My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
WP0040101
Environmental Health - Public
>
EHD Program Facility Records by Street Name
>
T
>
TULLY
>
8241
>
4200/4300 - Liquid Waste/Water Well Permits
>
WP0040101
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
12/15/2020 2:47:42 PM
Creation date
12/15/2020 2:44:42 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040101
PE
4382
STREET_NUMBER
8241
Direction
N
STREET_NAME
TULLY
STREET_TYPE
RD
City
LINDEN
Zip
95236-
APN
09108016
ENTERED_DATE
9/20/2019 12:00:00 AM
SITE_LOCATION
8241 N TULLY RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\fgarciaruiz
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
8
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
i <br /> ZISS "N WdZVS 6I0Z 'CI A;S MIJ paAla)a;� <br /> I11JELI:IPU1>it7P PERMIT <br /> W Q �ANNJOnatnNCOUPMBWJMMNUS r-LHML-MDEPAIM UT ZB68EaSrHtv3 rarvA[rEws-MN -(ZD9)4SD342D <br /> =- � LLI_ 00N-RFFWDA0EP>:Ruyr CALL 209 959 7697 FORh45PECTIONS EXPIRES Z YZ ARFROM DATE155U® m <br /> N anaR 824? ly Tully RD CI,, inden Ca 95236 <br /> t- Fi ht Mile RdA <br /> o, Q osssmfzsr g - - PArt�a scm b L Nuus6APPLICAncu <br /> W z Lawrence Sambad (/ / P„aH2O9-qj9__ 077kg <br /> Lu ,,,,,,,, Lawrence <br /> VCl- P.O. ,.Box 461 pmr T Linden Ca 95236 <br /> LU LU 0 ruaz AODAMS <br /> W �A� Purviance Drillers , Inc Prtoti 2�9-g37-3554 <br /> a aAcmiz AncRF3S PO box 6 Linnen, CA 35236 <br /> Z PHoK=- <br /> LLJ !SuacoNumamrt <br /> `SEIBCONrRAC'IDRA>)➢RESs GYiY1S�ATEJat? <br /> Licelse rt Cn C-M Ey D-M o 0!t NULMM 37 7 9 2 3 E)w6tAmN nAT, 7 31 <br /> om / <br /> 00MESMCIFIELLSAMIp1Cti G C-enera}lNelemUCaUfmm Aacb^a(4391)-D omnTodiiorapmpane(4392)=fusEmic(4393) <br /> fbnaroEaUsE C Industria! E WaurduarymcmZor6ng D So6SanpfulgfCharade�Lon <br /> 1111 C PublimWater Syalem <br /> I(Gidllenitlam Ck[2r. [rtalrS}�.rn lv`Rt� Cts= cPha=Nmatru <br /> r•/PEOFWORK G NewlNell C Rep>acPmWXUVeJI C vount rAionfMaMcation D 011ier <br /> n Mau$totc S Wetl�sl a aft'r21� a slo uc ingls} V.MV6c2s C Geottelrnital P <br /> G Out-WService Well o O•t o`�Wel]Renevdl O Ct15SCaimerYon Re=Sa-_ <br /> G Nevrpum G Pum R txeemeni uma Re it 3 Rzasewall Cann¢ FAV <br /> GV,�L Gb,lt57R VorrON C <br /> I`Dn�ling Methed D Ntuo Rotrry G AirR�ry D Auger O PableTool 7 Push Paint r^ 01?far D <br /> iPrapcs�CtNeR Depth h F�smraUan in diameter _m open B011mn C Gr Par'-W 0 <br /> I ConductorCasingDE-pth R 2019 <br /> Weg Casiag Diameter._in Tn'tdmemfGaugelAMMSchell ;Slee] 0Plas k CSlainles �eroutSeal DepL'r >, 7 WealCement(-"4)66aa540galrrale0 �SandCWWAL � 'O ME OUNTy <br /> ZAL <br /> G,oatPlaccn¢EnLfiAethod� Purfpeag D)[-rneFalt� a Other RetardantlAccaeralor(rrffite) AR MFNT <br /> a--- Installed By D DAfer 7 Pump CcmL-a Iar D other <br /> Q ConcretePedesill mknensiall tv ldlh R Length 07hfai in �Christ svx- j snT Plpe <br /> ,Pe�rty J Subme._ble urN2e 7 Other HP Pomp Set I R Slandmg Water Leuel R <br /> t HEREBY CERTIFY THAT I IdWS PREPARED THE APPUCATION AND SHAT 796 WORK VIIIt.L 9E DOME W ACCORQANCE WPC'rt SAN <br /> .IOACiIIN COUNTY ORDINANQES,STAT LAWS,AND RULES AND REGULATIONS. 1 ALSO CERTIFY THAT ray REQUIRED LJGENSE IS <br /> CURRENT AND ACTIVE URTH THE CAUFORNIA CONTRACTORS STATE LICENSE HOARD AND THAT I AM IN COMPLIANCE VVITH ALL <br /> WORKERS COMPENSATION LAWS. <br /> IMM =7-48=RCE N07ICE R5QUIRED FOR IMSPEC-noms-PLEASE CALL(209) 3-7697 <br /> vusr-c T,orporate Secr-etar� ��i7-11 -- <br /> 1I ! <br /> ! llllli <br /> I I I I I I l I I I ! I <br /> ! II ii 111 I I J I II I . <br /> I1 I I I1 I Il 1 1 1111 <br /> I I I NLII jIIIII <br /> I VIII l I III l II ! I1 <br /> I I l ! I I I 1 I I ] <br /> I t I I I I I I 1 ! I <br /> II ( I II Il I II I I it lIIJ <br /> ll IIII ! ! ! I I II <br /> ! i <br /> ! Illi ! ! i <br /> I ! I ! I <br /> Ill I I <br /> � <br /> P RTMENT U/ <br /> E 0/1,LY <br /> AppGtfanA>,�pled6y Oafe Area <br /> r? <br /> /�s uurt Irtspt�Gan E3y Dam -0 SPECIAL Well Permit <br /> Pump ItmPecoon 13y �t l f N eS l� I;;,�i� l� Date 10 fClu= ❑ VVArVER Recelued <br /> Sag Boring InwecUm By Dale Constructed Welf Depth ft <br /> COMMENTS <br /> PE sC Received ! Che. j%� <br /> Permitl I ImroiceG -- -_Well tw, <br /> Cad s__ roto -- — _-- C=h,!----- Sen icete4ueste I <br /> Sw- I10 1 ! <br /> ! I I <br /> I <br /> I I <br /> ! °1G37 , t:yrv_n rhe r, <br /> ¢toms zmrs <br /> 8-d bL98L8860Z OUI SJaII!J GOUelAind dLl•�b066L6da <br /> S <br />
The URL can be used to link to this page
Your browser does not support the video tag.