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CONSTRUCTION SPECIFICATIONS <br />BORING DEPTH 15 feet <br />DIA. OF BOREHOLE 2.25 inches <br />CASING THICKNESS <br />CONDUCTOR CASING 0 Yes El No <br />GROUT SEAL DEPTH 15 feet <br />GROUT SEAL PUMPED*? 0 Yes El No <br />0 BOLTED TRAFFIC BOX 0 STOVE PIPE o MULTIPLE CASINGS 0 MULTI-LEVEL WELL CASING DIA <br />TYPE OF CASING: 0 STEEL 0 PVC 0 OTHER <br />Boring Die: Casing Dia: Casing Depth: <br />TREMIE TYPE TO BE USED: 0 AUGERS 0 HOSE 1E1 PIPE <br />(Note: Maximum Freefall Depth is 30 Ft) <br />GROUT SPECIFICATIONS Will grout from bottom of boring to surface <br />TYPE OF WELLJBORING <br /> <br />NUMBER <br />MONITORING <br />EXTRACTION (Vapor/Water) <br /> 0 <br />SOIL VAPOR PROBE <br />SOIL BORING <br /> 1E1 <br />INJECTION (Air seam% Ozonel <br />El OTHER Hydropunch boring V) 0 <br />WELU SOIL BORING IDs HP1-HP5 <br />INSTALLATION TYPE <br />HOLLOW STEM <br />HAMMER/DRIVEN <br />MUD ROTARY <br />PUSH POINT (GP/ CPT) <br />HAND AUGER <br />OTHER: <br />Air <br />Grout Inspection By/Dates: <br />Destruction Inspection By/Dates: <br />Facility/Site Information <br />DEPARTMENT USE ONLY <br />Date Issued: <br />orized to complete this application and that the work will be done in accordance with <br />y, Ordinance Codes and Standards, and all other applicable Ca 'fornia laws. <br />Dr;\ <br />vv01) Date <br />at I am aut <br />,quin Cou <br />I hereby certify t <br />San J <br />1\ Aft-A <br />k....., Title/Co 'any <br />101 6 IS <br />Application Accepted By: <br />Signed <br />Print Name <br />002'41 PR# C)57-f kiri FA Name (7r,4 L)f L FA Address Z4"° i„..) <br />FA PE 2-01,56 WP Reviewed By <br />0 C-57 klei torization for Other to Sign Permit IlKorker's Comp 0 Worker's Comp Waiver <br />COMMENTS/CONDITIONS: ;40,, s <br />WELL PERMIT# INVOICE# <br />A.") evo3i67g <br />44:61:78‘inftww.sjcehd.com <br />EHD 29-01 08-01-17 Site Mitigation Well Permit Application <br />WP TYPE PE SC FEE INFO AMT REMITTED CHECK# RECV'D BY I DATE <br />Permit 1)2/ 0j; , 3 1 j $152 x 3 trtisli , -ictiviti, , i4 .. <br />_. , , <br />L. )( 1 /1.4/ it <br />'.1‘) P 186 EHaz-el <br />, <br />tglk Artie(1%tockton, ualifomia 91Wie 209 468:3142CrW109 <br />L, <br />0 Encroachment Permit 0 Access Agreement 0 Lead Agency Approval PeR <br />43e - <br />Work Plan Date <br />0E-Qu'iv \ n A A(1111 <br />JAN J <br />M <br />UAQUIII <br /> COUNTY- <br />Greatness grows here. <br />Environment,. Health Department <br />SITE MITIGATION WELL & BORING PERMIT APPLICATION <br />For Wells and Borings Used for Contaminant Investigations and Remediation <br />NON-REFUNDABLE PERMIT EXPIRES 1 YEAR FROM DATE ISSUED <br />48 Hours Advance Notice Required For All Inspections <br />Application is hereby made to San Joaquin County for a permit to construct and/or install the work described. <br />This application is made in compliance with San Joaquin County Development Title, Chapter 9-1115.3, and the San Joaquin County Well Standards. <br />Job Address 2600 W. Yosemite Ave <br />Cross Street Airport Way <br />Property Owner* City of Manteca <br />City/State/Zip California/CA/95337 Phone <br />APN 24131053 <br />Phone 209-456-8000 <br />City/State/Zip Manteca/ CA/95337 <br />License# <br />City/State/Zip Stockton/CA/95206 <br />License# 720904 exp. 4/30/20 Phone <br />City/State/Zip Stockton/CA/95215 <br />Address 101 W Center <br />C-57 Contractor Kleinfelder <br />Address 2001 Arch Airport Rd, Suite 100 <br />Consultant/Sub-Contractor V&W Drilling <br />Address 3806 Duck Creek Dr <br />Phone 209-948-1345 <br />CONSTRUCTION WORK TO BE PERFORMED: *Note: Offsite Borings/Wells Require Access Agreements or Encroachment Permits <br />DESTRUCTION WORK TO BE PERFORMED: <br /># WELLS TO BE DESTROYED <br />WELL IDs <br /> <br />DESTRUCTION METHOD: (CHECK ALL THAT APPLY) <br />0 OVER-BORE DIAMETER of inches to depth of feet <br />El PRESSURE GROUT To depth of _ feet below surface <br />El EXPLOSIVES From to feet below surface <br />El MUSHROOM CAP 0 3 feet below surface or feet below surface if >3 feet <br /> <br />GROUT SPECIFICATIONS <br /> <br />TREMIE TYPE TO BE USED El AUGERS 0 HOSE 0 PIPE <br />COMMENTS: