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NOV-15-05 TUE 0232 PM GEOTRANS, INC. FAX N0, 3I J654391 P. 03 <br /> f "' Sett Joaquin County <br /> .�'sr� <br /> J., Eavironuienital HeflltL Department SITE <br /> ' 30d East Wtb:J Avcwte,3rd Floor,Stocl,-tott,CA 95202 <br /> t �IIR v � MITIGATION <br /> .,.'f (209)44S-3449 Fa%!(205)462-1433\lrtb:tnvlt.sigovnrpy'rltd UNIT IV <br /> t.s;ufi"3`' Well Permit Application <br /> tJON-REF ll!Jr1ABLE PERht1T EXPIRES i YEAR 1`0004DATE ISSUIED <br /> a;a lca3xr"s helcloy maid to Son Jodgtdn Ca rDj f ra UenA6 tatatrutf andlor 1*41 the 6cl*descr'wd. TTda apt!cal.ans madeln aonlp)arse wdh San <br /> eeoydn.^^.puny Devak;monl T I'e,Cha::er 9-17?_.3 a^:Inn J;tandard3 of San�ba;uH Couafy Ercv4onn:sntel Heahtt Otpurment <br /> aswasors <br /> WELL Locatian 2401 Mar.Arthur Drlvo ._Crcis SpnatEr4t Grant Unc RdG.l;y Trac�L _ �;p.R5376 Parcel# 213-0.705.0 <br /> PRC FFRTY <br /> Ovratr•.�ggfi�tg,Fdods Cmm�anv A;!re.^x_2407 Mac Arthur DfMe Cly Tr2a_Z;ip e5376 PhcnaA (205)8334z66 <br /> C-5'f Monler park Place Rancho CoMoayyaa 957A2Lie* 706569 976 853 9010 <br /> Cadeldtwttl Sl.ly Cq;rGeoTmns� t, 463 Centennial PhWy,Sle 21 LoWavillo,C r <br /> IOS�...._�._ Cdrens aCity q�� Phg1N'_(303)665d3S0 <br /> OIS CN161,1e x_9jA4500500E Y'At7gP)(N .Tevnagip ,�aega SecFaLana Gram <br /> WORKTO BE PERFORATED: <br /> IINCWWEL.LISORING fCPT,GN7:ZO6E,HyDHCFUNCH,"4D-AUGEROTHER') QDESTRUCTION (choo�elwekcow} <br /> OiLC+f ANGS,•,r„rjA it u ll ER-6 Y io pER$ORE, DIAMETERT, <br /> 7Cl OVpPyssuREGROUT <br /> GROUrSPECrICATIONS <br /> 1Y11iQF..NE41 RMALLATIONTYPF rQll�jR(AaIOMSPECIFICATIONS <br /> n MC41TORING alio ON STE•'.1 DU, CP BOREHOLE1_`S" Q MLXTIPLE CASIIIGS a1.IULTI-LEVEL VYE.L CAE(NG OWt_••._ �r.a <br /> QJ.7AACLON 0)MR HAMVER'O�vV'-% CASINGTHICKNESE TYFEOFCACING: USTEEI, nPVC QOTHErT;-_•_• • _ <br /> nvtrOR Qh1UO ROTARY Der^Tri ON GRO1.17 SEAL TREMM WPETOSE USED: VAUGERS aHOSE <br /> nAIR SFARGEl OZONE RPU:HPC,er(CPcrCFTfGROUT$-ZALPU%aPeD: QY� aAXNI IMUM FREt:-FALL DEPTH IS 30) C= <br /> RSOIL 6ORM, aHAWDAIXER 6ROUTSPE+]FICAnCils _ 47 <br /> n OTTER: Q OTHt,4 AFPRO)C BORING DEPTi p BOLTCD TRAFFIC BOX or Q STOVE PIPE <br /> cuQUCTOR CAUt'Ir FROPOseD (i`YE8,tM cPodko5an.In sormeM 9affor..) LeIIIJ <br /> C06110ENT5; Geoeropd b�rings to approx 12 fool;to be abandoned immediately -M2 -f <br /> NOTE; OFFSITE BORINGS REQUIRE ACCESS AGREEMENT OR ENCROACHMENT PERMITS. ftw' <br /> 40 WORKING HOURS NOTICE REQUIRED FOR INSPECTIONS. �■ <br /> I Ilarelyy cel$fy that I have preparail dlis application and that the work will be done[it accordance with San.loaquln <br /> County Orace es incl Ronulntions,and all appllcdble California State Laws. <br /> � _�._• •_,„ TiNelCanpany_„,`�h~ 'r Z�„_ <br /> �...._._ <br /> DEPARTMENT USE ONLY <br /> SITE-MAP IN UNIT IV PILE,ADDRESS: Z -I o — YL rSdn act <br /> WORK PIAN DATED:• , I o� S <br /> Ap;!.a:•r•�i,`cccp`ad Ey, IA�1M _All _ __ Gain L'5JU<I 1 1f OS� ;•roa <br /> C�otl;IrrStCvn E1— tNi -^-^-.___..•�0.ua 1 ICS oS Ina In;,pac;ic;y6y �,•Oa;e <br /> L1e;.; Vjcn 9iscat(da16y D,i:c <br /> f..OletaF.RT61 CONI?1710W5:,_ t ._L^ i�AfJa„� <br /> ACCO..tI"II IG QN1,Y: ATO$ FACA _ <br /> MPE CODES I FEE wro I AMOUNT REMITTED CHECK# RECD BY DATE PERSTrr f SERVICE REVUES r A INVOIct <br /> ago( L °' l` IIVfi W n 7s vs sR#W q q SI'-( <br /> C-57 , WCC WATVCA_ C•57 -Ptleror Author'rzotion to sign permity[Endroddhment ddc_ <br /> C:i7�>.:CCGL <br /> FILE COPY <br />