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Applications Will Be Processed When Submitted Properly Completed. Be Sure To Sign The Application. FOR OFFICE USE: APPLICATION (For Non-Transferable,Revocable,Suspendable) PUMP&WELL ENVIRONMENTAL HEALTH PERMIT + (COMPLETE IN TRIPLICATE) WATER QUALITY + ..fie ] Of ) ^s- z Application is hereby made to the San Joaquin Local Health District for a permit to construct and/or install the work,herein described.This application is made in compliance with San Joaquin County Ordinance No. 1862 and the4rules�and regulations:of the San Joaquin Local Health District- - a,� Exact Site Address - City/Town .. Owner's Name Phone AddressCity Contractor's Name License# Business Phone Contractor's Address '' '` Emergency Phone Is Certificate of Workman's Compensation Insurance on File With SJLHD? Yes— i No j bi TYPE OF WORK (CHECK): NEW WELL� DEEPEN ❑ RECONDITION© DESTRUCTION❑ (� } WELL CHLORINATION ❑ WELL ABANDONMENT ❑ OTHER ❑ PUMP INSTALLATION ❑ PUMP REPAIR❑ v ' REPLACEMENT❑ i DISTANCE TO NEAREST: ' Septic Tank Sewer Lines Pit Privy I ' Sewage Disposal Field�20 Cesspool/Seepage Pit Other Property Line0 _IEZ_Private Domestic Well Public Domestic Well INTENDED USE TYPE OF WELL r� 1 ❑ INDUSTRIAL ❑ CABLE TOOL Dia. of Well Excavation!' DOMESTIC/PRIVATE ❑ DRILLED Dia. of Well Casing ❑ DOMESTIC/PUBLIC ❑ DRIVEN Gauge of Casing C ffC- • IRRIGATION WGRAVEL PACK I 4 Depth of Grout Seal ❑ CATHODIC PROTECTION °ROTARY Type of Grout I ❑ DISPOSAL ❑ OTHER Other Information ❑ GEOPHYSICAL Surface Seal Installed By: 494 PUMP INSTALLATION: Contractor Type of Pump,_.. _ H.P. PUMP REPLACEMENT: ❑ State Work Done - I� PUMP REPAIR: ❑ State Work Done DESTRUCTION OF WELL: Well Diameter Approximate Depth Describe Material.and Procedure ( `V I hereby certify that I have prepared this application and that the work will be done in accordance with San Joaquin County ordinances, state laws, and rules and regulations of the San Joaquin Local Health District. Homeowner or licensed agent's signature certifies the following:"I certify that in the performance of the work forwhich this permit is issued, I shall not employ any person in such manner as to become subject to workman's compensation laws of California." Contractor's hiring or sub-contracting signature certifies the following:."I certify that in the performance of the work forwhich this permit is issued, I shall employ persons subject to workman's compensation laws of California." ' I will call fora Grout Inspection prior to grouting and a final inspection. i Signed X Title: L Date: j F (Draw Plot Plan on Reverse Side) r FOR DEPARTMENT USE ONLY PHASE I Vt�nst�,...�.�4s�� Date Application Accepted By Additional Comments: �. Qr ,o f I out Inspection gy ' �� s Phase III Final Inspection Inspection By �A�` Date L pInspection By Date - - S - 'Fee Is Due: ❑ ANNUALLY ❑ PER UNIT ❑ PER SITE ❑ EACH ❑ January/ &Received By January 31 ❑ July 1 &Received By July 31 BILLING REMITTANCE $ REMIT - "- - BASE EXPLANATION AMOUNT DUE CHECKED DATE DATE REMITTED AMOUNT FEE LESS' PRORATION t PLUS PENALTY OTHER y.. _. . OTHER Received by Date Receipt No.' Permit No. Igsuancd Date Mailed Delivered APPLICANT—RETURN ALL COPIES TO: ENVIRONMENTAL HEALTH PERMIT/SERVICES 1601 E.HAZELTON AVE.,P.O.Box 2009 STOCKTON,CA 95201 "