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FIELD DOCUMENTS
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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ELEVENTH
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825
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2900 - Site Mitigation Program
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PR0009022
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Last modified
11/19/2024 10:19:47 AM
Creation date
9/3/2019 2:20:46 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0009022
PE
2960
FACILITY_ID
FA0004533
FACILITY_NAME
DIAMOND
STREET_NUMBER
825
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95376
CURRENT_STATUS
02
SITE_LOCATION
825 W ELEVENTH ST
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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Tags
EHD - Public
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MONITORING WELL INSTALLATION REPORT <br /> Date: CC!� �gNg .. ,y/,eS'?Y1VGT7ti i/ <br /> Premise Address: 6a5 Ld Well No. /',�✓ oc /�(,/ y <br /> Inspector• <br /> _ Total Depth a S ' <br /> " 71A Screen Length_ <br /> Filter Pack <br /> _ Q Bentonite Pellets <br /> Permit No. O ! Grout <br /> Consultant ,<cG/ Tc ,,r/cs Com le 'o Stovep pip /chi+=* -x <br /> Geologist a c /=nom p ./.�j-oyPU <br /> Auger O.D. ' <br /> SAMPLIAuger I.D. <br /> NG <br /> Holding Temperature Mick-up <br /> Method <br /> Screening Method <br /> ABOVE-GRWND <br /> Tracking Sheet (y/n) COMpLETION CHRISTY-BO% <br /> COMPLETION <br /> SPOILS <br /> Ground Su lan <br /> groin <br /> Storage Method <br /> Contamination Noted - yes/no n. <br /> Storage Location — ft. <br /> n. <br /> — e <br /> SPECIAL PERMIT INFO. = z <br /> o <br /> = 'EDistance to sewer line Monod oocoos -_ <br /> Domestic well on site - yes/no <br /> If yes, location & distance - <br /> GROUTING <br /> MATERIALS USED: <br /> Depth to water Casing type >"V L- <br /> Mix Ratios Blank ft. Screen ft. <br /> Installation Method Slot size O 2 <br /> Quantity Installed Bags cement <br /> Buckets bentonite <br /> Bags sand/gravel <br /> Filter Pack type/size <br />
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