My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
FIELD DOCUMENTS
Environmental Health - Public
>
EHD Program Facility Records by Street Name
>
H
>
HARDING
>
45
>
3500 - Local Oversight Program
>
PR0545259
>
FIELD DOCUMENTS
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
1/31/2020 4:15:24 PM
Creation date
1/31/2020 2:17:49 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0545259
PE
3528
FACILITY_ID
FA0004966
FACILITY_NAME
CHEVRON USA (INACT)
STREET_NUMBER
45
Direction
E
STREET_NAME
HARDING
STREET_TYPE
WAY
City
STOCKTON
Zip
95204
APN
12707037
CURRENT_STATUS
02
SITE_LOCATION
45 E HARDING WAY
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
134
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
APPLICATION FOR WELLIPUMP PERMIT <br /> j. SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES J <br /> ENVIRONMENTAL HEALTH DIVISION. <br /> 1 - P 0 BOX 380,446 N.SAN JOAQUIN ST,STOCKTON.CA 86201380 <br /> �1 <br /> 12091409-2420 <br /> 11 <br /> NONREFUNDABIE PERMIT EXPIRES 1 YEAR FROM DATE ISSUED I! <br /> 11: ICmmROM IR TopsMT•I <br /> AMVCATION IB HEM BY MADE TO THE B.W JORDO N COUNTY FOR A PERMIT TO CORSTMKt AHEAD DETAIL THE NgIN pE......I.S.ASSMATRE.1.MAGE M COMRMNCF NRX A. <br /> JOAQUIN COUNTYO MTEEAEM TRIS.0NAFER 01116.8 ANO TXE STANDARD.OF.AHMAW-COUMr MHUX HEALTH Mol XXUMMEMAL HEALTH pMBMIX, <br /> Me Aopnf...1 S'S EFST helw N6 i!WF✓ Cm .-rAIJ/PD,✓ <br /> owWNAM_E�PFAYW 1%114[ <br /> rb[ _ m� <br /> MOIE.B� rcL eMDAmr <br /> B4 RUM, <br /> &/eBY -i <br /> COMFACOXLPr <br /> Aoman3/CH 6 rA CF.�4M•FJHd -1 7207x 9 EIMM r/9/C)G3/-/IM <br /> eSSOURDMCMR r!R✓.APttfelfulATa✓SNc' AODMR. f!T7J LFlMXNL s'(3M1AlMI f•Lt/2� RIOMr CL -.t/!/ <br /> TYTE,F WUH^)MP1 ❑NEW Mu ❑REMCEMFM WELL ❑MUFAMER O WELL r ❑oTNM <br /> ❑IN.tAl1M. ❑WELL BYRTEM IEFAD ❑tTUMALOHNECT REFAM ❑VAPon E%TMCTpH WELLr J <br /> ❑Hr O-pW FRNRrt <br /> Ivpm,r . REST WATER LEVEL O <br /> fRYPE OF HUMR N.P CE <br /> fen� 1. ���O OM-0F.EgWCE WELL ❑.M H,UC:LL WELL• 11 .OIL M.. <br /> JI\M(FiI CEM 1 R <br /> L <br /> OEBIR111CTpN: A^IN`�d <br /> TYFEO W I D...MS.,YECHC <br /> 13 INOV.fPoAL ❑OPEN BOTTOM MA.OF WELL EXCAVATIONTO MA.OF CON HTEon CASHEI O <br /> 1 ❑OOMEBTICIPRVATE ❑OMVEL PACR9IEE TYPE OF CASMMEEVPVC DIA.OF WELL CAME p I <br /> O RIBIICSUREI ❑pVLEM pEF1M OF OROM.EAI RPECRM:ATNIN ,I <br /> O eMOAM.. ❑OTHM Mil.EAt.ptm..eY OROM....NAME E <br /> OAUHRODM ;' amRt.EA,wurcO:E3 ❑Rs COXCPETEAF.A pYpR .l EIRE, . <br /> ARPO%.DEATH ,I LOCI-O CXE.TM...OVE Rumr <br /> RRRIFtl O... CTpN,YOWXO METHOD:MUD MTMY AIR ROTARYAUD LMIF OTMD <br /> 1 NfRE.Y XS,ONS OF THAT R HAVE F N OND THIS MEICA RED OR THAT THE WVRt WTLL SE DOM-ACCOPDANLE LWTH : MAWIN COUMY OR)-IXCMAIMESTATE RAW.,AM MR W AND <br /> REGUILATIUCR <br /> FORRESOTHISEARD.THE HIM COUNTY.ROME OWNER OR IICEN6E0 MfM'.ROXATVIIE CERfRR.THE FOLLOVAHO:•1CORDON THAT-TNRRROR,TANCEI THE WORK TUMCn WHICH <br /> TMe OUA, I.I.WEC.I MALLXOTEMROYFRM . '-R THE MRS <br /> THIFAININUW SHED,1HIF COMMCOUSS SUARMT TO11RLOMRAC COMPENSATION LHAS OF <br /> THE MAll T '1 EUCAN TIMT IN THE <br /> FORM.' <br /> E RONMAICE OF,THE N9Rf FOR WNICM THIS RER,RT M T MOR:R WALL EMROY RRBON.RD.A i TO WDA. .COMPENSATION UW.OF � <br /> CRIFORIIA' THE ARR/CM�T MVFT CALL M WUY IN AOVAXL[Rpt ALL IIEYMRFp IMgCTRNr AT IiMI Aq.Y M.COMRET[gUWINO At LOWEq ARU RIOVNHp. <br /> Wp:,tl% <br /> RMTHE M.NN BaMtl.uM�•le�//� <br /> 1.NAMEq OF THEET.ORPJACe NEAREST .. AERFORTHEXM RTr. A.LOCATION OF IRVM:.FWMUME EXTLFretEM OR ROW.Ep <br /> i.OVTI-EDF THERgRAry,E,RE LORU CATION <br /> ION OF AN.MISNORM pIRFCtNIH. E%PAHRUR Oi -WRSE. B..1OFI <br /> O.OMENM-Ep OM11NF.ANO RIM ARIN OF ALL A.PAIDHIRS)ANp RRRANT. e.LR THE PH OFATI'U WDNM MOEXM ONE 1NHpFFp iDIY R, <br /> .RRVCTVPF..IHCLVMNO COVEIRD AIEAB 6VCX A.PATNI.,gtlVfVIAYB,AND WM%8. OR THE RbRgry OR ApMIMNO RpFEpry. <br /> /3D I. <br /> WIw_LI <br /> r O <br /> ,.,Q <br /> T2ilNPz" � � I <br /> Y0� <br /> '/--11 E 1 I.CY�/ Y •l <br /> DEPARTMENT V.[ONLY <br /> ARMMIwI ABegm BY 1 Dm /'/''(; A.. <br /> D�:.exF.I,.Pcla.B. PM, e. DRN <br /> �C'p.,.:,.M.: OVQL^drlll MU13 +MlJll m55u✓Iz -im rf- W�- +MWS ' <br /> 11 <br /> AccouxnxD oxLr: Mor <br /> rt CODtl PEEIMO AMOUNT FOES-- CXEC%rRMN nECFNfO.Y pAl6 FFRATRMNOE IIEW6T XVA.Tn INVOICE <br /> 2 56/ 4J OIZ <br /> R <br /> 1 <br /> iI <br />
The URL can be used to link to this page
Your browser does not support the video tag.