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FIELD DOCUMENTS
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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C
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139
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3500 - Local Oversight Program
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PR0544169
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Last modified
2/22/2019 9:22:35 PM
Creation date
2/22/2019 2:26:33 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0544169
PE
3528
FACILITY_ID
FA0006437
FACILITY_NAME
CHEVRON STATION #90557*** (INACT)
STREET_NUMBER
139
Direction
S
STREET_NAME
CENTER
STREET_TYPE
ST
City
STOCKTON
Zip
95202
APN
13730012
CURRENT_STATUS
02
SITE_LOCATION
139 S CENTER ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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`*�ONITORING WELL INSTALLATION REF..■' 'yL���J <br /> C_ <br /> U1�� <br /> Date: CONSTRUCTION <br /> Premise Address: � 1 S' CSL Total Depth X12 5 <br /> Screen Length (from) _(to) 2 <br /> Well No.: AA - Filter Pack (from) (to) <br /> / Bentonite (from) AO (to) <br /> Inspector: lln/li Grout (from) l (to)._ <br /> Drilling rig type <br /> Permit No. Auger O.D. I.D. 1 U <br /> Drilling Company: <br /> Completion - Stove pipe/christie box (circle one) <br /> •-�t'j' �DtiC�',riYY� <br /> Driller: b jy� cas ing - <br /> n � T height .J � <br /> Consultant Y�it�(i �N�� I�- 1&0 <br /> Geologist kYKQZ6 <br /> ABOVE-GROUND X <br /> COMPLETION COMPLE71CN <br /> SPECIAL PERMIT INFO. n� Ground Sumacs <br /> Distance to sewer line groul <br /> Domestic well on site - (y/ n ) <br /> If yes, location and distance - n, <br /> b <br /> C <br /> O <br /> SAMPLING sloe c <br /> "ctcn <br /> Holding Temperature ���i _ gravel pack <br /> Method <br /> Screening Method CA) , `n C' _ <br /> Tracking Sheet - ((y7 n ) _ Ujayyi(L� <br /> SPOILS <br /> Storage Method ��� � bf� y � rIt'j/ MATERIALS/DEVELOPMENT <br /> Contamination Noted - (y/V /,� <br /> Storage Location bL S Casing type q�L SC K"1F 2 <br /> Blank -2P) ft. Screen 7117 ft. <br /> Slot size <br /> GROUTING Bags cement <br /> Buckeo-be <br /> ntonitLIh G <br /> Depth to water n 7i� Basan gravel <br /> Mix Ratios Filter Pack type/size Z � <br /> Installation Method ' Surge Block: - (y/'O) � <br /> Quantity Installed Discussed with geologist: - (F, n) <br /> q Type of method N 6 <br /> EH 29 29 <br /> �Iv <br />
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