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FIELD DOCUMENTS
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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N
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99 (STATE ROUTE 99)
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24323
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3500 - Local Oversight Program
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PR0544358
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Last modified
11/19/2024 1:56:53 PM
Creation date
4/17/2019 3:04:50 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0544358
PE
3528
FACILITY_ID
FA0021623
FACILITY_NAME
JAHANT FOOD AND FUEL
STREET_NUMBER
24323
Direction
N
STREET_NAME
STATE ROUTE 99
City
ACAMPO
Zip
95220
APN
00516019
CURRENT_STATUS
02
SITE_LOCATION
24323 N HWY 99
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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Tags
EHD - Public
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MONITORING WELL-INSTALLATION U.�OIT <br /> ,r.. /r�ry77��,.y��++�yatq�s•��T-�'ft1t�� <br /> Date: �lV COAYSTItUG I'I©N <br /> Premise Address ZJ Total Depth 97 <br /> ;+Yell NG. Screen Length (from) Cto} <br /> Filter Pack (froxn) to <br /> Inspectar. � Bentonite (from) 1I (to) <br /> Grout (from) (to) <br /> Drilling rig type 1 <br /> Permit W. „ Auger O.D.___ _ I.D <br /> Completion -Move pipe/chrutie box (circlir acre) <br /> • Drilling Coxnpanys �•� <br /> 1'�riller: _ • <br /> casLn. a ~ <br /> height: <br /> Cansuitant ' ► �- <br /> Geologist <br /> AWVE•GRGtJNt r <br /> COWLVION " CHAtSiY=E34?G <br /> . SPI:CI�,P1vAN�"tT:INF <br /> Distance to sewer line grout <br /> I7csmestic well on sitei:- (Y/n <br /> if yes,location and distance- ft. <br /> ry <br /> sloodw <br /> Oft <br /> a�r1. iiRG <br /> C <br /> Notrii n.Te eratuure <br /> Screening Method ` <br /> Tracking Sheet' 1.0 <br /> 7 , <br /> pp • <br /> Storage Method MATERIALS/DEVELOPMENT <br /> Can#amination Noted fy! <br /> Storage Location Casing type r1 Ptd.G (4i. . <br /> Blank 41 ft- Screen I-'� fk . <br /> Slot size b'a L0 <br /> GROUTTN - <br /> Bags cement <br /> _ men( <br /> _ Buckets bentonite ; <br /> Depth;ta water Bags sand/gravel_ 7 106 <br /> Mix Patios .. Filter Pack typefsize ' <br /> Installation Method Y Surge Block. - ( 1 n <br /> Quantity Installed Discussed with g�eologist• 10. <br /> Type of method A. <br /> EH 29 29` <br />
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