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FIELD DOCUMENTS
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0544208
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Last modified
3/1/2019 5:00:00 PM
Creation date
3/1/2019 3:53:12 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0544208
PE
2957
FACILITY_ID
FA0003628
FACILITY_NAME
ARCO STATION #2168*
STREET_NUMBER
441
Direction
W
STREET_NAME
CHARTER
STREET_TYPE
WAY
City
STOCKTON
Zip
95206
APN
14707607
CURRENT_STATUS
02
SITE_LOCATION
441 W CHARTER WAY
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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M*ORING W°.LI. INSTALLATION REPORT <br /> CONSTRUCTION <br /> ate: <br /> ?-emse Address: ` w' - Total Depth ��I�z <br /> Screen Length (from) (to) <br /> Well No.: Filter Pae-c (from) (to) <br /> Bentonite (from) (to) <br /> Inspector: Grout (from) (to) <br /> 2g�� Drilling rig typ <br /> �Z e �— <br /> Permit No. ✓ Auger O.D. I.D. <br /> Drilling Company: <br /> J Compled - Stove pipe/christie box (circle one) <br /> 1 • cas•ng <br /> Drillen heig t <br /> Consultant <br /> ( � <br /> C6 a " WLO QAr.Qsi <br /> GGeologist1 d�� a'� Jl3CVE.;ACUND CtiFiZ-,YaOX <br /> �— CCWL-7 CN CCMPL-i1CN <br /> S?ECIPt ?ER-WT INFO. <br /> QraA <br /> Distance to sewer line <br /> Domestic well on site - (y n 3 L 1L <br /> If,yes, location and distance - , <br /> -P.. <br /> 3 <br /> o <br /> o <br /> e <br /> o <br /> slonad — o <br /> SAYP1ING on <br /> o _ �r-x�- <br /> Holding Tem ra e� <br /> Method d� — <br /> Screening Method l = <br /> Tracking Sheet - y n ) <br /> SPOILS <br /> Storage Method Dill f (tint r d9u�' mA-1—RIALS/DEVELOPNEN-7 <br /> Conm-iination Noted - Q)( n ) q 4� PO L_ 40� <br /> Storage Location Casing type <br /> Blank ft Screen ZO ft <br /> Slot size . O 2. <br /> GROUTING Bags cement n <br /> Buckets bentonire <br /> Depth to watgr <br /> 31 Bags sand/gravel <br /> Mie Ratios `IU d Filrer Pack type/size <br /> Installation Me c od Surge Block: - (y/ <br /> Quandry Installed -:= lt4 UALTY <br /> with geologist: - n ) <br /> Tvpe of method �" <br />
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