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tea.. SAN JOAQUIN COUNTY <br /> r, <br /> COMMUNITY DEVELOPMENT DEPARIA <br /> rrcr &Pn, M :l <br />�. �}! <br /> L. <br /> y .... <br /> SJ 1510 E HQWON AYE.STOCKTON,CA 95205 <br /> DEVELOPMENT SERMES PHONE:12091488.3120 <br /> PLANNING PHONE 120968.3120 <br /> MAOM PHONE:12091460-3123 2 3 1773 14 <br /> NEK3Tf M400D PRESERVATION PHONE12091468-3021 <br /> ENVIRONMEN"FAL HEALTH J U L 22 1993 <br /> PERMIT I SERVICES <br /> BACKFILL EXCAVATION CERTIFICATE I:UNihr UIV11Y UtVLLUrldltN1 UEPT. <br /> PLANNING 61VISION <br /> Project Location 2150 E. Hammer Lane <br /> owner Toyota Town of Stockton Phone No. <br /> contractor Jim Thorpe Oil , Inc. Phone No. 209-368-6175 License No. 495699 <br /> INDICATE METHOD Or BACKFILL QUALITY ASSURANCE <br /> w 1.. Submission of Soil Engineer's compaction Report within 30 daysof : project <br /> completion, or <br /> XX 2. Submission of verification, '� g~: W, }goad "ticket, , within 30` 'daye at pr.oject <br /> completion that one of the following material's wad pat�ec 'in, the +�xavation in <br /> 12 liftsi <br /> XXA. Pea gravel - smooth, rounded material nofiloi�a� thanone-1>a1f � J�)' <br /> inch in diameter. . <br /> B. crushed rock - self-compacting material not more than three-quarters <br /> (3/4) inch in cross sectional . measurement. (Use' of crushed frock <br /> will not beperrteited' for backfill if contact will be made between <br /> :the backfill' material .and:,tanks/pipes made of poly re'61ft glans or <br /> similar materials. ) ° <br /> IDECCAIIAAYI <br /> I hereby certify that a.Soil Engineer's,,Compaction Aeporb,N 11`b0- *ubmitted within. iJ0• d100 <br /> he <br /> of project completion, or submissioTi:of,verif"ication thak;;.tselect ait,6aal '`desckf6ed above <br /> will, be placed at a minimum of £iv.e_j5) u ic 'yf iri = par lg0d' gallon tank displacement and <br /> that the entire excavation will be backfili'ed `=alid compac'64.to 114$Lre the Y. <br /> Uniform Building Code Appendix Chapter 70. <br /> c�Maftin``Thhoepe <br /> Name , (Pr nir) <br /> Vi ce-Pre`s'i dent` <br /> Tit 1 Pl;. <br /> * Shall be the responsible managing emp oyes on the licehg or a4thorized <br /> agent..; .I <br /> f €Y 1-LC/BECERT.DOC •_!=`= <br />