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NOV-24-2008 12:48P FROM: 2898873574 T0:4640138 P.3 <br /> WELUPUMP PERMIT <br /> SAN JOAaWNCOUNrr ENMnAONIMERTAL HRALTtt DEPARTMENT <br /> ON EAST MAIN 6TxEer-6TOCItTaM CA 45201-1209J 4611-3421) <br /> NON-REFUNDABLE PERMIT CALL(2091953-7697 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED <br /> 476ffPatton Ave CITYM,Stockton g CA 9521 � <br /> Cad,S.R.W.-Copper020115 AVN —1.��-- -LPAfecet.Sae -Z-LANA Use A"UCATtON0 <br /> Ov+tIeRNANe Paul Armanino pHpRe209-608-21 27 <br /> OWERAa.Nm 476 Patton Ave• C"MrATEMP Stockton CA 9521 <br /> CIONMACTOR Purvi.ance Drillers Inc. PT..2-09-887-3554 <br /> C*WWcTcM„MOREm P.O.Box 64 C.YMA,,MP Linden, Ca 95236 <br /> SUBCONTRACTOR PROtrE <br /> SuacoanUCTOR ADDRaRR CRYlSTATEM <br /> LICENSE I C-57 -3 C-61 n D-09 7 other NumuCR 3 7 7 9 2 3 Em.PnRATION DATE, 7/31 0 -- <br /> GEDORAWMALINFORMATION: COardlnsesmX Y Towmhlp_ Range Section— <br /> WG <br /> ection— <br /> g DemxilluPiivrte 0 1Mpetl n/Agriaulwral a Industrial ]Water Ousllty MOnlIOMl3 D So9 SRmPIIngrCtile 6 AtlOn <br /> r_"lln LWar System on oma w one um <br /> n dIN"M from t?aner: ri mr RM <br /> T1Re01!WORK Ir New Well m ReplenernOrdWWI n muA[tarallonfMOdRkation a Other sofbnstnp� <br /> C Monitoring we9(sL _to Of wells C!Sag addrig(s) i et a ]GeaterhrHcal <br /> c Oul-m service Well O out-OL—Berms Mre1i Renewai D Croao-Cannaction Repair <br /> C New Pump ■Pum Re 1a[amem D PuMo Reogir 7 Raise V4hll Caetn <br /> VILL CONeTRU IM - <br /> Drllling Mathvd L Mud Rotary u Air notary -i Auger 11 Cable TeO! I.Push POEM i Other <br /> Proposed Well Depth R Excavation in dlemeler c Open Bottom 7 Grew)PrcWGMveI Slxa In diameter <br /> r COndUetar Casing In diameter 1 Conductor Casing Depth R <br /> Welt Caaing Diemafer,_,_,m TMclmeselGaugeIASTM Sehed n Steel n Plastic r Sleinleai 61ee1 "1 Other T <br /> Grout Semi Dapth A c Neel Cement(941b bag/540 gel WSW 0 Send Cement sack m1zR gel water v <br /> C eentontte(20%Bolide) 0 Omer <br /> Grout Placement Mathod U Pum u Free Fail J Other a Retardant J Aceelentor{Weems <br /> r <br /> pE TRLs Metalled By n ptiller n Pump Contractor n Other R iTtrk 1n (1 ChAs Baa 7 Srova PI <br /> C <br /> mete N Pedaatsi plmenatonm:Width ft Longth <br /> pe <br /> f 6ubmersihien Ttubine r Other HP Pump Set ft Slend1ngVVWvrLev0l )05! ,.R <br /> 1 HEREBY CERTIFY THAT 1 HAVE PREPARED THIS APPLICATION AND THAT THE WORK WILL BE DONE IN ACCORDANCE WITH SAN <br /> JOAQUIN COUNTY ORDINANCES,STATE LAWS,AND RULES AND REGULATIONS. I ALSO CERTIFY THAT MY REQUIRED LICENSE IS <br /> CURRENT AND ACTIVE MTN THE CALIFORNIA CONTRACTORS STATE LICENSE BOARD AND THAT I AM IN COMPLIANCE YYR34 ALL <br /> WORKERS COMPENSATION LAWS <br /> NIMUM Z4 HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS 11 /18/08 <br /> StONZD __ mTL Cor orate Secrete TV <br /> I J– <br /> wo <br /> 4 Nog <br /> UIN coulfN <br /> � 6PA4� <br /> DEPARTMENT U E pNLY c I <br /> Appli[alian Aceepted BY Date Z OS Area Employee IDM <br /> Oroul Irapetxon pate 7-7 <br /> SPECIAL Wetl PerTnit <br /> Pump I-PW' Dare WMVER Recetwed <br /> Soil Softnp Me. i By Data Censtlructed Wall Depth „ <br /> COMMENTS <br /> PE SC RacNvad AmountPenial invoice M Well IDM <br /> red” Inco By Remitted Cala RerAca pAqtwm M <br /> aWtie tr v\ <br />