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?-I SAN JOAQU1N COUNTY <br /> COMMUNITY DEVELOPMENT DEPARTMENT <br /> 1810 E HAZELTON AVE., STOCKTON,CA 95205 <br /> ki4'A��* DEVELOPMENT SERVICES PHONE (2091468-3120 <br /> PLANNING PHONE_ 1209) 460.3120 <br /> BUILDING PHONE_1209) 468-3t23 <br /> NEIGHBORHOOD PRESERVATION PHONE! {209)4.683021 <br /> BACKFILL EXCAVATION CERTIFICATE <br /> Project Location 221-225 �'IINER AVENUE, STOCKTON, CALIFORNIA %202 <br /> Owner 11.J- BEVANDA PROPERTIES Phone No. (213) 877 5246 <br /> Contractor FALCON ENERGY Phone No.(209) 463 7108 License No. 584524 <br /> INDICATE METHOD OF BACKFILL QUALITY ASSURANCE <br /> 1, submission of Soil Engineer's Compaction Report within 30 days of project <br /> completion, or <br /> 2. Submission of verification, e.g. load ticket, within 30 days of project <br /> completion that one of the following materials was placed in the excavation in <br /> 12" lifts: <br /> A. Pea gravel - smooth, rounded material not more than one-half (1/2) <br /> inch in diameter. <br /> B. Crushed rock - self-compacting material not more than three-quarters <br /> (3/4) inch in cross sectional measurement. (Use of crushed rock <br /> will not be permitted for backfill if contact will be made between <br /> the backfill material and tanks/pipes made of poly resin glass or <br /> similar materials. ) <br /> DECLARATION <br /> I hereby certify that a soil Engineer's Compaction Report will be submitted within 30 days <br /> of project completion, or submission of verification that the select material described above <br /> will be placed at a minimum of five (5) cubic yards per 1000 gallon tank displacement and <br /> that the entire excavation will be backfilled and compacted to insure compliance with the <br /> Uniform Building Code Appendix Chapter 70. <br /> JAMES J. HOBLI TZELL <br /> Name (Print) <br /> V.P. <br /> ;;;Title:(Pr_iht) <br /> ure <br /> * Shall be the responsible managing employee on the license or authorized <br /> agent. <br /> 6/91-LC/S'ECERT.DOC <br />