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i%80 8] WELL <br /> I1 SAN JOA(:UIN COUNTY ENt'lRONMEN7'At,HE:AL'I'd DEPART CNT ���?��� <br /> N;ON-RurUNDAHL£PERMIT �. 2r,191, 304 E V,'ERFR.Avr.3'°FL-S'rncic',nrt Ch.95202 -(2tI9) <br /> L a - <br /> t, ( S'� -?fs5`7 i•03s.:iti4l.�C,.I'if:N�: P1 E5 I YEAR FROM BATE is;,. <br /> FIROSSRSTRIE, <br /> E.ss _ 22SFR C f <br /> CITYI[.1p�.1R.�S�V . <br /> 'ATO G St. APN 250-060-03 = <br /> PARCELSI7,F.__LAND USF.APPLIC.tff U�Ym <br /> mE . Banta Inn LLC <br /> nn+e 8 -4811 <br /> �OwNERABpxess same --- I.. dl E <br /> Co <br /> j <br /> CUNrxatTokDelta Pum . P Y <br /> - <br /> & PI=ovs; 466-9625 <br /> CONTRACTOR AppREsSY-,� 64.6 S (rr Ggiifornia Street - <br /> I� A has e Crry/STATEILIP Stockton, CA 95203 <br /> SUBCONTRACTOR <br /> I i-' PlsDrvs I _ <br /> Sli]fCUHTkA[fOR AppRESS 11w <br /> CTTWSTATEIfIP L F$ -j <br /> LICENSE ❑C-57 a-C-61 ❑0-09 ❑Other NUMBER 724779Exr <br /> €twrtDNDare <br /> GeOCRAPRi[AL In FORMArrOry: Coordinates X - - <br /> Y Township Ran a �* <br /> INF linen CI,E I gatton/A riculluml g Section_ I <br /> ome5tic/Ptivate LI ^ � ,[s7,In ustrial ❑Water Quali[y Monitorin <br /> Puhhc Water Syysum- ,V [�✓. - 4 CI Sail Sampiing/CSaracteti atioo <br /> I Ireif!rtr fmrre Or:ncr. r�'rsmm atTm>c <br /> lonWc,ryamc or P,onc lumbr: I <br /> TYPE OP WORE ❑New Well ❑Replacement Well ❑Wcll Alteration/lAodi hcation <br /> " ❑Otho ff <br /> ❑Monitpring Wd2(s) *of wells ❑Soil 8oting,5) s vE�drts- <br /> Out-Of-Service Well ❑Out-Of-Service Well RenewalIICross-Connection Repair <br /> New Pump ❑PWnp Replacement ❑Pump Repair Pull limp, 2,U,9tall ill clew well <br /> WELL.GOA-,A'STR UCTtnN <br /> Drilling Mcthnd ❑Mud Rotary ❑Air Rotary ❑Auger g' ❑Cable Toa! ❑Push Pcini ❑Other f <br /> Proposed Wdl Depth ft Excavati9n in diamctc: ❑Open 8otmm I J <br /> ❑Conduotor Casin• p ❑Grave pack 1 Gravcl Size m diamcr <br /> S in diamets ! Conductor Casing Ocpth I l�j <br /> Well C85in Diameter — it I <br /> g _in Thickness/Gaug6ASTM Sched _ C7 Steel ❑Plastic ❑Stainless S;cel ❑ <br /> Grout Seaf Depth n ❑Neat Cement(9418 bog/5-logo!w.I.' Other <br /> 0©=I=dle(20%solids) ❑Manufacturer Spec%solids %1 Name ❑Sand Cement sr.ck :/7 gai watt-Grnul Placement Mlethnd ❑Pumpcd ❑FreeFall ❑Other �� Specs on Fife 17 Spebmiaed _ <br /> ❑Rctardantl Acceicretor(nerve) t '"' <br /> PepetirnL Installed By ❑Driller ❑Pump Conimclar ❑ <br /> G Concrete Pedestal Dimensions:Width Other I v I l <br /> ft 'LengthR Thick in ❑Christy Box e7 S[9rc Pipe <br /> Pualr M Submersible ❑Turbine ❑Other Hp <br /> --�Pumo Se[ 100 fCStanding Water Leve! .70 <br /> I HERERV CERTIFY THAT 1 HAVE PREPARED THIS APPLICATION AND THAT THE WORK WILL BE DON£FN ACCORDANCE WITH SAN Ylt <br /> JOAQU€N COUNTY ORDINANCES,STATE LAWS,AND RULES AND REGULATIONS. I ALSO CERTIFY THAT,Nty REQUIRED LICENSE IS i !� <br /> CURRENT AND ACTIVE WITH THE CALIFORNIA CONTRACTORS STATE LICENSE BOARD AND THAT€AMI IN COMPLIANCE WITH ALL I C <br /> WORKERS COMPENSATION LAWS. <br /> i <br /> €it9Ui'f 24 HOUR ttDV.< NCZ, ;NG•W'? RE:QU1RED FOR{INSPEC'€IONS I <br /> SFCNE;llC-��� <br /> i r,rLl: CEO SATE 3/0I/07 <br /> §! d 1� ' it I <br /> ' r I ,- <br /> II f Illl <br /> ie i Z UI I <br /> SAN joa .io UI„ <br /> I i ' ' <br /> TTh,r,,=PART 0E aT <br /> - <br /> 1 <br /> l I <br /> I <br /> t <br /> D E P A A714tEN'F' USF. Ol,Ly <br /> Appiicauon.Seceplec By <br /> Grow fnspcc , - ` Dare�7 -% Are ❑ $pEC[ArLl'» <br /> 'elll mi'peito"yancti[lD- <br /> ]u <br /> Pump Lspecoo <br /> Ry' <br /> Date I] ':VAiVERReEeivetl <br /> Constructed Well Ueptft ft <br /> COMMENTS <br /> I PE SCReceived 'Checo,� Amount <br /> Cod's ]u fc Rv <br /> Rpat. Pern"11 <br /> emitted Srice Reuu <br /> est ` Inv ,ec; Nvcll IDP I <br /> Li <br /> I I 1 i <br /> 2 41-02-006 <br /> I;':7'tii <br /> WELL f'L.V..t'FERWT <br /> n ! <br /> I <br />