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WP0041489
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4200/4300 - Liquid Waste/Water Well Permits
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WP0041489
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Entry Properties
Last modified
3/3/2021 3:13:30 PM
Creation date
3/3/2021 2:55:48 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0041489
PE
4372
STREET_NUMBER
1220
Direction
W
STREET_NAME
COLONY
STREET_TYPE
RD
City
RIPON
Zip
95366-
APN
26160013
ENTERED_DATE
12/3/2020 12:00:00 AM
SITE_LOCATION
1220 W COLONY RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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November 17,2020 File No.:3233 <br /> San Joaquin County <br /> Environmental Health Division <br /> 1868 East HazeRon Avenue <br /> Stockton CA 95205 <br /> Subject: Soil Boring Authorization Form <br /> Ripon Future Development Geotechnical Investigation <br /> 1220 West Colony Street <br /> Ripon,CA 95366 <br /> Contractor cs U U`S� ! r�� ✓� n(. <br /> Contractors Address <br /> Contractors Phone No. <br /> oot Res- � S�Ii <br /> For the sole purpose of procuring permits for the construction, modification, repair,or destruction of wells or soil <br /> borings and the installation, repair, or replacement of well pumps at the aforementioned site, I hereby designate <br /> the following entity(ies)to act as my authorized representative: <br /> Name(s) Travis Twaddell,Ying-Chi Liao <br /> Company Matriscope Engineering Laboratories <br /> Address 601 Bercut Dr <br /> City,State,Zip Sacramento CA 95811 <br /> Signature <br /> Printedy(�{'L�Gil f 1Q,{�f LGt HCl��— <br /> Title:RMO,RME,Officer <br /> Date: <br />
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