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ARCHIVED REPORTS XR0006112
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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C
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COUNTRY CLUB
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1876
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2900 - Site Mitigation Program
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PR0542421
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ARCHIVED REPORTS XR0006112
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Entry Properties
Last modified
6/21/2019 1:16:19 PM
Creation date
6/21/2019 10:41:29 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006112
RECORD_ID
PR0542421
PE
2950
FACILITY_ID
FA0024377
FACILITY_NAME
COUNTRY CLUB BLVD/295950
STREET_NUMBER
1876
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12319101
CURRENT_STATUS
01
SITE_LOCATION
1876 COUNTRY CLUB BLVD
P_LOCATION
01
QC Status
Approved
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EHD - Public
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ORIGINAL STATE OF CALIF0AIMA D USE ONLY ---Do NOT FILL <br /> File with <br /> �/h DWRWELL COMPLETION REPORT <br /> Page_/ of_L_ nit Rr}rr to "1rr+r neitl hIr( STAT= WELL N0JSTA-f)ON NO <br /> O«-rter's Well No f'�� ���� r° I I D I <br /> Date 11l7Qrk Beg�In ^' `7' Ended f _ LATITUDE LONNGITUD15 1 <br /> Y..or-Ai)Pezmtt AgEnev _�_r <br /> APN/TRSIOTHmA <br /> w � C%e <br /> Pe-Inrt �Tp � * Perrnrt Da'te,�Je-��r�7r; f- <br /> f GEQIOGIC LOG ` WELL OIVNER <br /> r fr c t Z'7"- <br /> DRILLING <br /> // <br /> Q r�ICtti I h71pN (�} �RTICAL �.._HtO'RfI7�QNTAL —ANGLE �,�(S='eG)FY) Name - <br /> DR)LL00 44/J r J7 ✓�l xc;.-FLUID � r'3 sz Ma>h�Q Add r ss <br /> OSPTR FROM Mc FNpD IGL✓ <br /> SURrACS DESCRIrflov _ 5 <br /> 7ZL to FL Dr sr nbe term-ruil grrtan st-c colnr eir CITY STA7E z <br /> CJ i Js r -�13cP t .�cr GSA , ar> 3 t�O{FArror l ! /tom <br /> Address <br /> 1/r e► �e C9 , <br /> C I ct ��/ !;esee�vi CO)lltt) <br /> fJ ,U r T Gc u K�tc s 1 pyla,j} APN $Ook f 7 Page -- 1-Parcel <br /> Tawii l p 1 'r _Mange 6E%H -sactlon-—1-," <br /> �1f-% NORTH <br /> a14 � Latitude � - -' -- LOn;ttutie__ I t <br /> {/ r �7✓ t � �, � <br /> 4? ,� ? .. DEaL MIN sEG D=G MIN 5E <br /> LOCAMN SKETCH Ag VITY <br /> 7vf1 , 7eJ r dr 7�t�' ' �?C�1VLrrerf J NORTH j <br /> N/ <br /> EW WELL <br /> �s r 7, 7 r ��j'rC,{ `C0eill' V E..f`CaJ` _f M6DIFSCkT)ON1rlEPA <br /> 17,7 <br /> ;17, <br /> , yid/ /✓t' / YA �.S C C7C ¢fa �5 AL D"Pen <br /> fir I`iCl I Lc IGi cSQ1 t?c f /}l�� � 3 ,+� P+ — other(SPe <br /> t, r DESTROY(Dezw <br /> Pm"dums and M <br /> Under'G_OLOGII <br /> t r e t WATER SUPPLY <br /> MONITORING <br /> TEST WELL <br /> I 1 <br /> CATHODIC PftOTEGTION <br /> i mss. '"` �i lagAT EXGNANG£ <br /> s c'y ti <br /> e i � dp /` t O(RECT PUSIi <br /> r t truECTioN <br /> VAPOR E%7RA"ON <br /> { I SbARGtNti <br /> souTti� 5 <br /> s s <br /> lllustrrrte Or IkscrtLc Urstr+r)nt of Wd1 frrnu Iirxidr Hr+rlrlrnr! RtM_pIATIONs <br /> ) r Feuco-t Rtt crs etr_unef ra)ndrt n, ) LAC arkht,unel WqX r rf DTHER(SPECIFY) <br /> netraxnry PLLASE,HB ACCE£COMELETE <br /> 1 I - <br /> WATER LEVEL tc YIELD OF COMPLETED ;TELL <br /> r 1 <br /> r + DEPTH TO FIRST WATER �'� (rt) S---LOW SURFACE <br /> DEPTH OF ST47C `i° <br /> r WATER LEVEL- t,; {Pt)&DPTC MEADUREG <br /> r <br /> + cSTsMATED Yi'cLD (GPA &TcS7 7YP= <br /> TOTAL.DEM3 OI: BORING (Feet) TEST LENGTH- -- - (Pira)TOTAL DRAWDOWN_(Ft) <br /> 70TAL DEPTTI OF COMPLETED IVELL /� rFeet) *Nfrry rzo> be reprelrrirorive of a well's Inng-rmn yreld <br /> R��OMRPUTR"FACE <br /> Or�E- CASING (5) DEPTH ALNINFULAR MA ERIAL <br /> HOLE TYPE FROM SURFACE TYPE <br /> DIA x �r 'a' MATERIAL I INTERNAL GAUGE S?OT SIZE CE SEN <br /> ()aches) w a GRADS DIAMETER OR WALL IP ANY MENT TONT T E FILL FILTER PAC <br /> .� LL (InCiieST 'THICKNESS (M-+ws) FL to FL (TYPEISIZE) <br /> 21 <br /> ,S'", lru A. <br /> ATTACHhSEtvTS (�) CERTIFICATION STATEMENT <br /> t <br /> Geolc�lc Log the undersigned certify that tats +report is complete and accurate to the best of my Vnvwledge and belief <br /> � <br /> t�We1I Cors,rueav-Dagram NAME_ � L!'ZFC> <br /> Geophysical Log(5) (Pe'RSOri//FIRµ,DP LORbORAfT1�0N) [rrr'zU OR r:PRe7 <br /> Soi]!Waler Chemrcall Ana)yses l + L I�JeI - �fT <br /> Other FDG4Ei5 C I" `� CrIY 4 a[kTE 21P <br /> R7rFiC"ADOfTIONAL WPORMA7IDN 1F r7=X15TS Sp-+Cd f`* '*Z��G J h ) <br /> Y" fJhl'.LER/!J)tHORIZi p n{,PRLS_tiiATIV {1.Sr SirhrD G�T IlC-NS. W AISER <br /> U�tit 185 Rn j 97 IF ALTI]MONAL SPACE IS NSEDE0 USE NEXT CDI'SECLr-jIVrLY NUM23ERED FOO <br />
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