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11;14/2000 14:26 19166385611 CASCADE DRILLING INC <br />ohd: iT, PM..^hIJ <br />L r y�y <br />WELL PERMIT APPLICATION FORM <br />SAN JOAQUIN COUNTY PUBUC HEALTH SERVICES <br />ENVIRONMENTAL. HEALTH DMSION (PHBZND) <br />304 E. WOmr, Third Floor, Stockton, CA., go= <br />(209) 400.3449 <br />PAGE 02 <br />ORIMNAL <br />SITE <br />AilMGA710H <br />UNIT IV <br />ON <br />Appiimrt}an is nw.er moos to S.n.fOWAI for* perm4m conn m wN2"4WYUNU%LM5mff 1z Wo►InatbA vm*11=1 FRM . rlw appaoaaetn is rltoe. to oornoWnaa.rrlt aan <br />�°�i�t �,ty Dswlopntarti TUI, t�spd:r �� 11e.� alta the B�nOud� of Dan Jogpuln Cound PUplk Havtl► Mrvlaa, Lnwa+mw+41 Ii�Nf t�ddn. <br />WELL loeaaoeP>�avrb <br />rROtlRTYOw.rrtAAgrg.1-►r►i Aea►... /1U. <br />leu.�r+ /ci71Y -a"�Q/C <br />C-ti1 Co/1ti1�, 4L, A60tssk3% (i�l it / " CyH Lp�p <br />Cansulant i sub cwtmobf ��f'. dnra � (1i I' m-g,-�Ri5bI,�,uoa C? <br />015 <br />815 Coardnatm: X Y Tavrnl� R.no. !!hada, <br />All <br />IV 01! FORMED: <br />E W WELL! AOR" (CPT, GFCWPtOISE, HYDROPUMM, HAIV0.AUGM OTHE" D D94TRUCT10N (ft - "o be" <br />Q SOIL 50RING N <br />�11tIELL s tYti� - _ p r e +r <br />,Door__ Ciraut $padikaliena: <br />COMMENTS: <br />TI�Ptt 1�F Y1/5LL <br />110MTOgIN6 LL4W S7194 DW OF EOIQNOL L4ML nPLE CAW"337 BYES )1:%10 WALL tdl M0 DW -_Z_ " <br />Q SMAC now p AIRRAMMERMFtIVIN CASING TNIC NES8. O TYPE OF CA&MM 0 VMFL )Ovc u oTlm; <br />Q VAPOR iJ MUD ROTARY D%FTH OF GROUT S / TREME TYPE TO BE UtN[Dc U AUGIUM <br />3 AIFt SPARM Q PUSH POM UPOJT SEAL PUMPED"Oyes n No (NOTE. MAXIMUM FREE -FALL DEPTH 18 907 <br />D SOtI. BORING Q HAND AUMR GROUT WECFIG►T)0N8 <br />a OTHER: n OTHER APPROX WRING DEPT "NOOLTED TRAMC BOJ( w 0 8TVM WPE <br />A CONDUCTOR CA61NG PROPOSMD7 (it Yfa, go apaaltt amm hem)' <br />'GOIIAM@1T>f, (1r iQ�� �C'-t+�p�n <br />L -4-t? 00 G i 1 /,417 no T-0 'I /a9l_100 <br />NOTE. OFFSITE BORINGS REQUIRE ACCESS OR ENCROACHMENT PERMITS. <br />CALL THE UNIT IV INSPECTOR 46 WORKING HOURS IN ADVANGE FOR ALL REQUFMD INSPECTIONS. <br />71 hereby certiVthat I h ve prepared this application and that the work will be dons In accordance with San Joaquin <br />County Ordlna as, les and Reg ulatiorm, and all appllaabls Calltotmia stage Laws. / <br />Pnntnarn.AGGrL ` otv e -n Alm Dae <br />SrTE GAAP IN UNIT N FILE, ADDR186: 1IE�UZ_ <br />NORK PLAN DATED: <br />vpllaatlon Awapta0 I3y Dda bauei_ ` �� Z._ Q Aiaa O `� U <br />:x<).tt bV01cUon By Dace Flaal lnwswan 9Y rKwe� , pd <br />)*w"x 4cn Inapedian Diu <br />;OMMENTa / COMORiDN8: <br />ACCOUNTING ONLY. AIDr <br />PE COM <br />FEE INFO AMIXINT RE1aT'LDf'NE6K <br />i <br />IItEC'D NY <br />I DATE PE UTO <br />t(—� 02 6 3 <br />Ii1VO1C/ <br />35c� <br />I <br />C-57_ WC„, -WAIVER_ C-57 Letter of Authorization to sign permit_ Encs doc_ 9f27MO <br />