Laserfiche WebLink
BACKFILL EXCAVATION CERT:FCATE <br /> P-ojectLaarica North Stockton Auto Service 8709 N nazL—ELLqtanktfln CA <br /> Ed Niemann phone No. (209)478-1614 <br /> Owner 495699 <br /> Conr1C7o7_Jim Thorpe Oil , Inc.phone .40,(209)368-6175 I.lcease tio. <br /> INDICATE METHOD OF 3ACK7-ILL QUALITY ASSURANCE <br /> ., Submission of Soil Engineei s Cotnpanion Repot.w,thin 30 days of project wmplerion, or <br /> X 2 Submissicn of ve:ificuica. e.g.,.Iced ticket• within 30 days of project cocaPtion that one of the folicuin; material wt? <br /> placed to the e%avaden in 12' ht:s: <br /> X A. ?ea gravel—smooth, roa^ded material not more that oat-ha:f'1/2) inch in dia-rnete: <br /> B. Crushed rock--self-compxting macerW not mere than hree-gturtll cont inch. in email sectional <br /> n easuetne t. (Use of ett:shed rock a-:ll sot be permitted for backflI if contact wt11.be mads be peen <br /> the backfill material and taaksipipes made of 7oiy resin Suss or similar materials.) <br /> DECLAR.%710N <br /> I hereby terrify that a Soil 3aginez s Compac:ior.Report will be suLmima wi'.hin 30 days of project completion. or sabrtilstor.of <br /> verification that the Select materia desc:bcd above will be placed at a m:trirum of rrvc (5) cubic pard. per 1P� gallon tank <br /> displacement and that the entire excavadcn will be backfilled arid ccmpacted to iasure compliance with the Uniform Bailcirs Code <br /> :Appendiv Cbapcer 70. <br /> Jim Thorpe Oil , Inc. <br /> by Richard Thorpe , Pres. <br /> ;,arae � rtn:; <br /> . Contractor <br /> r n:e C nat; <br /> :cnanue <br /> Spall be&-e responsible maaag+ng empioyee on the 1.ccnse or aitho:i:.tr agent. <br />