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Site Address: 11914 Brandt Rd. Lockeford, CA 95237 Record ID: WP0040051 <br /> Date: <br /> PHOTO# 1 Commenfi Tnfial Well de th 355 feet hl �ti surface rade. <br /> Metho in ter I Pack/Gravel Siz ter <br /> -.. _ <br /> 7grout <br /> ed Well _Cnductor Casing In drarneier Condoaor Casing'in Thickness,GaugeASTMSched i i Steel T}�Plasti I i Stainless Steel. t1 Otherasing Diameter •jam_Seal Depth — Neat Cement(94!b bag/5-10 ya/water) :] Sand Cementsack mix17 gal water <br /> Bemionite(20%solids) Other_ement Method W.Pumped " Free Fall Other Retardant/Accelerator(name) <br /> I.PEDEsrAL installed By Driller Pump Contractof r i Other <br /> O <br /> J Concrete Pedestal, Dimensions'Width ft Length ft Thick in ❑ Christy Box l Stove Pipe <br /> I� <br /> PUMP -,.:,Submersible:' Turbine ' Other HP_ _ Pump Set ft Standing Water Level ft <br /> / HERSBY CFRTJL'Y THAT I HAVE PRFPAPF1) THIS APPL!CATION AND THAT THE WORK WILL BE DONE IN rACGORDA_NC_E WITH SAN <br /> JOAQUIN COUNTY ORDINANCES, 5TArE LAWS, AMU KVLtJ AVV r(tv VL�.i� .�o. . ov _ s <br /> CURRENT AND ACTIVE WITH THE CALIFORNIA CONTRACTORS STATE LICENSE BOARD AND THAT 1 AM IN COMPLIANCE Vyvv" Amt` <br /> WORKERS COMPENSATION LAWS. <br /> MINIMUM 48 HOUR ADVANCE NOTICE REQUIRED FOR INSPECTjNS - PLEASE CALL (209) 953-7697 <br /> SIGNED . +.--r.. r..__ TITLE DATE f <br /> � o <br /> i <br /> t 1 <br /> s _ <br /> e ` <br /> rI I W1 <br /> I'll T 21 <br /> r <br /> A \ �'' <br /> S <br /> DEPARTMENT USE ONL EMflRONMENTAL <br /> YHEALTH DEPART <br /> Application Accepted By Date r <br /> Area t - �r Employee ID# I <br /> Grout Inspection By Date <br /> ❑ §PECIAL Well Permit <br /> Pump Inspection By Date <br /> ❑ WAIVER Received <br /> oil Boring Inspection By Dale <br /> AFNT-C Constructed Well Depth <br /> Aaron Gooderham, Environmental Health Specialist Trainee Page 1 of 2 <br />