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FIELD DOCUMENTS FILE 1
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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D
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DURHAM FERRY
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1600
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3500 - Local Oversight Program
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PR0544624
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FIELD DOCUMENTS FILE 1
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Last modified
7/3/2019 5:44:20 PM
Creation date
7/3/2019 3:26:29 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
FileName_PostFix
FILE 1
RECORD_ID
PR0544624
PE
3526
FACILITY_ID
FA0005206
FACILITY_NAME
GEORGES SERVICE
STREET_NUMBER
1600
Direction
W
STREET_NAME
DURHAM FERRY
STREET_TYPE
RD
City
TRACY
Zip
95376
APN
25510004
CURRENT_STATUS
02
SITE_LOCATION
1600 W DURHAM FERRY RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\wng
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EHD - Public
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ONITORING WELL INSTALLATION REPOne <br /> /' 3 ,vy� <br /> ci s- Nay 33 <br /> Date: I �C� �` CONSTRUCTION <br /> —Aefo33 35 <br /> Premise Address: /i�W Du'k* Arvej Total Depth fy 5 <br /> Screen Length (from) 32W,,O (to) <br /> Well No.: M LJ X06 Filter Pack (from) (to) <br /> NG� Bentonite (from) (to) <br /> Inspector: Grout (from) (to) <br /> Drilling rig type <br /> Permit No. Auger O.D. I.D. <br /> V� Completion- Stove pipe/christie box (circle one) <br /> Drilling <br /> Company: - <br /> tv�h casing <br /> Driller: / height <br /> Consultant Tr <br /> Geologist <br /> T <br /> Geologist 260Y �rc CY ABOVE-GROUND CNAu'iY4= <br /> COMPLETION COMPLETION <br /> SPECIAL PERMIT INFO. �� �Surtan + <br /> grout <br /> Distance to sewer line <br /> Domestic well on site - (y/ n) n• <br /> If yes, location and distance - n• <br /> n. <br /> _ o <br /> = m <br /> — o <br /> SAMPLING slotrod S <br /> wc5on <br /> Holding Temperature <br /> Metho R, = <br /> Screening Method <br /> Tracking Sheet - (y/ n) <br /> SPOILS <br /> Storage Method MATERIALS/DEVELOPMENT �o <br /> Contamination Noted - (y/ n ) Casing type 11C Z <br /> Storage Location Blank ft. Screen ' h <br /> Slot size <br /> GROUTING Bags cement <br /> Buckets bentonite '/y-7a °D <br /> Depth to water Bags sand/gravel <br /> s Filter Pack type/size <br /> Mix Ratio <br /> ISurge Block: - (y/ n <br /> Installation Method ) <br /> Quantity Installed Discussed with geologist: - (y/n) <br /> Type of method <br /> EH 29 29 <br />
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