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Environmental Health - Public
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2900 - Site Mitigation Program
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PR0505722
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Last modified
1/30/2020 11:29:04 AM
Creation date
1/30/2020 9:56:36 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0505722
PE
2951
FACILITY_ID
FA0006961
FACILITY_NAME
KJAX
STREET_NUMBER
5451
Direction
E
STREET_NAME
HARDING
STREET_TYPE
WAY
City
STOCKTON
Zip
95202
APN
10122041
CURRENT_STATUS
02
SITE_LOCATION
5451 E HARDING WAY
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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APPLICATION FORWELLIPUMP PERMIT <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> TO BOX 38B,446 N.SAN JOAQUIN ST., STOCKTON,CA 96irr.188 <br /> 1209) 4883420 <br /> NON-REFUNDABLE PERMIT EXPIRES 1 YEAR FROM DATE ISSUED <br /> ICompl•tE In Trplk•tq <br /> I..S APPLICATION IS HERE BY MADE TO THE SAN JOAQUIN COUNTY FOR A PERMIT TO CONSTRUCT AND/OR INSTALL THE WOW DESCRIBED.THIS APPLICATION IS MADE IN COMPLIANCE WITH BAN <br /> JOAQUIN COUNTY DEVELOPMENT TITLE,CHAPTERS-11 115.3 AND THE STANDARDS OF SAN JOAOU IN COUNTY PUBLIC HEALTH SERVICES,ENVIRONMENTAL HEALTH DIVISION. <br /> JOB ADDRESS/OR APII 5451 East Harding Way CITY Stockton PARCEL SIZEJAPII <br /> OWMER'SNAME KJAX Radio Station - FEMA ADDRESS 110 North El Dorado St, St&0ton <br /> E... Woodward-Clyde Federal Service ADORED to. ( 612q PHONb 8-0988 <br /> COMPACTOR 60}3 l <br /> P.O. Box <br /> BUB CONTRACTOR RN PROR woREee _ _„�Idc,C-57 (NA)PHINE,s;D�ng, <br /> Oyirp_r-lle, eA 959 <br /> TYPE OF WEUJPUMP: ❑NEW WELL ❑REPLACEMENT WELL ❑MONITORING WELL 1 ❑OTHER r <br /> V ❑INSTALLATION ❑WELL SYSTEM REPAIR ❑CROSSCONNECT REPAIR ❑VAPOR EXTRACTION WELL I J <br /> ❑Naw❑.Ry.1, N.P. DEPTH PUMP SET_FT. FIRST WATER LEVEL 0 <br /> PIYPE OF PUMP) ❑ f(yS OUT-0E-SERVICEWELL ❑GEOPHYSICAL WELL, y,)4OIL BORING B <br /> I.r ❑DESTRUCTION: <br /> INTENDED USE TYPE OF WELL CONSTRUCTION SPECIFICATIONS A <br /> ❑INDUSTRIAL ❑OPEN BOTTOM DIA.OF WELL EXCAVATION DIA.OF CONDUCTOR CASINO D <br /> ❑DOMESTICJROVATE 11 GRAVEL PACK/SIZE TYPE OF CASINGISTEEUIVC DIA.OF WELL CASINO D <br /> Ar ❑MBUC/MUNICIPAL ❑DRIVEN DEPTH OF GROUT SEAL 60 1 SPECIFICATION R <br /> ❑T� <br /> � RIRILJ <br /> IRGATION/AG ❑ UT OTHER GROW SEAL INSTALLED BY <br /> mm <br /> Y Treie Pipe GROUT BRAND NAME E <br /> A,.)L <br /> - MONITO <br /> NG GROUT SEAL PUMPED: Y_ ❑N. CONCRETE PEDESTAL BY DRILLER:❑Y.RNo S <br /> APPROX.DEPTH 60, LOCKING CHESTER BOX/STOVE RPE S <br /> LS PROMSEDCONSTRUCITHON/DTBWNG METHOD: MUD ROTARY AIR ROTARY AUGER CABLE OTHER Direct Rush <br /> 1 HEREBY CERTIFY THAT 1 HAVE PREPAMO THIS APPLICATION AND THAT THE WOW WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY ORDINANCES,STATE LAWS,AND PUTS-m-40 <br /> REGULATIONS OF THE SAN JOAQUIN COUNTY.HOME OWNER OR LICENSED AGENT'S SIGNATURE CERTIFIES THE FOLLOWING:'I CERTIFY THAT IN THE PERFORMANCE OF THE MW FOR VMICH <br /> THIS PERMIT IS ISSUED,I SHALL NOT EMPLOY PERSONS SUBJECT TO WORKMAN'S COMPENSATION LAWS OF CAUFORNIA.-CONTPACTOR'S HINNO OR SUB-CONTRACTING SIGNATURE CERTIFIES <br /> THE FOLLOWING: -1 CERTIFY THAT IN THE PERFORMANCE OF THE WOW FOR WHICH THIS PERMIT IS IBSVED.I SHALL EMPLOY PERSONS SUBJECT TO WORKMAN'S COMPENSATION LAWS OF <br /> L+ CALIFORNIA.- E APP C NT MUST CALL]S HOURS IN ADVANCE FOR ALL REQUIRED INSPEOTIONS AT 12MI SS 23.COMPLETE DRAWINO AT LOWER AREA PROVIDED. <br /> l/I <br /> Mo�x7a nn. Geologist D,,. 3-15-95 <br /> Bill Loskut ff <br /> KOT PLAN(D,P to S .1 B<•I. 't. <br /> 1.NAMES OF STREETS OR ROADS NEAREST TO OR BOUNDING THE PNOPERTY. S. LOCATION OF HOUSE SEWAGE DISPOSAL SYSTEM OR PROPOSED <br /> {n.. E. GUTUM OF THE PROPERTY,GIVING DIMENSIONS AND NORTH DIRECTION. EXPANSION OF SEWAGE DISPOSAL SYSTEMS. <br /> 3. DIMENSIONED OUTLINES AND LOCATION OF ALL EXISTING AND PROMISED S.LOCATION OF WELLS WITHIN RADIUS OF ONE HUNDRED FIFTY FT. <br /> STRUCTURES,INCLUDING COVERED AREAS SUCH AS PATIOS,DRIVEWAYS,AND WALLS. ON THE PROPERTY OR ADJOINING PtOPERTY. <br /> ...5. .i.... ....... ......:..... <br /> V <br /> ....:.....See Attached Map <br /> V ....:! <br /> PAYMENT. <br /> ;... . ... <br /> .RECEIVED : ...: <br /> MAY 17 1998 <br /> .... <br /> ..' SANJOAOUINCrJLINir .. <br /> ..: .. <br /> _ I <br /> .. <br /> PUBLIC HEALTH SERVICES <br /> - <br /> ENVIRONMENTAL HEALTH L�IV SIO <br /> 1..r DEPARTMENT USE ONLY <br /> Avvn<.nvn Ax.Pt.d Br � D•t. ��' T�7 5 A,<• <br /> i <br /> GI.Vt Ivpstl<n By D.n PVmp IruP.<,lon By Oa. <br /> D..trw11<n InP.<llen By O•,. <br /> V <br /> ACCOUNTING ONLY: AID, FACT <br /> L <br /> PECODES FEE INFO AMOUNTREMITTED CHIC ASH REC)PVEP AY DATE PERMIT/SERVICE REQUEST NUMBER INVOICE <br /> or) DU D (005 <br /> V <br />
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