Laserfiche WebLink
wS�u+n. SAN JOAQUIN COUNTY <br /> COMMUNITY DEVELOPMENT DEPARTMENT <br /> .r 1910 E HAZELTON AVE.STOCKTON.CA 95205 <br /> V +'�T gANNING PHONE t20911468-3120 <br /> PHONE(201 468.3120 <br /> i a A <br /> 6tlR.DING PHONE[2091 468.3123 <br /> NEIGHBORHOOD PpESERVATICN PHONE 12091 468.3021 <br /> A BACKFILL EXCAVATION CERTIFICATE <br /> f <br /> Project Location Stockton Steel 3003 Harmer Lane Stockton, CA <br /> Owner Herrick Corporation Phone No. (209) 956-4751 <br /> s <br /> Contractor DECON Environmental Servic2hone No. (510) 732-6444 License No. 545726 <br /> INDICATE METHOD OF BACKFILL QUALITY ASSURANCE <br /> 1. Submission of Soil Engineer's Compaction Report within 30 days of project <br /> completion, or <br /> X2. Submission of verification, e.g. load ticket, within 30 days of project <br /> completion that one of the following materials was placed in the excavation in <br /> 12" lifts: <br /> Pea gravel - smcoth, rounded material not more than one-half (1/2) <br /> Inch in diameter. <br /> X B. 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 /> 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 1000 gallon tank displacement and <br /> that the entire excavation will be backfilled and compacted to insure compliance with the <br /> Uniform Building Code Appendix Chapter 70. <br /> * 45A P MODET9602P <br /> Name (Print) <br /> V <br /> tle (Print) <br /> * <br /> Signature <br /> * Shall be the responsible managing employee on the license or authorized <br /> agent. <br /> r <br /> �' 6/91-LC/BECERT.Doc <br />