCE_1998-2000
EnvironmentalHealth
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2900 - Site Mitigation Program
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PR0522692
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SITE INFORMATION AND CORRESPONDENCE_1998-2000
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Last modified
4/2/2020 2:38:48 PM
Creation date
4/2/2020 2:21:27 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
1998-2000
RECORD_ID
PR0522692
PE
2957
FACILITY_ID
FA0015465
FACILITY_NAME
FORMER MONTGOMERY WARDS AUTO SRV CTR
STREET_NUMBER
5400
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
10227008
CURRENT_STATUS
01
SITE_LOCATION
5400 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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�APPLICATION FOR WELL/PUMP PERMIT <br /> OApUIN COUNTY PUBLIC N.EALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,STOCKTON,CA 95202 <br /> (209)468-3420 <br /> NON-REFUNDABLE PERMIT EXPIRES 1 YEAR FROM BATE 143VE0 <br /> ARTMATION M"ERE BY ALME TO THE eAN"AODM COUNry FOp q ICO SPIe1F IR TUTOR[., <br /> "Al COURT DEVELINMEN!TRUE CpAPIFp B_ FIRMOT 10 CIMTII ANDpR INSTALL THE WOg,DESCRIBED.}1118 <br /> 1116.9 ANO!IR SUNOAHT.OF UN.NIAOMN CO AFFITCAtbN IB MADE N COUTTLAWE MIT SAN <br /> 10BADOREBmri'l F 5i 5'" PA4c f HH'PVBIMNMLTNBERNCE..ENNppNMEMALHEµTISRAMON. <br /> Y + 7c AVEFVVE Srpc'rC rvp/ <br /> oW7lflee NAME S�PN'J�>.-.j v.N . Em R BLLAmr vgpcH <br /> 57 DEGrg CaGGFGF <br /> MORE.. <br /> colnpgE,oRC1RR.0 «+/F_<c moNEA zv <br /> ADOPT" g10NE F <br /> 2f2Y E. cfN.v.L+2-:P <br /> 0U9 CaMMRCTI —�VEF�-I�J?p0 CN(I S <br /> ApDRE.e <br /> —CLIC MAHE1 76 <br /> IYFE OP WFLUPIIMP' ❑HEN WEII ❑M.CEMEHI WfLL ❑MOMIORI[NIWFLLP <br /> ❑IMUM.All ❑W L SYSTEM PFPgIR ❑CAOB ORNECT RFPAM OTN[fl <br /> ❑Nw OR•P•Ir N.P. DERNPUMP BF} 1pREXTMCMN WELLF <br /> FROF R1MP VA�R. Ml WATER IEVEL <br /> ❑OVI.OR"tIOACEWFIL ❑OEORIYNCAL WNy F Iy O <br /> ❑DEBIRUCTION: .•q aDR mRNS TESr,L :,eiA•y <br /> e <br /> IMtfHOEO VBE TYPEDFW <br /> CBMBTRUCNOX BPECINCA <br /> INpVBTMµ ❑OFFN BOTTOM <br /> ❑ <br /> DIA.OF WELL EXCAVATION A COMEBIICMBVgIE ❑OMVEL pA[K/M$f MA OF CONpUCtOp CA811M <br /> lYFE OF<ABNO/BrFFINVC O <br /> I]RIBIICIMVNbIPµ ❑OMVEN CIA.OF w[LL CA51np <br /> pFP{N pf MNH 6Fµ <br /> IRMDA1bN/qB ❑O{NEP BRCIFICATIOH <br /> 01b1R SEAL INSTALLED BY �'��� A <br /> MOHHONxO OROVf BMNp NAME <br /> OROVL Mlq/RIFFO:QYs QHs --- E <br /> APglp x.DEPTH <br /> CONCRETE ROfBIAL By NBLLEN I]yro I]H° <br /> IOCkNO CHESTED BOx/BTOVF RFE A <br /> TOPOBfO CONBIRVCNOHIMLDNO M THI "a ROTARY_ A. <br /> AID WUl AMER MBLE <br /> OTHER <br /> I IFOUTRISOYHE INAVERRpg11F0 Cl <br /> AIg1CATION ANOTHAT TME WOgL WILL eE PONE IH ACCORDANCE WItN BAN JOAWIH COVMYpPOIH/JICFB.BATE IAWB,AHp pVlfe AHO <br /> pFGVIgTMH9 0f THE AN MAOUM COVRIV,NAME OWNER Op LICFNBED AOEM'B BIONATVIIE CFflNFIFB THE FOLLOWRq,' <br /> TMB PEOMN IB IBBVED,IBIIALL Np}EMROV F4AMOST ACT TOWORWAN'SCOMRH[ATION LAM OF CALIFORMA'COMMCTOq?B MPoNOrOp READM IEf pF TIM M.FOR WMcN <br /> THE FOLLOWING: -I CFNHI THAT INTIE RRFORMA E OF THE MW FOR WHb11 TMB IFMR AISSUED IBNA11 EM CIN RACTOB M.N. TO WORKMAN'Sc SISHANON <br /> CMFO NFI INE APPLICANT MUST CALL H{b PA."ID TER ATURE LAWS or <br /> WS ADVANC[ nALL AEOMflEp INFPW110NS"1—'SBSdBFF.COMRETE ORAl AT IOWFR AREA AKINO LAWS OF <br /> III x <br /> 9 <br /> I.NAMES OF THEFIB 'I RpADB ROT X M•w b BVY•I NYS��•1°-- <br /> i.OUTLINE OF THF F1b1(/ny,OIVMO DIMMER NB AND WIDTH AMOMIT. B.LOCATION OF 1gUBE BEWAOE DISPONI BYNFM OR PIg1OBEO <br /> ],pIMENMMC OVTNNFB ANO LOCATION Of ALL E%IRX10 ANp Rb{pBEp EXPANSION OF$MADE NMgBAL SYSTEMS, <br /> 6TRUCTI1pEB,NCLVOINO CoV l AREAS$.IT AS PATIOS 0="Aye,AND All B. LOCATION OF WfLLBWITMN MpN]OF OHF MMAN,D,ft, <br /> ON INE RbFERty OR ADMIHNG RANERIY, <br /> Sc'E Ail-vff//YCN s - :.2-vn.�iYi>rcr lFrizrsZ <br /> LNri.PON^iC�VA,lo.r /N'�, q�2'D F.PJiY <br /> J. <br /> I <br /> .. . <br /> pFPMIMEI T IONL1 <br /> nrvn•.noo Al BY <br /> 0i1e IE..r mro:xa,er ' <br /> orou,.nY,Im.mlHn er o.r. <br /> C.l ON. <br /> gcCOVNIIXO OMY: glpB <br /> FgCF <br /> PBC...G� FFEIMO MO.",Rp1NTFD CIMCKAAI ..MM.BY <br /> p6MINSEl flFOUFST NAMED <br /> INVOICE <br /> Pub.HOe Sam.-ENYIb.173(1/97) <br />
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