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iOWNERADDRt'.55 37U.5 1'Ortsmounn uirc.Le 1NUL'Wl CrrvlSrlrEJZIP """'" "'' -- --- <br /> COYTRACTORWeLtOr Well Tt 1o14gy, Tr_C. PHOS (9: X80-0888 <br /> CONTRACTORA13ORESS P O aQX e 7 2 CRYISTATfJZIP Fair Oaks, CA9552 e <br /> WELL DMLLINC LICENSE Nuwt6 t 13113 3 __1:XPIRATI]N UATH <br /> PERFORATION CONTRACTORamc PH � <br /> ¢i:HFURAIIUNEUNIF-LAL,IUFLAUUltt �� ' + ? l•li'i14Pkl'lJ.'II' <br /> [ C-57 Well Grilling Unnse Numbcr 3X133 Expiration Date 1 31 11 <br /> 9CR66?39?n12135 FX Kronen Data CuTY r� <br /> Bureau of Alcohol,Tcbacro and Firearms-Users of High Explosives Lioenav Number p P� <br /> CHP Hazardous Materiel Transportatlon for ExPloslves Llcanse Number 137217 Expiration Date <br /> San Joaquin County Sheriff-Coroner Explosives Application and Permit License Number 0804 Expiration Data S,/P/_D9 <br /> Callfornla Occupational Safety Health-Blaster <br /> Lieanse Number ' 5 2 e Expiration Date1/ 12 <br /> 171 Drlr rl Reoiscem t��VVell ❑ Caved In ❑ Pit Wall l�` Inaetive r2 Test HolE <br /> l_�_Jlll_Illll_l..h__l �l_ .111 !t l 11 1 TLPLI. hip )lUP W"A""' . <br /> Adjacent prepertywith contamination(Address) � �t <br /> KipwnSoll/WetercvntamiPants atadjacent property Nitra�e b <br /> FXISTINI;WELL CONSTRUCTION DETAILS d Open Bottum C•,ruvel Falls ❑ Unoa:ed ❑ Ott,er <br /> Ynill LUU UL�j ULILIUIIUd IV .1wIN lie til ul vial Gi ill I- "Tt A o_.._ <br /> •_i.r__"y . 77 <br /> W411 Conductor Casing M Yes CY, No Dvplh of Conductor Casing ft bees Dlametar of Conductor Casing inchta <br /> Well Casing Diameter 8-5/8 Inches Total Depth 2 0 0 ft Depth to Wntor 21 ft Depth of Casing 196 ft 4gs <br /> �krrCYfCTrON 6P�.Cr11C�t <br /> Sealing Material from 0 rt Ings tc 19E f1bgs Filler Material iS ID n from ft pgo to fi bgs <br /> Walt rncinp to be Decau&ed by pne of the following methods: ��y jd 4 i�C-'ri from �K ft bgs to 1 6_ ..ft bgs <br /> u IVl1ulllllti@ Itinnujolurl.m.tu.ul.i _11LP, iw <br /> GII�Iq�IYH G ✓}six Win rerd I{ ••'S^( ^1"rf°" "'T '+ R <br /> A ■1 I1111UI11111111111111111111111 1 <br /> I@ 4ihrr ■ <br /> i uu i ■�n.� nnnn un■i i k�n n.mn runuurrrn rnmrr■ <br /> iuulluE MuVal lel tial Yilltiil0��r�aed� Y i 1nI i Tl�y <br /> Bentonite(20%sorids) Manufacturer Spec%solids 'A .Name Spa=on File Specs Submitted <br /> placemont Method Pumped Free Fall Other <br /> Seal Completion Complete with Mushroom Cep 4 . 5 ft bgs Compiete to Existing Surface Pad <br /> HEREBY CERTIFY THAT I HAVE PREPAR40 THIS APPLICATION AND THAT THE WORK WILL-BE DONE IN ACCORDANCE WITH SAN <br /> JOAQUIN COUN'T'Y ORDINANCES, STATE LAWS, AND RULES AND REOULATLONS. I ALSO CERTIFY THAT MY REQUIRED LICENSE IS <br /> CURRENT AND ACTIVE WITH THE CALIrORNIA CONTRACTORS STATE LICENSE BOARD AND THAT I AM IN COMPLIANCE WITH ALL <br /> WORKERS COMPENSATION LAWS. <br /> IUIIfs1IM11M�a[401;1"DVANCE N TICS REQUIRED FOR INSPECTIONS <br /> CONTRACTORS SIGNATURE TITLE V Y DATE <br /> —�—i- �. _.. . --- ..... - <br /> I. L-' ..i... ' m.,.. _-T I�.,f_...!,._.--.', ___.�.—,_—I_-.1_•..., .•..7...-. �w.r.i.m�.,.w.....,.--rl_.... <br /> ---- <br /> T__ <br /> , <br /> 1 <br /> I I <br /> �.7I�AI■II�L'N�i a�� , ti ti`, 1 <br /> I <br /> Zu <br /> • ",..,_ � � .,....._.l-,..._.ns- —r---1— - 1—i._.-_...__—._J_.__--....I-�-N <br /> �—V I <br /> i IioIdlullur 1,1111 Is 1■Ii fries r 'i1111iteJirrr�'.1�i f��Ii�Yii r ■ �.�■ ^-" � 17 i 117�i �.... f <br /> DastrucUon inspection ' r L1dIB_T�'rC�`_uT?v r•ltlpluy+de ItJf fV <br /> CQMMr:NT rJ <br /> 49 <br /> ! r <br /> Glzf� - <br /> PE SC Re�eired Checktll Amount Aeu Permitl Invoice* WeIIIDiI <br /> Codes g Cash Remitted Service Recru6stillk <br /> V (0, � nccroi rr-rine oconrr <br /> I�rI11ilA .USI Jll fll IIIpLU LIAI 11JI1� UI I�Jrlll)rlllll 111 J <br /> T13 ��d QI{3 SE:tiT 600Z/< 'T/913 <br />