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Site Address: 9263 E. Schmiedt Rd. Lodi, CA 95240 Record ID: WP0039901 <br /> Date: 08/08/2019 <br /> PHOTO#2 Well Construction Inspection. And Soil Log Comments: Observed Well Groutinq With Cement <br /> �nta��fePe ptri2� €Sri t ICENSE BOARD <br /> f-�1e T;,n�--.--s, AND R'TORS STATE PLEASE CALL (209) 953-769 <br /> ;.Sr!`S rGE�5fy(fE lA IA CONTRA <br /> _ AN UIRED FCR INSPECTIONS uaTe <br /> r uR�M ITH THE CAUFOFtN — <br /> 'NpNC) ACTIVE W Q <br /> WS E RE <br /> ERS COMPENSATION LA CE TIC TITLE— <br /> VAN NO <br /> MINIMUM <br /> 48 HOUR AB�ORRfX <br /> -U <br /> , rel <br /> � � I <br /> CF <br /> V IV <br /> bEPARTMENT USE ONLY <br /> Application Accepted By Date <br /> Grout Inspection By Area <br /> Date <br /> Pump Inspection By - SPECIAL W <br /> Soil Boring inspection By Date <br /> COMMENTSDate WAIVER ReC <br /> -- _ _ <br /> Constructed Well Depth <br /> PE Codes SC Received _. ---- <br /> Info B Check#/ -Amount ---- ----- - <br /> ----was►? Remitted Date p ---- <br /> err-nitl <br /> -- --->> ServicE Revues <br /> t # In <br /> voic <br /> Aaron Gooderham, Environmental Health Asst. Page 2 of 2 <br />