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11/21/2002 13 25 2094683433 FIFTH FLOOR PAGE 01 <br /> 09/25/2902 13.16 Post-IN Fax Note 7671 Da1e I { i 0o <br /> O pages �. <br /> Tb 0 From Si <br /> Coioept Co -�:T'nlFo r) <br /> .77E <br /> Phone U Plrons# X63 MITIGATION <br /> F-4 `� � Fax UNIT IV <br /> SPN,CNaP SQ��V`,�,`� (209) 468-3449 <br /> PUB�.IGEN�`Hti� ` <br /> 1z"a\'t"In <br /> I UED <br /> Is hereby made to San Joaquin Counly for a permit to construct end/or intstail the work UeSWIM This appilcaeon is made In compliance with San <br /> gsjrn County Development Title Chapter 9-1115 3 and the Staridards of San Joagvin County tsv,ronmentai HOalth Department. <br /> S H I-R M g N Assessors <br /> LL Location 392 MO f FAT $LV D, Crass Street Av g tj Y 1�_Clty MR ATE Gq zip!.U3 Ii Parcel#' l I-0 3-0 <br /> SAN ToAOLVt14 COVNTY <br /> 10PERTY0wmrfAQt4Tjt5M4HT. E 4 AddresstfTl F. ScaTtis AYE. ay STOCKTON Zip9 Phare# 09 k6$-335 <br /> 399 SI{ERI`S pL�tE_CltyvPa NETS 19575ZLraj 6SPhonel 209 2-33 D <br /> -5T Contractor I S G}+ E N Y Address_ ��P — <br /> RAVNr,0n <br /> nsultarxrsubentr RAhh� F-Mv Address pQCiCX 859 GtygU Lwti R�r�$��Phone# (9(6)35`}"3'150 <br /> al5 Coordinates X Range Section <br /> RY.TG BE PARFO MED <br /> EW WELL f BORING(OPT,GEOPROUE,HYDROPUNCH,HAND-AUGER OTHER') p DESTRUCTION(choose type below) <br /> $SOIL BORING0 S8-G 0OVER BORE <br /> WELL# 1]PRE,93URE GROUT <br /> Iter Groot Speafica6on5 <br /> MMENTS <br /> ryPE OF wFLL FNSJALLATION TYPjR CONSTRUCTION SPEC RICATIMS <br /> U�RACTTON <br /> ITORING p HOLLOW STEM DIA OF BOREHOLEMULTIPLE CAStNGS9 D MULTI-LEVEL?D WELL CASING D1A NA <br /> D AIR HAMMERIDRIVEN CASING THICKNESS N A TYPI°OF CASING t1 STEEL PVC EI OTHER <br /> I VAPOR D MUD ROTARY DEF fM OF GROUT SEAL T D z 15-3S_TREMIE TYPE TO 6E vsr:D q AUGER-' U HOSE <br /> PARGE I Ozone EII PUSH POINT GROUT SEAT.PUMPED ayes D No (NOTE' MAXIMUM FREE-FALL_DEPTH IS 30') <br /> ow <br /> BORMG l)I HAND AUGER GROUT SPECIFICATIONS Ag A3 M E <br /> d QTt-lEri p OTHER APPROX BORING DEPTH I.5��5-FY <br /> [ BOLTED TRAFFIC BOX er (J STOVE PIPE <br /> CONDUCTOR CASING PROPOSED?„ N v_(it YES,list specifications here) <br /> IOMMFNTS SB'6 10 '15-'. <br /> NOTE: OFFSITE BORINGS REQUIRE ACCESS OR ENCROACHMENT PERMITS <br /> CALL THE UNIT IV INSPECTOR 43 WORKING HOURS IN ADVANCE FOR ALL REQUIRED INSPECTIONS <br /> hereby certify that I have prepared th,S application and that the work will be done In accordance with San Joaquin <br /> aunty Ordinances, Rules and RegUlabons,and all appllCable California State Laws <br /> _7100Company <br /> igned xpate 11-15-02- <br /> Iuint Name T11DEPARTMENT USE O LY <br /> iITE MAP IN UNIT IV FILE,ADDRESS- 392 S. marfAT8 0�l vA R D A N E <br /> FORK PIAN DATED } � I lb 0 t <br /> tate Issued l 2.1 d '� �Arga� <br /> ,4pllcatiors Aooepted 6y �„ -• <br /> .rOut Inspecuan 0y <br /> t�aCa Final Inspection By <br /> lestruoon Inspecito►►Eby <br /> Dabs <br /> otW MENTS 1 COWMONS <br /> ' ACCOUNTING ONLY AID# carve <br /> AnstOOIS FEE 1NF4 AMOUNT REMITTED cs4ECK# REC,D BY DATE HERMIT J SERVICE 1R F"ST# INVOICE <br /> `�� O <br /> ' -57, Wr.�WAXVER C-57 Letter of Authorization tO sign permit_EncroachrnenT docs 8/29102 <br /> 1 <br />