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WP0039299
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4200/4300 - Liquid Waste/Water Well Permits
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WP0039299
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Entry Properties
Last modified
3/24/2022 2:15:16 PM
Creation date
7/24/2019 1:05:46 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0039299
PE
4369
STREET_NUMBER
20654
Direction
S
STREET_NAME
ALDER
STREET_TYPE
AVE
City
TRACY
Zip
95304-
APN
21326025
ENTERED_DATE
2/13/2019 12:00:00 AM
SITE_LOCATION
20654 S ALDER AVE
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2019
Tags
EHD - Public
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Casings <br /> Casing Depth from Surface Wall Outside Screen Slot Size <br /> # Feet to Feet Casing Type Material Casings Specificatons Thickness Diameter Type if any Description <br /> (inches) (inches) (inches) <br /> 1 0 140 Blank Low Carbon N/A 0.25 14 steel <br /> Steel <br /> 1 140 260 Screen Low Carbon N/A 0.25 14 Milled 0.032 steel <br /> Steel Slots <br /> Annular Material <br /> Depth from <br /> Surface Fill Fill Type Details Filter Pack Size Description <br /> Feet to Feet <br /> 100 260 Filter Pack Other Gravel Pack 1/8 <br /> 0 1 100 Cement 10.3 Sack Mix <br /> Other Observations: <br /> Borehole Specifications Certification Statement <br /> Depth from I,the undersigned,certify that this report is complete and accurate to the best of my knowledge and belief <br /> Surface Borehole Diameter(inches) Name ALTAMONT WATER WELL AND PUMP <br /> Feet to Feet <br /> Person,Firm or Corporation <br /> 0 10 24 <br /> 10 260 24 5658 OAKMONT CIRCLE LIVERMORE CA 94551 <br /> Address City State Zip <br /> Signed electronic signature received 06/30/2019 958797 <br /> C-57 Licensed Water Well Contractor Date Signed C-57 License Number <br /> DWR Use Only <br /> CSG# State Well Number Site Code Local Well Number <br /> N W <br /> Latitude Deg/Min/Sec Longitude Deg/Min/Sec <br /> TRS: <br /> APN: <br /> Form DWR 188 rev. 12/19/2017 Page 2 of 2 <br />
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