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SAN JOAQUIN COUNTY fl <br /> ' COMMUNITY DEVELOPMENT DEPARTMENT <br /> into E WELTON AVE,STOGRON,CA 95205 <br /> DEVEL P W SEF 12091 PHONE-- 2091 466.9120 JUL 2pUM1993 <br /> e1dILOINa PHON1=1 2091 466.3123 ��yrf� <br /> NEIGHBORNOOD PAESERMION PHONE.(2091468-3021 <br /> PERAR/SE yrc��TH <br /> BACKFILL EXCAVATION CERTIFICATE <br /> Project Location FUEL MART, 10807 Hwy 99, Stockton, CA 95212 <br /> Owner KAUTZ FAMILY FARMS Phone NO. (209) 931-0782 <br /> Contractor JIM THORPE OIL, INC. ' phone No. (209) 368-6175 License No. 495699 <br /> INDICATE METHOD OF BACKFILL QUALITY ASSURANCE <br /> XX I. Submission of Soil Engineer's Compaction Report within 30 days of project <br /> completion, or <br /> oad ticket <br /> within 30 <br /> days of <br /> ct <br /> 2. submission of completion that one Eof the following ication, e.g. lmaterials was placed in he excavationin <br /> 12" lifts: <br /> A. pea gravel - smooth, rounded material not more than one-half (l/2) <br /> Inch in diameter. <br /> H. 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 1004 gallon tank displacement and <br /> that the entire excavation will be backfilled and compacted to insure compliance with he <br /> Uniform Building Code Appendix Chapter 70. <br /> MARTIN THORPE <br /> Name (Print) <br /> Vice-President <br /> T tle Pr n <br /> i ature <br /> * Shall be the responsible managing emp oyee on the license or authorized <br /> agent. <br /> 6/91-LC/BECERT.DOC <br />