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JRN-30-1996 14:41 ENVIRONMENTAL AUDIT, INCT 3755123212094GE3433 P.04 <br /> ENVIRONMENTAL HEALTH MVISIOY <br /> P D SOX 38& UE R SAY JUA207N ST- STOCKTON; Cd 35207.388 <br /> 02091 45&3020 <br /> NOY.ltEORDARU PERMIT E mItEl 1 YEAR FROM DATE T=U <br /> M m*u kk IreCcatal . <br /> ACPiirstim is hera by mese to the San Joaquin Gt MY for A permit to ccmztu:: ard/er instalL the wort dese:ribed. This applica:im is <br /> .ado in cm+ot ianc: with San Josquin County Deve:'OO+elf: iitl^. Chapter 9-1115Z and the Standards of San Joaq.tin CX -y Pectic Health <br /> services, Enviro tml NeaLth Diviaim. <br /> 5400 Pacific Avenue Stockton 14 <br /> :eC Aedra6a/er APRD City Parcel Si ZIUAPws <br /> Caaxr•S xa,aeMont. Ward & Co. , Inc. Aoeness 1331 Harbor Blvd. . Fullerton, CA Phone s714-773-6227 <br /> catractor Eny1T'Omental Audit. i'jlL}-577-RS71 <br /> Sut Ccntmctor TEG _ Actress „3�0 Moni=� Park P1.Li,g706568 P!tene s 916-853-8010 <br /> anc-tlo CYIr yn r l'A. <br /> YP¢ OP YELL/ylMv; Y RIEW WELL ❑ REPLAmaxT LYLL t NowtTORING WLL a3 & 4 Xs OTHER Hydro Punch <br /> ❑ Dermn-TIW ❑ CtI-CP-SERVIC2 WELL ❑ GEOPNTSICAL YELL it 'C SOIL SMIWG <br /> LXSTXLLA7I0i Q la—, SYSIEN RE➢AIZ Q CROSS-=XEC REPAIR ❑ VAPOR EXTRACTION V$'- 0— <br /> ❑ Raw Q Repair N.P. DEPTH PLMP SET FT. FIRST %Wrlk LEVEL {' <br /> (ITPE OF KW) <br /> WTEXOn DEE TYPE OF WE-1 CORSTRUCrox SPECFfCITIORS <br /> C IROUSi RIAL 12 OPEN i--170I DSA. OF Le-LL V=VATIDN DIA. OF ==UCTOR rASIRG <br /> C DOES'.IC/PRIVATE J GRAVEL PAC*tSIZE__ TYPE or CASIRG/STEEL/PVC DLA. OF YELL CASIRG _ <br /> C PUDLICIMUNICIPAL ❑ ORIVIH DEPTH OF GROUT SIAL SPECT FIC.%TICN <br /> C IRRIGATION/AG ❑ OTHER GRCXIT SEAL INSTALLED BY GRCl1T BRAND RARE <br /> Cl Y"ITORIRG =CUT SEAL PUMPED: .. Yes 0 xo =4:2911 PEDESTAL EY DRILLER: Q Tea Q Ho <br /> APPRDY.DEPTH 50, L=IRG CHESTER ROA/STOVE PIPE u,.,�...,, <br /> PROPOSED CDRSTRUCCIOXIDRILU)M ICETHOD: KZROTIR_. AIA ROTARY_ A=R_ CARLE— CTXE?Hydro Punch.. 'r� <br /> lJ <br /> I harety cvml. that ! have yfe'partd :his ipCt:v:lm anC that the work vi it Gt tkvle in aEmreanee With San 406=ih Cttmy D.:trrara, <br /> State Laws, and Rut" ani Regutatie of cht San 'Vaeuin CeertY. Nome o r or licrsed agent's Signature certifies the fotl. wire: -1 <br /> certify that in the perfo''manri of the wort forwiic :his per.it is iaaued, I ahaLl not arplay ye•_notu sLbjec:te'%=*kAW'S CDr 51"T;CN' <br /> Laws of California.' Corrtracter's hiring or z-rcm:ngins signature certifies tht following: - 1 certify that in :he per.'o� <br /> Pi the ucrt for which this panel: is issued. '. .att eaptey pet,, n sublet-, to L 33JA➢'S =WPERSA:IDN taws of California.' :31"pu= T .j <br /> MUST CRL1 24/�1p�a.,�/ 1Y ADVAX."T-F9R� 1WECIWICS AT 8011 Aaa-3AZ3. Cemlatdrawing at drawat lour area provided. 9 <br /> Si4r,ad X titv�il o 1 l^ilL-AYto, „ ._ Brent Mecham TitlSenior Pro-iect Geoloaistoatt, 0-9b (`]'` <br /> I1i1111 III II I lit F <br /> I I I ! li If illlll I1 III <br /> III 111th III I It11111 1 111 <br /> illilil I I AI 1 111 lil <br /> DEPARTMENT USE ONLY � <br /> AppLicatim Accgttd 8y Data <br /> anus Inspet:im 9y Datt P.mp Imptt:im SY rr..••'� Date r <br /> Destrtiztim Impeotion By Date Ceevents: `m r {� <br /> AOC.IUXTDIE DXLY: AID- I FACS <br /> PE CODES I FEE Im I ALOuXT REMITTED I CIECXf, ISH I AECEYED BY i DATE ( PERIYTISERYICZ REQUEST 11UYIRER I IWDICE <br /> SDI <br /> 505 356.00 I/323zze.43o fG i S.e DO�3 / <br /> 1 I I f< <br />