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94571Lies 71 OP7 9 C-57 Comractor Woodward Driligu _550 River Rd city Rio ViErOz Phone. 4,c3C <br />INETALLATIOXTYPI <br />AHOLLOWVEM <br />Ak HAMMERORIVEN <br />GI MUD ROTARY <br />TYPF OF wri6 <br />ggpimrroRING <br />0 EXTRACTION <br />LI VAPOR <br />BOLTED TRArric sox DR 0 STOVE PIPE <br /> ot YRS, HA neetmellufwi 1,01016Rt 0008019 APPROX. BORING DEPTH 35 & 90 <br />LIJNoLit) Lo6:5174 etoroaeo <br />C-57 _______ <br />2-o1 <br />WC <br />2s-o1 115/177 <br /> 5 LeTr..,F,J;r AUTHORIZATION TO SI <br />bt5641). <br />WELL PERMIT APPLICATION <br />JVON-REFUNDABLE PERMIT EXPIRES 1 YEAR. FROM DATE ISSUED <br />Appneatton riereby made to San Joaquin County fOr a permit b coristruCt and/or install the work described. This appiicution is made En complies* with San <br />Joaquin Goo* Oivvelopment Title. chapter 3-1115.".3 ATV trie $tsndarthsCl Eafl JostpAn Gourd,/ Erwirui Heed' Department, <br />1211 S. Turnpike Rd Mailaded <br />Well Location Qr„a struct S Criter St. aty Stockton pp 95200 Farcert <br />.Owner AddreFa --1--ae'a—ttrterett,1"rfr-Drfty--41 one le ProPort, i$1444tet14:04#' <br />Consultant/Sub Cntr WA sit arrl Ge oddiltIg 1 586 E. Besitner City WO 0 ci 1 t_nr:1 , <br />GIS Coordinates: X 1 y , TOWnal-tip 1 North <br />lEoKic Yu Be PERFORMED: ig NEW WELLSORINO (CPT, GlEoppoSe, HYDROPUNCH, RAND-AUGER, OTHER') 0 DESTRUCTION (CHOOSE TYPE BELOW <br />OP gal Howt_iiiiivf...6.A , re;,,.. f,r, D 0 OVER-BORE DIAMETER,. <br />gg L # IU PRESSURE GROUT <br />D *OTHER - * GROUT SPECIFICATIONS N <br />DOMMEWS: 1157-1p b in5teilltel rity of Stosirton:_aids.a/aLls:___ <br />* 3n37P"rm53n AAA 5300 <br />Rong. 6 at section 14 <br />paNSTRuMON SPEWIGATIMA <br />01A, OF BOREHOLE ...IL 10 mu6TtP1i CASINGS p muLTI-LLavEL lArsu. CASINO DA: 2 <br />CASING TNICKWESS sr h 4n TYPE OF CASINO USTEL jg Pvc 01411,1 <br />DEPTH OF GROUT SEAL 15 & 75-REMIE TYPE TO BE USED AUGERS Al MOSE <br />GROUT SEAL PUMPED: Yes CI No (NOTE: MAMMA FREE-FALL DEPTH IS WI <br />GROUT SPECIFICATioNs <br />NOTE! OrcSITE BORINGS REQUIRE ACCESS AGREEMENT OR ENCROACHMENT PERMITS <br />48 WORKING HOURS NOTICE REQUIRED FOR INSPECTIONS <br />1 hereby certify thet t have prepared elle application and that tho work will bo done I acconlloneo with San Joaquin County Ordinances, Rules and <br />Regulations, end an applicable California LawS. <br />Signed Tiderompany / We" A-74- ' <br />Date It -zi-c) <br />DEPARTMENT USE ONLY <br />c-I4=-- • <br />.20 <br /> DATE ISSUED 5 6 ,Y AREA <br />FINAL INSPECTION re -/\<,, °Are <br />Print Name <br />SITE MAP IN UNIT IV Fq.e,AppReshs,! <br />WOF1K PLAN DATED: <br />APPLICATION ACCEPTED BY <br />GROUT INSPECTION BY <br />1-q11 'Turn f,ICe. <br />•• i 7 <br />DESTRucTiON irs$PffCTIONI BY DATE <br />COMMENT3/CoNrdroNs: <br />ACCOUNTING ONLY. AID 0 <br />- FAO d .____I----- <br />pE cocEs FEE INFO AMT REMITTED CHECKS !WPM SY DATE PERMIT/SERVICE* INVOICE <br />35-o i g iLi —111. d--- .5 76-3 goL5-1-tica,9„.._ <br />406 <br />04/21/2008 16:59 7073745677 <br />04/21/2008 16:42 5306620273 <br />WOODWARD YARD <br />WEGE <br />PAGE 01/02 <br />REggEngEE °2"3 <br />SAN JOAQUIN COUNTY APR 30 2008 <br />iNVIRONMENT iiTALtITE ENVIRONMENTAL HEALTH DEPARTMghtr, <br />600 East Main Street, Stockton, CA 9UO2-302 PWWSERVIIMIGATION <br />Telephone: (209) 08-3449 F8X! (209) 46B-343 Web: www-siq forgie UNIT IV <br />NR SPAROIUOZONE C PUSH POINT (3P OR <br />SOIL BORING D HAND AVM <br />OTHER: U OTI-IEP: <br />COMMENTS: