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FIELD DOCUMENTS FILE 2
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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C
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CALIFORNIA
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300
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3500 - Local Oversight Program
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PR0544147
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FIELD DOCUMENTS FILE 2
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Last modified
2/14/2019 12:35:00 PM
Creation date
2/14/2019 11:50:41 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
FileName_PostFix
FILE 2
RECORD_ID
PR0544147
PE
3526
FACILITY_ID
FA0004522
FACILITY_NAME
SKIPS SERVICE STATION
STREET_NUMBER
300
Direction
S
STREET_NAME
CALIFORNIA
STREET_TYPE
ST
City
STOCKTON
Zip
95206
APN
14909501
CURRENT_STATUS
02
SITE_LOCATION
300 S CALIFORNIA ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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i <br /> I u - <br /> CONSTRUC["IOb7 <br /> Date: <br /> Totat Depth <br /> Premise Address; �K � p L <br /> Screen Length (from) (to) <br /> Filter Pack (from) <br /> 'NellItiTo.: - — <br /> Bentonite (from) (to) b <br /> f Grout (front) (to) <br /> Inspector: Drilling rig <br /> C3a'z Anger O.D, ,f <br /> Permit No. <br /> Conypietlon - Stove pipe-'T<'i»�"sTae (circle one) <br /> Drilling Company: <br /> Driller: l Fn� <br /> height <br /> Consultant <br /> 1 � <br /> Geologist U d �1 ABOVE-GROUND <br /> CCMPLETION <br /> egzC!od Suri <br /> SPECIAL PERMIT INFO. <br /> Distance to sewer line <br /> Domestic well on site - { y l n ) 'l" <br /> If yes, location and distance <br /> lta <br /> Flo � <br /> _SAMPLINGING <br /> Holding,Temperature j <br /> Method <br /> Screening Method _ <br /> Tracking Sheet - y n ) , ~' (, <br /> u q w eta <br /> SPOILS <br /> ` � �. Q�ll TERIALSIDE�ELOP 1�1`I' <br /> Storage Method <br /> Contamination Noted y n ) ,p �t <br /> Location <br /> Casing e `QVC"- <br /> Storage 1 <br /> t r Bl ft. Screen { fe„ <br /> r Slot size —L A_�W <br /> GROCiTIILIGfT1 Bags cerctentt � <br /> 1� �rto nite� l ' <br /> rav x� <br /> } '' ckets . <br /> Depth to water ._ <br /> ' C }I iij:er -ack iype/si7c� 4 �? <br /> 1\1fii Ratios /-S,k, Block <br /> Installation iVlethod � lsCr_ �� , t} yt" vtf dP Discussed "v1th gcotogist: - <br /> Qti,antity Installed — _ <br /> Type or raetllad ok <br /> 1 <br /> EI-I 29 29 <br />
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