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2013-07-23 12:14 WOODWARD DRILLING CO 17073745677 >> P 3/3
<br /> 8;'1N JOAQUIN CpOILINI'Y
<br /> ENV11�01NIVFN FAL. HFAI TH 1XI-PARTMEN-V
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<br /> CA 95205-62.32
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<br /> I I-101..ihom< (209) 468.,31417log. (209) 468..3433 Wob: wwwz;k
<br /> VVF-11 & BORING PERMIT APPLICATION
<br /> 'OkI i ': IIN 1)1:3 01(INIcs L Isrzo Felt C ON I'AIVIINANT INVESTIGATIONS AN F-)Ru�Pill-,i)i/\,rION
<br /> 1\1(jI,I-1 t I.r7 1 INDA131-C.PEA-001'I LXPIRLS 1 YI;AR FROM DATF )Fair)
<br /> -.1'.i1h,Ill I!,I I,,-I 11'.11,!ji i:;;i;I Ii Imp i1ri t;OLinl y iui A f pCiffill In(.01 isirud;jnd/m ins-mil the Work dfscribocj. This ipplinalfrin is nimb-I,I r;rxiipivii ino!willi I Yui
<br /> 1,1jr.%t:IJiII)I(!I !)-Ill!;a.;111(1 1111! 411[Ili,San juLiquiriCounty Z-iivirc)nmc,.nli)I Health Deparlimmil.
<br /> Rd r`,Iflr*IAl'1 CA 05203 0/!42(1.1?
<br /> /-Ill API4
<br /> 0'roli:Tinil Circle. Sloult lul I.
<br /> Addl'utiL;
<br /> ALId..1'1'::1!;
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<br /> Gook I ilvironninni.M 1411,1 I k.'Ut 1311vu 81e MA 925 47n n390
<br /> r4ill-.1111f,llfil*ly Kinrmird 2ol.1 Addrp!%yi _._10341 Crunk Trillf Circhi Cilylslall+ S�Iocklonl(,1'7.lp 05200
<br /> CONSTRILIC,QQN WORK TO SE PERFORM1=r):
<br /> Vol-'l 1 :I li,
<br /> 1-1 MI-IFE ID.,-----
<br /> i.YI-11--r4 11.01?VVEL LIDURING, IN.STALLAMON TYPICONSTRUCTION SPECIFICATION,5,
<br /> I i m-mIn 7jim-icz i11-101 I.QW::rrtv 1.11A.OF BOREHOLE J-)MULT111-6 CAt`,IKX.I J(AULTI-LEVEL WELL CASING r)[A
<br /> F.I i'S71;.--,,:1 IDI-I VapfulViTatei IAI'JVJI?'VLf I I.`-A1,lNr.THICKNESS 01:C.A.SINCI: [l!3TEEI. i I r,vc,. I*I OTPIFR
<br /> I'I!;[:I: vlo-.rjlt NltOf4= 1.1(.`t Irl ROTAWe oL:rTi I or GROUT 01;A(. .-TREMIE TYPE TO 13C UCL): LI ALIGmu; 0 1 ion, PII z
<br /> I It):'.I I NOWT K;r'?CI'''A) GINIOUT SCAL rurArlm.0 Yea Q Nu(WAximum rnc:r-"ALL DC!"711 Yt;30 FT)
<br /> CROUT SPECIFIGATON2Ll'll'Ir:,'TV
<br /> AlIPK0X WURINICiULP'111L I HOL ILL) I-POA11-I-IC BOX OR 0 XTOVII PIPF
<br /> Al`)LICTOR CAMNim,0- Na F- ,Ganinu Din: Cacilln DRIIIII, r3anng Din:
<br /> ut nvilvil-NTu:
<br /> NOTE-: UFFSIT5 WELLS& SORINGS REQUIRE ACCESS AGREEMENTS OR ENCROACHMENT PERMITS
<br /> 1)FSTRI.ICTION WORK TO 8F PERFORMED: D-STRVCTION METHOD:(C.,Hr�.K I I THAT Ap
<br /> IZ _ Ly
<br /> 11-I''14ILL(5)I u uL OrSTnovm Ej OVER-BORE DIAMETER u IN(.IlI:f,W Ill Of'_rT
<br /> :HELL 10u; • PRESSURE GROUT TO OEr7HCI!_FT M.OW$VRFACE
<br /> GROUT SPF0 F IC:A I 101\18 EXPLOSIVES FROM TO Fr BELOW 3LIKI-Ar I:
<br /> AZEMIE'I YPE TO RF USEE-0 AUGERS LI moat L PIPE 0 MUSHROOM CAPAl(a3 FT),__ I r[Ir LOW rURrACC
<br /> COMMENTS
<br /> 5 WORKING DAYS NOTICE REQUIRED (AFTER PERMIT ISSUANCE) FOR INSPECTION APPOINTMENTS
<br /> I hellelly thal,I linve pff.pni-od(his applicodoii and thpil tho work wlil bo dona In accordance with San Joaquin County Ordinancos, riulos and
<br /> Nogiflatioini,and al(appillowlilly Call Ornla laws.
<br /> FianndPi-orluent/Cook Eny1ronmonLal Survivan.Inc
<br /> Tillo/Company
<br /> fin,,�mpuk 611212013
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<br /> DEPARTMENT USE ONLY
<br /> ar rA AIN UNjl:"Iv rill_rill_ L-APDRFSS 292N,A),I
<br /> vv0rqi(FILAN DINTE0 MO W- -2� 2,0 L3
<br /> Al"I"!R,.i0,l0N/N(7.("FF"I 171)H' i,u 4,1 DATE ISSU17 AREA
<br /> ;0N hy I!INAL INSPIE(MON BY
<br /> L)ATF-
<br /> lit QATF
<br /> ll::.l I INC.I IN;:' I'AC 9
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<br /> SFFVF(fr.' —1-(o I/PR#
<br /> AMT:0-(Vjj I l'I'l 1 1 1:1qF(M II ilrcvrj ny D A Tr-
<br /> INVOICE.
<br /> !��qU EST
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<br /> P C)III
<br /> P r,0
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<br /> r: ;,111 III le I it I ll-IiI fl()N 10 PFRMIT _711-7 I',iAl':I-I M J•'•N 1 001'
<br /> o-!rI,.PLRMI'l Ali].
<br /> Received Time Jul, 23, 2013 12: 14PM No- 3663
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