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WP0040450
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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26 (STATE ROUTE 26)
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27511
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040450
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Entry Properties
Last modified
11/20/2024 8:50:36 AM
Creation date
5/28/2020 3:05:33 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040450
PE
4380
STREET_NUMBER
27511
Direction
E
STREET_NAME
STATE ROUTE 26
City
LINDEN
Zip
95236-
APN
06724003
ENTERED_DATE
1/14/2020 12:00:00 AM
SITE_LOCATION
27511 E HWY 26
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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WELL!P U IP PERMIT <br /> SIN V9Qui-N rofYrvF:•:ti'fEiO'+tSf:�+if���l.yyHC1L"[ DES'.ART95t:+T f�'�tE!.tif?'11l'.STP.E[.7-S70fKTtlt C,t�2QZ-(:(43)•f�(--t4;fl <br /> ;tiOTi-Ii:rF[�NrlNI•F>F-Rvit n /_ FXPIRES 1 YEARFRO-V DATE I'SI:ED� - <br /> �~�y__-+ <br /> CRIt+ STartt �7Z_,!7 1. /.l � D .- .A oS ��I J Y�FS'F.1.51[/;-fir• I - <br /> xf <br /> CD13R:SCrtIR '/ 7 PnONEEi(,�/���/, <br /> :LSS�iR4ClOR.\DDR=�c /07D__ <br /> i <br /> PlID:+E___.----._. <br /> Lot:,,,. 1AC-57 VC-6i C4D 00th:: Xi;3a€R S7 E\P)Pt7lD'.Dt7E_—��1 � <br /> Gcs,eRsswrt[..11rosLa>tat�: Crordfrrtes X_ __ V _ 3Oatnhlp Reage--- Section <br /> { KTr�DLD('y., �Dcm:sfrc:77i+s:c )rr;rzntio '.\ait'.e:.erdt 0lnti,lfrl' CW'?t:rQua&=c.`•t=Vtvrfng SeJ S�r;'s r__Ci-ar�c;�rr1� S <br /> if 0 Pontic Woo I <br /> c:.-ar_V_--ar.r...—w->: <br /> T ff Or\1-ORK CI\cr:WCU L Stcpt2c.Tnm R'c'.l 0 VVi Al<-rlioa•)d!o^:is=,.-a1iar; 13Tta.Ha!;: <br /> C S4micoring tt'c!i(s) -:` <br /> 13 Snit Baiag(>) 0 Gcoicc'nicM - — <br /> BDc=auliea El0us-OFScr.b:'.,kN.:170u:-Oi-S:\i:c\s:i1�R�...r 41 <br /> \cn Pas ❑ R '-n 13141 R- 7f U CEftrCOn W6tiGn RCO.i <br /> i\ru.Co�star tlu>. ! 41D <br /> Dnlling.lfethod 011rd Rotan' 0 Air Rotary 0 Aug.r 0 Calk TM '+ ..0 Push Po m 0 O:hc: <br /> propr6ed Well D-ptc it Excavation in diama:cr 0 open BOa!n in diim:w. <br /> 1 fJCtvKIl:nrC:;'sa^__ ia3ia_-+e'.r � CDnducwrC.:>ie 0. h_ _R <br /> i .. d P'• i <br /> Well Ca+Ing Di.nic:.r_:e T(ucln rCwugc'ASl:3 Schd__—! [Mazl QPLui: CIS!snF:::Sk, G'Ci'a•= <br /> Gf-tSeal D ,h ©ticatCcmcn:t lbEag/S-JGgntrls!a) 0S:::dCemcrt— _.t:T r.s.7gsFt;a!:r <br /> LR:,:ofitcOW'.moi&) 0Mm-sactla,:rSper%,solids--_'r \ats CFSrascvy:l(c C7 Sp:sSLfircRcd—s� <br /> Groot Mtemeai 4Fethed ❑Fan cd ClFc:c l`all II Otncz.—_-- L RcurSac[:Au:lerztor(narra) <br /> Prnts7nl. 1.. By 03?ril)s ❑P.,.?CuA—w 0 Other <br /> L Ceecrete Pedestal Dimeesloas: Pndih_R Leuglh,.!. 111707, in 0 Christ)Bea 0 Stave Plpe <br /> - 4'[:+tP furtv'rc 170:!nz----'---- HP Pa:rp S: it i <br /> 1\'6LT.IyLsIRt_C7171 OOpco hwn.n E7GmelPack 1JCncsrd 001%7 <br /> WY1S nun:z!:r---in Tsui M-,h _R Jcpth to W:acz-----fi Ci t'�rg to M Pertir•eb f-.tm--_---: to--- It <br /> )I S:Aivp,?latet£al Cl Nr 21 Cc rij.ra Ok$1bhag/3-10 ,)aca-r) 0S:adCcsx^timk-ix'?ral+,V.V�r OA:.na?eM;zl. ;cz <br /> 0Ocn.enile(20%solids) DSiazufactum, S;zc`Ssoiid, tier-:PlacementJTtMod 17 Pumpd E3 F rce Fall0 Cump!ccr:th\lushrw:tCap_ Rbelowgrad- 13 Co-pt:Kc to Eris.i;a S-:rfcc.:Pa•1HEREBY CERTIFYTHAT i HA E PREPARFO THIS APPLICATION A'rD'THAT-THE WORK WSILL BE DONE IN ACCORDANCE\dill S-t. ^. <br /> i0:+',071FAi COUNTY ORDINANCES,STATE LAWS,AND RULES AND REGO-kTIONS. a ALSO CERTM'THAT ZIt-REQI7RED LICENSE 4j �/ `D <br /> QRTENT AND ACMT STT CALWOM-14 CONIIIACTORS STATE LICENSE BOARD A_%D THAT I Aft L\COMPLIANCE F. A AM 41( 5 <br /> N��Q�, 20?0 <br /> yE9 SRO N CO <br /> crf.'�' TITLE Gw _—._ 9.lrr._ <br /> , <br /> J <br /> I : <br /> i <br /> t ! I 1 <br /> 1 .PA7if]iE:aTi OS: , <br /> At <br /> 441, 1 <br /> Grut Inspection By _ rl, l.i SPECIAL Well Permit <br /> Pump lnspenioaBj' '�f✓�L D I[!R.c� 10.t 2 Ihc. 0 WAF'ERReceived <br /> Dc.,-n;:tiat(n pw-mm By tO Ceas rDcted f4'e7I Dzpih _ it <br /> COMMMS <br /> PE.. I SC Rrcrisetl Cf±ecit>`t .#mxoC i e [ P� 't! i in.o4cr.=: s7ie11iDa <br /> C e. info 1 B ush rl 1 ,coke ltegae� <br /> 0 5 <br /> EHD;3-oz r;"tiIIEB S11,207 _ <br />
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