SR0009264 - Laserfiche WebLink

Home Browse Search

LJ INDUSTRIAL UOPEN BOTTOM D nyyy3 _ OU FOR PERMIT ❑ OMVEL PACKISI.'E p� TYPE OF CASMQf EEIRVC ♦VGr trGH NO DIA. WELL CASINO JOAQUI'APPLICAN PUBLIIPUMPC SAN JOAOUIN COUNTY PUBLIC HEALTH SERVICES HEA 11 DRIVEN DEPTH OF GROUT SEAL 0-1�a7 f4Q G� ENVIRONMENTAL HEALTH DIVISION ❑ SRRgATIDNlAG JW ❑OTHER P,O, BOX 388, 304 EAST WEBER AVENUE, STOCKTON, CA 1388 SEWAOE DISPOSAL SYSTEM OR PROPOSED (2091408-3420 ; CO E PEDESTAL SYDRALEIE❑Y- Fa N. Q)o, APPROX. DEPTH �(JQ�} pp� LOCKING CHESTER SOXISTOVE PIPE NONAUUNRABLE PERMIT MRES 1 YEAR FRON DATE ISSUED PROPOSED CONSTRUCTTONIOI K"NO METHOD. MUD ROTARY_ (cBRpNb IS TTIpRTatBI APFUCAI!ON IS HERE BY MADE TO THE SAN JOAQUIN COUNTY FOR A PERMIT TO CONSTRUCT ANDIOR INSTALL THE WORK DESCRIBED. ntS APPLICATION R MADE IN COMPLIANCE WITH SAN JOAQUIN COUNTY DEVELOPMENT TITLE, CHAPTER 8-1116.3 AND THE STANDARDS OF SAN JOAOUIN COUNTY PUBLIC HEALTH SERVICES, NTAL HEALTH D'NISION. AIXJIIESSAIR APHJ y� O E �i g_yf�t// l� CITY _LocB J� -, 4% Fel PARCEL SRFIAPW 0 1 Q ^ O70 DWNDty NAME__ "mm0 N 5 A 812 HONE E Piob-.2 8.571?�ae CONTRACTOR S�CDI� �nfe1r/lono-1 f lel (, ADDRESS 173 - 3 vf, LICP .9/6-vs6-v.> SOB CONTRACTOR / -I i �C.� e �l Dh� ,1 1 ; A Q ADDRESS 'Pal 8 -7e7 &AfA. 6 _PHONE . Cs i 7,2-f, ONE F 16• g . OF WE 18l NEW WELL ❑ REPLACEMENT WELL �MONTORIND WELL P 5 . S, 9, 10 ❑ OT �� .. ❑ MSTmLATION ❑ WELL SYSTEM REPNR ❑ CROS&CONNECT REPAIR ❑ V R EICFRACMN WELL 1 ❑ N. 0 R.pw, ITYPE OF PUMP1 H.P. DEPTH PUMP SET -_Fr. FIRST WATER LEVEL § tl ❑ OUT-0FTC SERV[ WELL ❑ OEOPHYSICAL WELL E ❑ - WRIRIS ❑ DESTRUCTION:I �a : ' LJ INDUSTRIAL UOPEN BOTTOM DIA. OF WELL FXCAVAT1pN - �NG� DIA. CONDUCTOR CASINO_ ❑ DOMESMO-VATE ❑ OMVEL PACKISI.'E p� TYPE OF CASMQf EEIRVC ♦VGr trGH NO DIA. WELL CASINO ❑ PUSLJCAAUM'CWAL 11 DRIVEN DEPTH OF GROUT SEAL 0-1�a7 f4Q G� ❑ SRRgATIDNlAG JW ❑OTHER 0110UT SEAL INSTALLED BV _dri 1FCT _ ATgN R GROUT . NAME NCS �,Q �rL�p�E�vE SEWAOE DISPOSAL SYSTEM OR PROPOSED EXPANSION of S. DIMENSIONED OUTUNES AND LOCATION OF ALL EXKRMG AND PROPOSED ONOUTSEALPUMPED:19Yw ❑N. CO E PEDESTAL SYDRALEIE❑Y- Fa N. Q)o, APPROX. DEPTH �(JQ�} pp� LOCKING CHESTER SOXISTOVE PIPE PROPOSED CONSTRUCTTONIOI K"NO METHOD. MUD ROTARY_ AIR ROTARY AUO--Z s C------I-OTHER I WREBY CERTIFY THAT I HAVE PREPAREDREGTHIS APPIICATIDN AND 7HAT THE WOR( WILL BE GONE IN ACCORDANCE WITH SAN JOAOIXN C LIMY OPIDINANCES, STATE LAWS. AND MINES AND OF THE SAN COUNTY, NOME GORIER CERTIFIES AN)S ALL HOTJOAQUIN THE FOLLOWING; I CERTIFY TH T M THE PERFORMANCE OF THE WORK FOR WHICH THIS POE rr I T o WORED T R ISSUED, 1 SHALL NOT EMPLOY PERSONS SUBJECT TO W.ORIMAN71 CCHTF*$ TON CO PORIATI -S THE LAWS OF CALIFORNIA.' COMPACTOR OLLO THE FOLLOWMO: • 1 CERTIFY THULT IN THE PERFORMANCE OF THE V/01K ROR VARCH THIS REMIT OR SUSCOHTMCTM SIONATIIR6 CERTIFIES IS RSUEr,, 1 SHALL EMPLOY PERSONS CALIFORNIA.' THE APPLICANT MIST CALL 74 HOURS M ADVANCE FOR ALL REQUIRED TO YSORIWAMS CONWDWATTON LAWS OF INSPECTIONS AT AIMS-aT28. MPIETE DRAW NO AT LONER AREA ggVNXD. S*.d X 30 - 96 .--. ROT PLAN W.— R. S.d.1 BOAT. • � 1. NAMES OF STREETS OR ROADS NEAREST TO OR BOUNDING THE PROPERTY. 4. LOCATION OF NOU Z. OUTLINE OF 714E P UPERTy, GIVING DIMENSIONS AND NORTH DIIIECT10N. SEWAOE DISPOSAL SYSTEM OR PROPOSED EXPANSION of S. DIMENSIONED OUTUNES AND LOCATION OF ALL EXKRMG AND PROPOSED DISPOSAL SYSTEMS. e. LOCA7KIN OF RTIUCTURES, INCWER DMO COVED NEAR SUCH AS PATIOS. DRIVEWAYS, WITHIN RADIUS OF ONE HUNDRED FIFTY FT. AND WAiKS. ON THE PROPERTY RADJOMONi PROPIERTy. DFYARTMBLT LRE ONLY Applb.ibn Awapted 1 (Main ImPaetbn III D.ts 10 Pump RVp-.n BY D—t., Wn hvpwI- 0,R Dn. omsOEM