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01/06/2008 22:21 5306628052 WDC E?-:PLOPATION PAGE 02/05 <br /> a1� �7/Y007 13;59 530E629052 WDC EXPLORATION <br /> DEC-27-20@7 11: CA1'rBRIA PAGE 02/04 <br /> 17Q7 93ti 6649 P,02/04 <br /> ° Sean Joaquin Countv <br /> Environmental Health Department <br /> 600 East Main Street. Stockton, CA 95202-3029 SITE <br /> (209)468-3449 Fax: (209)463.3433 Web: ww'vsjg0v,er8/ehd IV11TIGATION <br /> •t F.4_�� <br /> Well Permit Application UNIT IV <br /> NON-REFURDABLE PERMIT GXF9RES t YEAR FROM DATE t38UED &V -s I 'F& <br /> A amovi tics(9 nerooy cordo to 5nn.looquO Counly for a permll to eenaeuct andie•Insaa4 1pe wont desalpod. This i li <br /> laaquin Coim!y Op.etaamnnf Ttic•CMaDW 9.71 T5.3 and Ihp SlaAdarcs of Sara JCequln Ceu <br /> Pp oatinn;p mom:,In compNance with San <br /> ^tS EnN*r0rw*nlal meanA Oevervnenl. <br /> WELL Locseen4��� v <br /> saStrasn ►fs,r✓;�� a/ LA - Avutawors <br /> O.me PROPE Jr SrDh FAQ, -:�,1 11453 ���hf f l�r�je�0 Ute. _Fa ,�eher <br /> C-91 CoAfracoer - +pryJ"+ <br /> 'llddrese �0...l� �Ciad T d <br /> 10-2tW- -2�0 73 <br /> Onsulgn $W Ci1V •�Addrpu <br /> uLks t -hew;r,f. is 6 9 <br /> GIS Coordinates y, Y lS37L <br /> Townetrp Range_ <br /> YYD <br /> PB0 $N/ ORING tcuToecrPoC 11YOROPUNCM,HgNt)•AUCiER OTHE�.f 0DESTRUCTIONBORING K _ Irhon.l ryDA btlbwy <br /> vMLr, <br /> S-J& 0 OVER-BORE. 01ARAVER.._. <br /> 11.Other Q PRE99URE GROJT '— �JJ <br /> C OMMEWS: — GROUT SPECIFICATIONS <br /> PEO ILL !ISTALI.A T1^r COS U �— <br /> jl*IONITpRING jHOLLO W STEM ; O A OF BORE440Lk� <br /> EXTRACTION ULTIPLE CASINGS 0 MUt_TkFVSL VA::[.l.CASING DiX <br /> Q a AIR MAMhtEWCuirvtvtd CASING T►arCKN6B3 <br /> p VAPOR u .�TYPE OF CASING: a STEEL XPb'C OTHER: <br /> _ <br /> O UD RGrA4Y OEPTH OF GROUT 5EA ALM!&TYPO TO 8E USED' +�T�n.JGEliS /� OM sE <br /> Q AIP SPARGS1 OZONE Q PUSH POINT MP-CPT)6R0�SEAL PUVVpM AYss No (LVOT:M XJMUM FREE.FrAL.1,DEPTH IS JO') <br /> Q Solt BORING, n HAND AL �Sy GPM7 SPECIFICATION$ <br /> 0 OTHER' .�OTNER AOPPDX.BORING DEPT. <br /> tQL7ED TRAFFIC 9OK ar Q STC]V( DIFF (/ <br /> • CONDUCCTOR IN(o PROPOSED <br /> CONME{T©;1—S Y ly Its ,. f _(1f YGS,IGt Wdifi=lirw n comment sea,on) <br /> Sty .r/ � ••�;(, � . �S- __. <br /> NOTE: OFSITF 90R1N(3S REQUIRE ACCESS AGREEMENT OR ENCROACHMENT PERMITS. <br /> 48 WORKING HOURS NOTICE REQUIRED FOR INSPECTIONS• <br /> hereby COFtity that I hove prepared thrs application anti than the work will be done in ateardance%VTth 5 nn Jasquin <br /> Ceunty 00hmn5e!5R aO Regulations,,and all apPiicabie Calilrornla State Uavn, <br /> 9 7nee �� roe- omp �C <br /> Prrn Hama <br /> -� f f.�a,, t.. l r S L. <br /> y DEPARTMENT USE ONLY —pate f -7 <br /> SITE MAP IN UNIT IV FILE, ADORESS; �-� (, _•1 �, _ L G' �1 1 <br /> WORK PLAN DATED. <br /> AD Ication n —� <br /> P! ArtpDled B <br /> Grout Inspect on By <br /> 99IR Issued � ArPa G <br /> Dais 1 O� FlryT Inrpaetron BY <br /> O•�Kuctton Irrapectton ey Dale <br /> Coa1MEWS I COWTIONB: <br /> ACCOUNTING ONLY: AlW <br /> PCM _ <br /> PE 00069 FEE INFO AMOUNT REMITTED CHECK* RECID tav 1JVt1TE <br /> !SERVICE RE01.1I' NVAIOS <br /> SRaI<� <br /> WC_„_WAIV R_____ C-57 Letter of AwrhorlZCtion to Stgn perm Encronchtn / <br /> MID 29-nn-orn WEs <br /> 9111J700 7 <br />