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l S '°N NLti: Z 6lq '6 [ 'unr ;Wli paAl ;);d <br /> V/ELL(PUMP PERMIT <br /> SariJoAaawCDUntrrEriv,Ro;juevrALHEAt--ntO1PcRIUENr 1868E 5THAzEt: Avo9tle-STacKroyCA96Tn�-(2D9)468307D <br /> AlON-IZEFUNDI ERWr CALL. 209)453-7697 FOR INSPEC-TIONSS EKPI ESQ 9 FROM 5 ISSUED N <br /> Joa� <br /> a A9Ess 172344 E Fairchild Rd CITMr� D <br /> GliDss` BAPTI �/ PARCELS LANA USE APPLir ATmrj A 9 <br /> Dave Podesta PRONE 209-603-9930— N' <br /> OWNERNarr� Stockton CA 95215 <br /> 12344 E Fairchild Rd cnY,srAt�P <br /> OWNn Amus <br /> CONTRACTOR Furviance Drillers , Inc pHat 219Ck 9553 6 <br /> ca:rr <br /> rACTnR Anors R <br /> PO Dog 64 ,r�Linaen, CA 95236 <br /> Pttane <br /> Su acocu�aActnR <br /> ISUaCOVTRACTOR.4OoRE55 O<lYISTRTFJbP <br /> 37 7 9 23 EXPMATION oar Z 9 <br /> 31/ <br /> LlcprsE csr u C-0 -:1 DX-" Nuraeaz__-___ <br /> Dontesnctllla i SA,-,punm0 Ganerai VmeraUCoutrm eactetia(4391)_Mramachloroprapane(4392)�Ameluc(4:393) <br /> IlrurBmED USa a ournastirJ9atale G I tdgatian/AgdcuituraI 0Indcstrial G VJatar OuaLh Monitoring ❑SailSarrtPTutglCFtara an <br /> Public Water System PAY,,, <br /> AY, ,,, <br /> a dLer�rt`;vm Cn:sr tt'uers}isiml�� ��,q.Il tea <br /> IVPE OF WOFE C Nerr M3 C ReplaeTtent UVel n Well AlleraL�:tR:lod'6edGon ]Other �����7- <br /> r.Sad Boringls) 'orrnmz G Geoleahalta7 'OIs <br /> n rd0MWTb g VYell(s) :of vrd(s Jj <br /> Ou[OfSP�v� PA <br /> I C Cut-0`.SaMCM Wet Rcn,ral a cross-Cameo an Ravair j e'Y <br /> C Nev:Pu Pun R_ tacement C Pian Re it D Ra1;eVV�ICasio l./ n <br /> oyE-covsTrtucrov SAM �A b 2oj� <br /> }W)T,ng Method O ffud Rotrcy G Air Rotary 7 Auger 7 CableTml 7 Push Pant it OQter <br /> Proposed l^leLl ❑ep;h St EuavaUcn in damcler -Open 20MCm C Gravel Par�dGratm�S>z� in d�{C�C ��pN/M Cp�M <br /> O Conductor Casing in dlameter j Conductor Casing Depen s p�pq A4e <br /> We11 Casing Dame er_in Tt%da'esSfG-&Me1ASTTd Srhed Steel 7 Piaslic 0 Slainlms Slee] >OIhar <br /> rmrlTgal tva2Er <br /> GroutSeal Depth ? ONeaCement{!; al <br /> #lbbaa}Yeg ,•raW4 OSardCemenl sarJ: I <br /> D Eentanilet %soLds) 0 Other <br /> Grov2PiacemertMethad O Pumped D VfMF-it 7 OLher 1 Reta7dantlAau�eralor(nzme) <br /> PinsTAL fastAted By O DrgIrr 7 Pump CoN2::Iw D Other <br /> C!Car=crere Pedestal C0TMerasian5z:Wdth T Lang ft Thick in ChrLstyB6c J 5 Plp <br /> lEa P Sutxners eteD Turmne D 011ier <br /> HP PWRP SP1 R Standrt,g Water L�tfel ft <br /> I ra:kEay CERTIFY THAT I HAVE PREPARED THLS APPLICATION AND T THE WORK WILL BE DONT=IN ACCORDANCE 11VfTEt SMt <br /> ORGllIN COU,T!OADINA4CE5,STATE LAWS, AND RULES AOW REGULATIONS- 1 ALSO CERTIFY THAT 67Y REOURM LICENSE IS <br /> CURRFMT AND ACTWE LVMi THE CALIFORNIA CONTRACTORS SLATE LICENSE BOARD AND THAT f AM IN CO.VIPItAN(E WIi?f ALL <br /> `NOOMPENSAMONLAWS- <br /> I!allU WVAIICE NOTICE REQUfRED FOR IWSPECTIOIVS-PLEASE CALL(209)953 b97 <br /> �G corporate Secretar&,>= CP iy <br /> 111 I I � it I <br /> II I ! f I I II I <br /> F1IIII <br /> Illl II 1 III I I 11 <br /> 3 I ! I I <br /> i I I I 1 1 1 1 1 k <br /> f l I I I I I I <br /> III 111 <br /> II II � I <br /> AR HENT U E O LY <br /> m J�CV A!% �t I Area43 ,21YU11111 <br /> F1n Permit tLTR <br /> Appfic�FianAeCePledt3y Permit <br /> GraaflaspectionE Date <br /> 7 U11alUr R Received <br /> Pump Inspecfiart 6y ;t <br /> So tintiR9 tnTeciivn By <br /> Die Constructed Well Depth <br /> COMMENTS <br /> Chedel Amount I PV7nI0 <br /> C=h nvoice3 f 7Nal11073 <br /> PE SC Recetvsd .-.I—Remitted Date -Ce West" - <br /> Codes__ info - I l I i <br /> I l <br /> Z d bL5EL8860Z out Sae11I.IQ eoueiAind dZ0 Z0 6l- Z L unf <br />