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WP0038464
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4200/4300 - Liquid Waste/Water Well Permits
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WP0038464
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Entry Properties
Last modified
10/3/2018 8:40:15 AM
Creation date
10/3/2018 8:25:17 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0038464
PE
4372
STREET_NUMBER
701
Direction
E
STREET_NAME
PARK
STREET_TYPE
ST
City
STOCKTON
Zip
95205-
APN
13921008
ENTERED_DATE
6/22/2018 12:00:00 AM
SITE_LOCATION
701 E PARK ST
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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DAfonskaia
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EHD - Public
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Ae <br />9'`�'_5AN JOAQUIN <br />Environmental Health Department <br />—COUNTY— <br />Greatness <br />COUNTYGreatness grows here. <br />Monitoring Well/Soil Boring Inspection Report <br />Date:7110/119 <br />Inspector: )3et4a4,,l t v'aJZL <br />CONSTRUCTION <br />Facility ddress: -7p <br />l E. {P <br />Cement 941b <br />Bags <br />Well Address: <br />riBa"gas <br />Total Depth: <br />WP# -()O 3 C6' -t G <br />y Well#: <br />Drilling Rig Type: <br />Soil Boring#: F�j <br />57- ?� I <br />10 <br />Drilling Company: <br />Min 2" Annular EHD Seal Verified <br />A)n0awaesC6 Dr�1li./1 C�SiOL <br />Driller Onsite:-utjjIx <br />F -6xhg C o J <br />Screen Length From: <br />Consultant: C760TR-IL <br />, ZiJG <br />Filter Pack From: <br />Geologist: `7&--i <br />id <br />Bentonite From: <br />30 <br />3 <br />Grout From: <br />Public Water System Onsite: <br />Domestic Well Onsite: <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method: <br />Verified Chain of Custody: <br />SPOILS <br />Contamination Noted: <br />If yes, spoils storage Location; <br />Covered: <br />If yes, material: <br />❑ Yes ❑No COMPLETION ❑ Stove Pipe <br />❑ Yes ❑No <br />❑ Yes ❑No <br />❑ Yes ❑No <br />❑ Yes ❑No <br />GROUTING or DESTRUCTION Total Depth: IS iq , aO <br />Depth to Water: Y10V,k <br />Grout Material: VIP-&+ CCd6AXAM- <br />Gallons of Grout Used: 0 3 _ 3 y 3� <br />❑Well installation ❑Well. Destruction <br />❑Boring Installation I$Boring Destruction <br />METHOD USED <br />❑Pressure Grout ❑Over Drill <br />❑ Gravity 'Tremie ❑Other: <br />In or -,- <br />Water <br />gallons <br />Cement 471b <br />al <br />Water <br />I 011ons <br />Cement 941b <br />Bags <br />Thickest Thinnest <br />riBa"gas <br />Thickest Thinnest <br />#Bags <br />2.5 <br />5 <br />11 <br />5 <br />10 <br />1 <br />5 <br />2 1 <br />10 <br />20 <br />2 <br />7.5 <br />15 <br />3 <br />15 <br />30 <br />3 <br />10 <br />20 <br />4• <br />20 <br />40 <br />4 <br />12.5 <br />25 <br />5 <br />25 <br />50 <br />5 <br />15 <br />30 <br />6 <br />30 <br />60. <br />6 <br />17.5 <br />35 <br />7 <br />35 <br />70 <br />7 <br />20 <br />40 <br />8 <br />40 <br />80 <br />8 <br />casing <br />ff T—T height ' <br />M.- 0— — . W. -:p <br />, MVE-GRCUND <br />colu�il+noly ct�utst�-fox ' <br />COMP .>=Tion <br />C"Und Suiace <br />groLd <br />tt. <br />tt. <br />sicttQd '� -� • <br />sr_-�on <br />MATERIALS/DEVELOPMENT <br />❑ Yes El No <br />To: <br />To: <br />To: <br />To: <br />❑Christie Box <br />Casing Type: <br />Blank Feet <br />Slot Size: <br />Bags of Cement: <br />Bags Sand/Gravel: <br />Type/Brand of Bentonite: _ <br />Filter Pack Type/Size: <br />Type of Method: <br />Screen Feet <br />_ Bentonite/Cement Mix 3% Mix 5% Mix <br />Bentonite per 47 ib 1.41 2.47 <br />Bentonite per 94 lb 2.82 4.7 <br />- 59a4 pe,.-- %A !� ' aO bar 10/16/2017 <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-34201 F 209 464-0138 1 wmv.sicehd.com <br />
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