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WP0039168
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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WP0039168
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Entry Properties
Last modified
6/12/2019 4:31:16 PM
Creation date
2/20/2019 4:25:04 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0039168
PE
4366
STREET_NUMBER
26754
Direction
E
STREET_NAME
JONES
STREET_TYPE
AVE
City
ESCALON
Zip
95320-
APN
24718005
ENTERED_DATE
1/7/2019 12:00:00 AM
SITE_LOCATION
26754 E JONES AVE
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
AGooderham
Supplemental fields
CYEAR
2019
Tags
EHD - Public
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198 218 Clay <br /> 218 223 Sand <br /> 223 229 Clay <br /> 229 232 Sand <br /> 232 1 245 j Clay <br /> 245 1 250 Sand <br /> Casings <br /> Wall Outside Slot Size <br /> Casing Depth from Surface Screen <br /> # Feet to Feet Casing Type Material Casings Specificatons Thickness Diameter Type if any Description <br /> (inches) (inches) (inches) <br /> 1 0 210 Blank PVC OD:8.625 in. I SDR: 0.332 8.625 <br /> 26 1 Thickness:0.332 <br /> in. <br /> 1 210 250 Screen PVC OD:8.625 in. I SDR: 0.332 1 8.625 1 Saw 0.05 <br /> 26 1 Thickness:0.332 Cut <br /> in. <br /> Annular Material <br /> Depth from <br /> Surface Fill Fill Type Details Filter Pack Size Description <br /> Feet to Feet <br /> 0 100 Bentonite Other Bentonite <br /> 100 1 250 Filter Pack Other Gravel Pack <br /> Other Observations: <br /> Borehole Specifications Certification Statement <br /> Depth from I,the undersigned,certify that this report is complete and accurate to the best of my knowledge and belief <br /> Surface Borehole Diameter(inches) Name HENNINGS BROS DRILLING CO INC <br /> Feet to Feet <br /> 0 250 14 Person,Firm or Corporation <br /> 1930 LADD RD MODESTO CA 95356 <br /> Address City State Zip <br /> Signed electronic signature received 02/12/2019 290813 <br /> C-57 Licensed Water Well Contractor Date Signed C-57 License Number <br /> DWR Use Only <br /> CSG# State Well Number Site Code Local Well Number <br /> N W <br /> Latitude Deg/Min/Sec Longitude Deg/Min/Sec <br /> TRS: <br /> APN: <br /> Form DWR 188 rev. 12/19/2017 Page 2 of 2 <br />
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