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WP0039166
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4200/4300 - Liquid Waste/Water Well Permits
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WP0039166
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Entry Properties
Last modified
5/21/2019 9:24:19 AM
Creation date
5/20/2019 4:01:18 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0039166
PE
4372
STREET_NUMBER
26850
Direction
N
STREET_NAME
LOWER SACRAMENTO
STREET_TYPE
RD
City
GALT
Zip
95632-
APN
00503007
ENTERED_DATE
1/7/2019 12:00:00 AM
SITE_LOCATION
26850 N LOWER SACRAMENTO RD
P_DISTRICT
004
QC Status
Approved
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DAfonskaia
Tags
EHD - Public
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SAN,SAN: IOAQUIN <br /> JO rY Environmental Health Department <br /> N. <br /> 4r`rFOFN '. Greatness grows here. <br /> Monitoring' Well/Soil Boring Inspection Report <br /> Date: ) /15/ I Inspector: OL ft /1SffMt _ CONSTRUCTION <br /> Facility Address:'.Z.6S50 N• Lomtc l*' MM�a ocd)&df <br /> Well Address: Total Depth: <br /> WP# 00 (0 Well#: nq 1 Drilling Rig Type: <br /> Soil Boring#: 13 1 ' 2, 51 Q �� I (y 17 `3 Min 2"Annular EHD Seal Verified: 11Yes ❑No <br /> Drilling Company: reL,r ') L-✓1 <br /> Driller Onsite: `. ZSS-� Screen Length From: To: <br /> Consultant: Filter Pack From: To: <br /> i,' to— <br /> Grout <br /> From: To: <br /> Geologist: Pa <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes El No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes El No casing <br /> If yes, location and distance: height <br /> SAMPLING A VE-GRCUND <br /> Holding Temperature: COMPLETION �LETICN <br /> Method: Ground Surface If <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes ❑No <br /> tt. <br /> it. <br /> SPOILS <br /> Contamination Noted: ❑ Yes El No ` <br /> If yes, spoils storage Location: sbn.d <br /> a�cdon = 3 <br /> Covered: ❑ Yes El No <br /> g-V*'P-* <br /> If yes, material: �7 = <br /> GROUTING or DESTRUCTION Total Depth: �k T) �gIF <br /> • <br /> Depth to Water: k10 W0. n- n' <br /> Grout Material: ff�;t <br /> Gallons of Grout Used: 6 qal Gy1$ MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation %Boring Destruction Bags iz Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> 9 Gravity ❑Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Bas gallons Bags <br /> Thickest Thinnest RBags Thickest Thinnest uBags Bentonite/Cement Mix 3% Mix 5% Mix <br /> 2.5 5 1 5 10 1 Bentonite per 47 Ib 1.411 2.47 <br /> 5 10 2 10 20 2 Bentonite per 94 Ib 2.821 7 <br /> 7.5 15 3 15 30 3 <br /> 10 M Cy 20 40 4 <br /> 12.5 25 5 25 50 5 <br /> 15 30 6 30 60 6 <br /> 17.5 35 7 35 70 7 <br /> 20 40 8 40 80 8 <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.s*cehd.com <br />
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