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01/06/2008 22:21 5306628052 MDC EXPLORATION PAGE 04/05 <br />12/27/2887 13:59 S3eb628052 <br />DEC -2? -2W,? 11:06WDC EXPLORATION <br />CArrBR1A FAGS 82�eq , <br />17187 93`> 61:'49 P, 92184 <br />San Jooll county RJ <br />EnvironmentalF%alth Department - G 1 N A L <br />600 East Main Street, St <br />(204) 468.3844 ocklon, CA 95202-3029 SITE <br />Fax: <br />�1 i -?p 9) 4b8.3413 Web: wwwsjgov.arE/ehd It'll' r IGATION <br />*911 Permit Application UNIT IV <br />A NOW4t£FUNDA1314 PEkVTExPIRfe 1 --' <br />DpIbDlsan PA !GrobV M** ID S9n Joe !n MR FROM OATS ISSUED <br />4u Csunty Tor a pmrrNt to eonrnuct andror I 6 9- <br />ADI�PnI TSlf. rw.,,, �. n ..ter_ , _ p r 11LLt�f I'8 Mork <br />W 3 SrSnOarOs of Sen Joaquin C dtsolb9d. Thla epPN0"An;6 MIMI, In • a <br />M�ELL t oaleon � (C_, la4 &.Mly iftrAri1R8MLl Mmallh Dvolllllt. rnp snee with San <br />PROPBRTY �� hae �r3rt.;� r0 cf0��to wrl! <br />l L �arre9Ao A <br />dresrt <br />C•6'i Ogntrsrgtx i✓ t yr tSL.� L L w. �. <br />to ''�dd►e �.._y r �°non �Zv4tiyA - _g3y7 <br />oa9arean sue Cnrr_ a �� � � OL �S lrteM <br />--�Ga-- —.Address <br />GIs Coordrnmos: <br />w w f raolelac IG°T, DEOpR08E, HYDRDPUNCx, ----- ~ <br />SOIL 1Ayew.IHgfVfMU02Ff. OTHER') DE6TRUCt10N( <br />gOvMBORS. DIAMETIEKntYPd°l:nwwJ <br />0 PRESSURE GROUT " --- <br />COMM1QENTS, GROUT SPECIFICATIONS <br />TYP1= OF IRr)�1 <br />�AOrtI1ORING —LA Ok7YCE ONS U D11 F <br />�MoLLowsrEM <br />0C7tON Cui OF 60REHOL 0T+pl2 C0.SthIgS <br />Q 41RMRQrA RIGRIVEM CASING TFnCKM66E Q MULTIlEVEt V%ILL CA.; !IG DIA. _ r� <br />Q VAPOR a MUD ROTARY TYP�jOF Cr151NCi: Q STEE7. <br />o AIR 5PAR6FJ OZOr r Dt•PrH OF GROUT MEAL— (o S f TREMAE rare � � Y� D 07i•F0.: <br />001 Q PLASH POINT Cap or CnG7ROUT SEAL PumPe0 as SE Mao: �14AL16E31S HO __ <br />Qor"Is 0ttING o +tea U6Fp �Y No NOTE: M XrMUM rRer_ <br />poTlrMR Gil SPEECIFICATIONS i 'W. DEPTH <br />ril ADpROX. BORING DEPT _ <br />rCbMNICNTOti % — y,s L✓c! / C� Q_.sT^!^FSIrPROPOS JPOD TRAFFIC Abr'• Q 5T:VE 'PI—Ej7��/am��L' <br />of Y65. Nt! [PAGS�Ih� Fn ave +tCnt scztlon) <br />NOTE: OFF91T6 BORING& REQUIRE ACCESS AGREEMENT OR ENCROAC, <br />08 T11 OtiKING ffOURS NOTICE REOUfRED HMEINT PE'FtM1iS <br />FOR tN9PECTYQH!$, <br />I hof ty certify, that I hltve prlepaTlyd thls applf cellon erre th <br />County n...t...__-- -- _� a�edarrinnc At the wefk will bo dorw in ae <br />~~' and all ppficabto Calttomla CafLlance wdi h &�n J'oaqui� <br />rye lS61te L,�ws. f f <br />FW Namll/ T1HcaODmparry w� 1(`dr 1 7 <br />DEP RTAMENT USE -O-N—LY-- - <br />SITE MAP IN UNIT IV FILE, ADDRE N: /.Z 6- ( ► t L L <br />WORK PLAN DATED: -7 <br />APPAil lOn Af4epted 89 <br />Grt)trt Inspecfien 8y Oate Issues <br />D91e1'Flry! tn6pegDon By <br />()auh+.2tton <br />COMpI61YTg AOOND11101MAf <br />j ACCOUNTING ONLY; <br />PS COD®6 FEE INFO AMOUNT REMITTED CIi6GK A RECD W GATE <br />C-57 WC ✓-WAIVFR,_ C_57 Letter' of A.T+,orfzotlan to 379M peril <br />MID29•tI3N01 WEB <br />9I1 IM07 <br />0rarxca <br />- 530-7 <br />gv-6-f-' YV3C <br />m <br />