Laserfiche WebLink
01/24/2006 14 11 2094683433 END PAGE 03 <br /> 12/29/2005 v-oi 9253130302 MEIG DRILLING P 02 <br /> DEC-29-2M 15:04 .02/02 <br /> qan oa ' ° E <br /> _ <br /> 0p i JEAvxlronmenw Health Departmentn VEM1TE <br /> 304 East weber Ave=a.3rd Floor,Stockton,CA 95202 IAN t 2 2001TITIGATION <br /> • {209)4Cr3-3449 Fax: (209)468-3433 web.www S190V or ehd UNIT IV <br /> Well Permit Appllcatian ENVIRONMENT <br /> eFUHoae>.a;p�a�lircrxwaFs�YE�aFltgMDATE ISSu�PERMfT/SERVICES <br /> Applioragon Is hereby made to Set+Joew +Caury fist a pwlrrayt to sonswoc andmr Inc l the work deathbed. Thlo apFlleaton S MZ46 m comPiatst+e wlih San <br /> Joaquin CatJnh Development Title,Chltptar B 115 3 and the Standards of Sen Jcsgtiln C*WIY EfMrotemerttal Health acgaMent'Assesears <br /> Ll U <br /> WELL Location+ <br /> I Cross Sbret Ctt,+ Zrp�ParcaTR <br /> PROP Qwno I Address SDX m&2 c�Y ,P PhotreO� <br /> Aadri.� <br /> C-67 OanRaclor <br /> � Caaculrart I Sub Cntr , ress'�DOD Y — <br /> om{1'� 110 95 3 On <br /> Gr.4 Caordrnalea x Y ToomaNp <br /> .fiRF�@e6F� <br /> HIEW ELL/BORIHG C SDP O HYDRDPUNL`N,W1tVD.RUGER OTH>~R7 aOOVETR�FI n {r se type t+elaw} <br /> SOIL SOAING! 0 PREGOURV GROUT <br /> WELL GROUT SPECIFICATIONS <br /> a g0ther <br /> COMMENT' <br /> MILOF W LL 1NS LLA T'/R �fW1G7tON 5pEGFTCATIOi� <br /> E MONITORING Q HbllOwStEM VA of sOFtEHOLer p MAULTIPLE CASINGS U NiULT1-LEVEL. truELLCASING DIA. <br /> EXTRACTION Q AIR I IgMNR?l31DRIVEAI CASING 7KWKN699 TYPE OF CASING 13STEEL ti PVC p OTHM <br /> • 0 VAPOR a MUD ROTARY cea H OF GROAT S EA1 TnlcMM TYPE TO BE USS ti AUGERS p HOSE <br /> AIR SanItOFJ t32CNE U5H POINT i6P ar GPT)[�ROtlT SEAL PUMPE�Cqs/ a No (NOT AX MUM FREE-FALL DE PT1419'30') <br /> IL BORING HAM AUGER GROUT SPEMCl1'I'IONBOLTEDTRAFFICBOX 4r ti$TDVEPIPE4'THi=i>» 0OTHER APPROXe0R1NGDEP <br /> NW apilNG PROPO8Efl (d -(gs rtslsocemcaluma In Commit <br /> COMMEk <br /> NOTE; OFFSITE BORINGS REQUIRE ACCESS AGREEMENT OR ENCROACHMFENT PERMITS. <br /> 49 WORKING HOAR&NOTICE REQUIRED FOR INSPECTIONS. <br /> I haraby cortlfy that I have prepared this appilcxMn Olid thatthe work will be done in accordance With San Joaquin <br /> County r ee. �jv��Rsgu�laftms,and all appilcabls Califai'tia}Sato^Laws <br /> 8lohed �+.. TNeACornparnr\1l=�T� i $-,�_r. 6�2lU.a <br /> Prlyd Narrse <br /> ©arae 3- Oxs- <br /> DEPARTMENT USE ONLY <br /> SITE MAP IN UNIT IV FILE.ADDRESS: /Z�J l!/• If <br /> WORK PLANDATIED: '$'O <br /> AAilraetlogAcarlpla4 BY <br /> drool Inspection 9 <br /> paw ,lYil Inspectlon By Dale <br /> DedltucUon Inspedon BY Dale <br /> COMMENTS 1 CONDITIONS <br /> ACCOUNTING 0NLY' 1100 FAQ1 <br /> • PPCODES FEEiNFo AMa1JTi'rPxmfT'rM CHECKS ReCatiY oAT1= f8R1YrIT1 IlRVIC6REtlIJESTa IANOlCT <br /> snr 5B� I qb I (0 sR# DO �� <br /> C-57_ WCC W,4Y'I/ A_ C-57 Letter of AcrtttorixatioA to sign pertnit Eneroachmult doe <br /> EHD 29 02-Out <br /> tlrtyaa <br /> TOTAL P 02 <br />