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01 <br /> 64234 WELL/PUMP PERMIT <br /> SAN JOAQUIN COUNTY ENVIRMMENYAL HEALTH DEPARTMEM 304EWE8ERAVE3—FL-WocKrMCA95242 .(209)168.3120 <br /> NON-REFUNDABLE PERMIT CALL(209)953-7697 FOR INsPEcTims EXPIRES I YEAR FROM DATE ISSUED <br /> N <br /> A A <br /> Joe ApoxEnd _ / 39'SO Thomton CITY/LIP Lodi <br /> s <br /> CRoss STREET Am APN 055-150-07 PAMCEL8178 f f O/ g <br /> OwN.N.mE Ray Coldani "ME 369-5206 <br /> OWN.ADDRM 13199 N. Ray Road CITY/STATE2IP Lodi. CA 95242 <br /> CohrrRAcraR Delta Stockton Pump PHONE 466-9625 <br /> CONTIA TORAWRCSS 646 S. Califomia Street Cm/STATTla1P Stockton. CA 95203 _ <br /> SUwMTMLTOR PHONE <br /> SUICOHTMRORADDKEES CtT"MATE/zIp_ •+p� <br /> LICENSE OC-57 isC-61 13 D-09 ❑gWer NUMBER 724778 Expm.sPloN DATE 1 <br /> CEO l"LINPOBMATION: Coardlaneea % Y T.,emblp_ R.W State. ,y <br /> INTENDED USE ❑Domratic/PnvMe IrrigaioNAgncultunl 13 Industrial 0 Water Quality Monimnng O Soil Sarnpling/ChatacMnation I��1 <br /> ❑Public wa=v <br /> Ir,emoRt .tar nlam .me o.nn amev <br /> TvMOFW(yRK ❑New Well O Re9laumeet Well 0 Well AlteratimaNimlificmjoe OTom Hale ❑other <br /> 0 Monitoin8 Wellerofwelh nua6vafhari aumhveraM <br /> (a1 nuna <br /> _ ❑Sail Honng(s)_ ap O Ceamhniul <br /> 0 Well oestmcrion ❑W1,01-Serviu Well ❑Oot-ofSmice well Renewal <br /> 0 New Ptnon ❑Nmp R lacement (3Pum Re,ati, O Cron-Conation Re,air <br /> WeLLCON.4T LIMON <br /> Drilling Method ❑Mud Rotary D Air Rotary 0 Auger ❑Cable Teel O Push Puim D Other <br /> Proposed Well Depth R Exeavannn in diameter 13 Open Boman ❑Gn.el Pack/Gravel Sia mdhnomtt <br /> ❑Cooduelur Casing indiamew / Condubr Caaing Depth _ft <br /> Well Casing Diameter_in Thiele sa la.,,;AS'T1 Schur O Steel ❑Plaatie 0 Stainless Stan l ❑Other <br /> Grove Seal Depth ft ONeat Cement(94 lb bqx/d-IUgul wafer) ❑Send Cement ...A Mlx/7gal weer <br /> OBamonite/2P/.solids) ❑Menu Hcturel spec%solidi_% Name OSastam Fla ❑Spins Submitrd <br /> Cmut Placement Method ❑Pumped ❑F'rcc Fall O Orhar_ 0 Retardant/Aceelersbr(none) <br /> PEDESTAL 1.0,11W BV 0Dnller 0Pump Connector 001hcr <br /> 0 Concrete Pedestal Diammeana: Width_ n Ieng0_11I Mickin ❑Cbriaty Boa ❑Store% <br /> pt <br /> PUMP 13S.Imaaiale ❑Turbine OOther__ HP_ Pump Setft Standing Water Lcvel ft <br /> WEu.DEErguLTmON ❑Open Borom ❑Gnvel Peck ❑Uncased ❑Otho <br /> Well Diamnarn Total Depth n Dcpth W Wmer ft 0CeainSmea PcIta mtl from_n b ft <br /> Setting Matetlal ❑Naso Canem(9416 bug/d-lob/water) ❑Sand C.t sod au1/7 gal water ❑Bentonite Pellets <br /> 0 Ber.hat(20^.solids) 0 Menu6etamf Spec%solids__ % Name ❑SPecs on File ❑Specs Submitted <br /> Placement Method 0 Pumped ❑Frea Fall ❑O cr_ <br /> ( ❑Complete with Mushroom Cap n below grade O Compho,to Existing Surface Pad <br /> 1 HEREBY CERTIFY THAT 1 HAVE PREPARED THIS APPLICATION AND THAT THE WORK WILL BE DONE IN ACCORDANCE WITH SAN <br /> JOAQUIN COUNTY ORDINANCES, STATE LAWS, AND RULES AND REGULATIONS. 1 ALSO CERTIFY THAT MY REQUIRED LICENSE IS <br /> CURRENT AND ACTIVE WITH THE CALIFORNIA CONTRACTORS STATE LICENSE BOARD AND THAT 1 AM IN COMPLIANCE WITH ALL <br /> WORKERS COMPENSATION LAWS, <br /> MINI M d HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS—PLEASE CALL(209)953.7697 <br /> 5lcrvgo TITLE 0R0 DA 04/15/04 <br /> 1R N M <br /> Lc af!at rE <br /> H <br /> icaDEPARTMENT USEE/O7;LVY/d[/ <br /> Application AccWted DY Doh Am EDpIMx IM <br /> Grout IMpechon By Oem E3SPECIAL Well Perndt <br /> Pomp Inspection By Date G �l ❑ WAIVER Received <br /> DesWcdon Inspection By DateConstructed Well Depth n <br /> COMMENTS <br /> PE SC RaulssdC Ch Amount DNe PermlV Ime j.0 Wall IDP <br /> CoM Info B R., Rammed Serviu Ra ue IM <br /> 95-id <br /> as <br /> EI It)43-02-006 MASTER WATER WELL PERMIT <br /> 12/62003 <br />