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WP0038033
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4200/4300 - Liquid Waste/Water Well Permits
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WP0038033
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Entry Properties
Last modified
6/27/2018 2:05:51 PM
Creation date
5/17/2018 9:12:54 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0038033
PE
4369
FACILITY_NAME
CENTERPOINT PROPERTIES TRUST
STREET_NUMBER
3625
Direction
N
STREET_NAME
AIRPORT
STREET_TYPE
WAY
City
MANTECA
Zip
95336
APN
19820018
ENTERED_DATE
5/17/2018
SITE_LOCATION
3625 N AIRPORT WAY
RECEIVED_DATE
3/9/2018
P_LOCATION
99
P_DISTRICT
003
Supplemental fields
CYEAR
2018
Tags
EHD - Public
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' SAN JOAQUIN <br />-COU N T Y <br />Greatness grows hrcr <br />Environmental Health Department <br />New Well Information <br />Pursuant to California Water Code, Section 13808, all new wells that do not meet the exemption <br />criteria must submit the following required information, to the extent that can be reasonably known. <br />The Environmental Health Department must collect this information before a new well permit is <br />issued and must post the information on the Department's website for public information. <br />WELL LOCATION AND OWNER INFORMATION <br />Well Location Address: -3 <br />A City: <br />Well Location APN: y at 8 ,. 9-,, <br />❑ Domestic Irrigation <br />❑ Other: <br />Well Latitude: -- )al, ).ESr-5 <br />Well Longitude: <br />Total Depth (ft):"— <br />Casing Diameter (in): <br />Pumping Rate (gpm): <br />Flood Plain Designation: P <br />Well Elevation: <br />Estimated Pumping Rate (gal/min): A:;;oO P <br />,tAnticipated Pumping Schedule (gal/day): <br />Annual Extraction Volume (acre-feet:.__--- <br />Applicant Name: <br />Applicant Title: <br />Applicant Address: <br />City: <br />Applicant Phone: <br />Applicant email: <br />Test Result: <br />Property Owner Name: <br />Property Owner Address: <br />City: - 4g 1 L <br />Property Owner Phone: <br />Property Owner email: <br />PROPOSED WELL INFORMATION <br />Well Total Depth (ft): I <br />Acres to be Served by Well: <br />Use of Well: <br />❑ Domestic Irrigation <br />❑ Other: <br />❑ Small Public Water Supply ❑ Municipal Public Water Supply ❑ Industrial ❑ Stock <br />Depth of Corcoran Clay (ft): <br />Total Depth (ft):"— <br />Casing Diameter (in): <br />Pumping Rate (gpm): <br />L Oc Proposed Well Capacity (gal/ft): <br />To: From: <br />Estimated Pumping Rate (gal/min): A:;;oO P <br />,tAnticipated Pumping Schedule (gal/day): <br />Annual Extraction Volume (acre-feet:.__--- <br />Estimated Annual Extraction Volume (acre-feet): `) <br />Estimated Cumulative Extraction Volume before January 1, 2020 (acre-feet): <br />I <br />EXISTING WELLS INFORMATION <br />Total Number of Existing Wells on Property: <br />Please complete the information below for every well on property. Use extra paper if needed <br />Well #1 Information <br />Use of Well: <br />❑ Domestic ❑ Irrigation <br />❑ Other: <br />❑ Small Public Water Supply ❑ Municipal Public Water Supply ❑ Industrial ❑ Stock <br />Total Depth (ft):"— <br />Casing Diameter (in): <br />Pumping Rate (gpm): <br />❑ Open Bottobi or Screen InterVaI-(ft-y <br />i <br />To: From: <br />To: From: <br />To: From: <br />Annual Extraction Volume (acre-feet:.__--- <br />❑ Estimated ❑ Measured <br />Specific Capacity (gaNminlft): <br />Other Pumping Tests Performed: <br />Test Result: <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />
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