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Site Address: 9417 S Orchard Rd, Acampo CA 95220 Record ID: WP0043043 <br /> Date: 5/16/2022 <br /> DW()rn # 1 New Well.Well Lo Grouted from 100 ft usin 10.3 sand cement. <br /> SAN JOAQUIN COUN <br /> TY ENVIRON <br /> NON-REFUNDABLE PERMENT • <br /> AL HEALTH DERI,Rr I [� ' <br /> MIT <br /> J08 ADDRESS / <br /> CROSS STREET <br /> AP •� ``�O ,S,d ✓� <br /> OWNER NAMEN <br /> ME <br /> OWNER ADDRESS — r <br /> CONTRACTOR � F- ` /O ,0-S, / <br /> SS Cs'n o s s i� . t o/,l�,-c.�/cl <br /> CONTRACTOR ADDRESS /-`'' } !�Q -x— <br /> �,./ 2277 /p 4 <br /> SUBCONTRACTOR /C/�/1 L�� 1 03-/TL) <br /> SUBCONTRACTOR ADDRE=SS-LL <br /> I LICENSE -'Z'57 C-61 <br /> D Os Otrd L <br /> DOMESTIC WELL SAMPLING:O General Mineral/Colif 226- 2 S G� <br /> INTENDED USE Domestic/Pnvate Irrigation/Agric .4 <br /> Water System �6a !L— <br /> Public <br /> If diAerem from Owner 2- <br /> TYPE OF WORK ><ew Well Replacement Well <br /> Monitoring Well(s) k of we <br /> Out-Of-Service Well <br /> ,,"New Pump Pump Re laceme <br /> WELL CONSTRUCTION �/^ ` �+/�r������ <br /> Drilling MethodcfMud otary Air Rotary < J_` J '/ <br /> Proposed Well Depth O a ft Excavatio 3 y GG l <br /> ! Condur Casing in dia /r ) <br /> Well Casing Diameter in Thickness/Gauge S-.3 `3�S <br /> Grout Seal Depth /da It Neat C 3 �V <br /> Benlonile(20%solids) Other_ <br /> Grout Placement Method .y�eumped Free Fall <br /> F_PEDESTAIL installed By -`cDriller Pump 3 O?o <br /> Concrete Pedestal Dimensions 7 �O <br /> Christy Box Stove Pi J '74-- � 1 <br /> f— ,Submersible Turbine Other <br /> LPUMP <br /> Plot Platt Regr111C�tytlines,ttndjo fling prop' <br /> ordinates, p I sewers o <br /> ...eiaCSources of eontantinatl0�^L atinn <br /> Francisco Garcia Ruiz, Environmental Health Specialist Page 1 of 2 <br />