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WELLIPUMP PERMIT <br />SAN JoAouw Cow" EwAm&wewrAL HmTm DVAsnow <br />teff EAs r Nolnuow AvLmm - Swcmaw CA SUN - (200) 468-3420 <br />NON-REFummsix PERWT CALL (209195.1-7697 FOR MrsPtxnoNS EXPIRES i YEAR FROM DATE IssueD <br />._ <br />Jos Aoo 1550 Sdxwl Street (Gnrlsky Elementary School) txnnaF StodctorW5205 <br />--- <br />Crsoss9TRsrT E. Harding Way CPN — <br />0 PARC91.31= •5 6AwpU"AMUCATIONa <br />OWNER NAYS Stoddon Unified School DlstrIct <br />p}p,,E (209) 933.7000 <br />�'0WHERAoorctu 701 N. Madison Street <br />Crr ISTATN/aF Stockton, CA 95202 <br />CONTRACTOR Woodward Drilling Co., Inc. <br />-..-_--., <br />--- prrpw (707) 374-4300 <br />CONTRACTOR ADOREss _ 550 River Road <br />CffVffiu,UZr Rio Nista, CA 94571 <br />SUscONTRACTOR ___-- <br />PtwlE- _ <br />SUBCONTRACTOR ADOREw t <br />CrrW$'rATwap Vorona, CA 71830rM3 <br />ixEwAE cxC-57 C -e1 7 D -0a n <br />EXMATION <br />DoE rno Wmi.HAmpumo: Cvwm l MhwrallC4Worm BOCWW (4391) [C (4392) ❑ Arwnie (4393) <br />hirrymp Un ❑ Dw*x*cJPrMwb kripNYoNAOrlw4lral kXkANW U Mier Ou ft Ma+Moriq SBM Sen~- <br />Public Water Syswm. <br />N emend Hrw Orw Wwr stoma here Craee Mlraw r - Msaiw <br />TYFN OF WORK 0 Now VM 0 R11sOsnrsM Well VAM ANEr•IbR11lodlikellonOMrsr <br />a ►Iarbwellsr" ViM(si 9 or wells Sol Boring(s) - a 401 t..-w9i x ceoiw sdcst _ 3 w bd." <br />Ou4owwV1 a Wei Oul-OfServlo. VM Rarwal Cross-Cwrwdbn Repek <br />Dr*WV McNTod Mud RMoy ._ Air Rouwy x Aigm Cable Tool Push Paint O#w _ <br />Propesad WN Dap1h 20 R Emwiseon a Rosh In diwralsr O Open AN, Grswl Pmckclfawt Stn --- In dismal <br />Cwtd wW Casttla In dm=W I Concluclor Cnft Depth n <br />WN Casing pp��L N sKi <br />Tmcline aw"STM Stirsd 0 Seed " Pbsfte S... zs SMN w <br />GroutCie <br />Sall S O bell Cwnwd tW tb bpo-10 vedw) Swrd Cwrntd &x* mer 9s1 Wel <br />O Bwrbrdle (20% wads) O 00w <br />Grout Plsctrasnt AAs had ; Ptsrped 0 Free Fd G Mier ROwdew / Acoslsradrx (rrsrrte) — <br />PEDWAL htsedsd By DrOw ❑ Pump Ca+tecior Otrwrc - - <br />Caceres Peds* Dens lens MAdlh R - A Thick In Christy Bot Stow Prpo <br />w► Subrtwslble Tubkn OV. Puny Sat ft Weiler LORI it <br />1 HEREBY CERTIFY THAT I HAVE PRE ARED APPLXATiON AND THAT THE WORK WILL BE LONE IN ACCORDANCE WITH SAN <br />JOAQUIN COUNTY ORDINANCES, STATE LAWS. AND RULES AND REGULATIONS. I ALSO CERTIFY THAT MY REQUIRED LICENSE IS <br />CURRENT AND ACTIVE MATH THE CALIFORNIA CONTRACTOR$ STATE LICENSE BOARD AND THAT 1 AM IN COMPLIANCE WITH ALL I <br />WORKERS COMPENSATION LAWS. <br />NNNIRIUM 43 HOU{$ ADVANCE NOTICE RE UIRED F 1 SPECT10N3 - PLEASE CALL (209) 953-7 r 7 <br />StorED c.. !<Yu'I — Z-+ �L_.. TITLE DATE 6-1-0.412 <br />Appic.Yon Accepied By <br />Gras hep -bon BY <br />Pulp Vapeclion By <br />Soi Boring By <br />COMMENTS <br />Deb <br />DOW -- <br />Dab <br />Ares -LIt-PELCLAL Ernpioyea Ilw <br />eil Permit <br />WAVER Rocelved <br />Comtrwied Wel Depth _ __ tl <br />tM UAe www dtrane <br />