Laserfiche WebLink
s <br />SAN JOAQUIN COUNTY <br />COMMUNITY DEVELOPMENT DEPAnTh9EPiT <br />1810 E tWFLTON AVE.. STOCKTON, CA 95205 <br />r�lTd'dd`'`* DEVELOPMENT SEn"CES PHONE 1209) 460.3120 r� 5 <br />PIANNING PHONE! )709) 4r,8-3120 <br />BUILDING PI IOtJE: (209) 468.3123; <br />NuGti©om IOOO PnESEnVATioN PHONE (209) 468 3021 <br />DEC 21 1994 <br />BACKFILL EXCAVATI:UII CERTIFICATE <br />ENVIRONMENTAL HEALTH <br />_ PERMIT/SERVICES <br />Project. Location <br />Otaner( uv\- �(►� �"�_ Phoneilo. <br />- -- -- <br />Contractor � 11 y�11, Phone ��l �L L.i_cetlse Io. Y_� <br />111DICATE 11ETIIOD OF PACKFII J, QUALITY ASSURAUCT <br />1. Submission of Soil Engi.neer's wi-thin 30 lays of prcjnrt <br />completion, or <br />2.. Submission of verification, e.q. 1.0:1(1 t irkrrl -.ri.thi.n 3C1 days of hr-ject <br />completion that one of the fc-Alowinq placed i.n the er.cavati,7n in <br />12" Lifts: <br />A. Pen gravel - smooth, rounded material not more than onQ--hal-f (1/2) <br />inch in diameter. <br />B. crushed rock - self-compnctiriq miterial not more thin three --quarters <br />(3/4) inch in cross sectional. measurement. (Use of crushed rock <br />will not be permitted for backfill if contact will be made between <br />the backfil.i material and tanks/pipes made of poly resin glass or <br />similar materials.) <br />DECLARATIO[T <br />I hereby certify that a Soil Engineer's Compaction Report will. be submitted wi.thin 30 days <br />of project completion, or submission of verification that the Rnlect material. desr.r.ibed above <br />will be placed at a minimum of five (5) cubic yardn p -r. 1.00() gallon tall - <br />that the entire excavation will be backfilled and compact ed 1--11 i.11SUI'e C(IrTIO lamp with thn <br />Uniform Building Code Appendix chapter 70. <br />)Jame (Print) ------------------__— <br />9 .Lg laure -- - <br />* Shall be the responsible managing employee on the license or authorized <br />agent. i <br />6/91-LC/BECERT.DOC <br />