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Site Address: 10831 Hwy 12, Lodi CA 95240 Record ID: WP0043599 <br /> Date: 5/24/2023 <br /> PHOTO# 1 New well.Well grouted from 200 ft usin 10.3 sack sand cement. <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL <br /> NON-REFUNDABLE PERMITHe ^���--C.e� <br /> JOB ADDRESS t 7 S �n�*�✓ <br /> CROSS STREET —t 6 6 u j <br /> -i OWNER NAME <br /> I <br /> OWNER AD C <br /> OW –_ DRESS <br /> CONTRACTOR <br /> CONTRACTOR ADDRESS a let <br /> SUBCONTRACTOR �p CS'Z 6) �- <br /> SUBCONTRACTOR ADDRESS <br /> LICENSE .1�6-57 ❑ C-61 ❑ D-09 <br /> DOMESTIC WELL SAMPLING General in <br /> INTENDED USE i. omestic/Private ❑ Irrig< <br /> ❑ Public Water System0-2.. <br /> _ <br /> If different from Owner. "Z 9l JS–GG <br /> TYPE OF WORK New Well ❑Replace <br /> 3 z�— SIX <br /> *' ❑ Monitoring well(s) <br /> t <br /> r$ ❑ Out-Of-Service Well <br /> ❑ Pum / 33 � /�✓i1 <br /> ew Pum P �6.- <br /> WELL CONSTRUCTION rj ,; '3 -S' /,GGv1 <br /> Drilling Method A Mud otary D Air Rota <br /> Proposed Well Depth fta� <br /> ❑ Conduc Casing <br /> Well Casing Diameter_ in Tft ckn G <br /> Grout Seal Depth, t7�f .� ham/ (✓�l <br /> ❑ Bentonite(20%soli <br /> ethod Pumped I ❑ P 3 c— <br /> Grout Placement M riper <br /> Installed to <br /> BY �Q�� <br /> PED�aL p Concrete Ped Otal DDI G <br /> p Christy BOX Z,.. G �� <br /> ` in ersible❑ Turbine 7! <br /> 6eSUbm <br /> PUMP Ian Rev irements. pttacJ� a I e"//— <br /> pt P erty Imes, ad'oini: <br /> s nrOr r..,,ntamination1� <br /> tes, <br /> Francisco Garcia Ruiz, Registered Environmental Health Specialist Page 1 of 2 <br />