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ARCHIVED REPORTS XR0007248
EnvironmentalHealth
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3500 - Local Oversight Program
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PR0544809
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ARCHIVED REPORTS XR0007248
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Entry Properties
Last modified
9/5/2019 11:53:22 AM
Creation date
9/5/2019 11:36:17 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0007248
RECORD_ID
PR0544809
PE
3526
FACILITY_ID
FA0004030
FACILITY_NAME
THREE PALMS GROCERY
STREET_NUMBER
6732
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
10110001
CURRENT_STATUS
02
SITE_LOCATION
6732 E WATERLOO RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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_ azNo�Ezi�aa;?.M <br /> STATE OF CALIFORNIA Do Not Fd1 In <br /> THE RESOURCES AGENCY <br /> °Q161fu r N° 125774 <br /> F116 with D%VR ;r. DEPARTMENT OF WATER RESOURCES <br /> y{_ WATER WELL DRILLERS REPORT std a Well No �-- <br /> Other Well N N 7� �'?Z- <br /> 1) OWNER (I ]) WELL LOG: <br /> Name Delta Pump Co.—Ed rlturbettl Total depth 2 ft Depth of completed well P07 it <br /> ddress !- .0, Boy 1922 Forma eon 1)--br b)info, rbar.rlrr star of matrru! and sirlrtarr <br /> S"tOckton Qn 1 f —�' ft e ail is <br /> 2) LOCATION OF WELL. 17153- <br /> County <br /> , "County z5 a n j Oa c u 11 Clwner s number ,f anv i—} <br /> wnahsp Rang. and Section A r o r 1 <br /> ,-Ince from cater road, railraads etc 6EL8 i ^{ — — <br /> lrrap ac f iia -1r f ve tai <br /> 1f3) TYPE OF FORK (check) — �+ r shpile <br /> ew Well X] Deepening ❑ Reconditioning ❑ Destroying ❑ 1— <br /> destruction,describe material and procedure in 11e7n 11 <br /> J4) PROPOSED USE (check). (S) EQUIPMENT. <br /> amestic ® Industrial ❑ Municipal ❑ Rotary 12 — <br /> rlgauon ❑ Test Well ❑ Other ❑ Cable ❑ Q_� K c <br /> Other ❑ ,Q _ rin,%r shale <br />,6) CASING INSTALLED• J y <br /> STEELx OTHER If gravel packed <br /> SINGLE {CX DOUBLE ❑ <br /> Gagc Demeter <br /> FroinI u or of From To <br /> ft It Dem Wall Bore ft ft <br /> _ai <br /> ]szr us shoe or+all ring S,xr or ¢ravel <br /> escnbe�.,,ntwelded <br /> 7) PERFORATIONS OR SCREEN <br /> Type of perlora uun or n3me of screen <br /> Peri Rows <br /> From To per per Size <br /> ft ft row ft In xln <br /> P87 292 <br /> rr <br /> 14P 1 5P <br /> n r! <br /> 8} CONSTRUCTION <br /> aoriaee sso,n ry sea]prav,drd? Yrs do ❑ To what depth50 <br /> ft <br /> Were no ,r.ta-aW ax—sr pollulsnns Ye, r No If,res note depth of strata <br /> um ft to it 1. <br /> ft to ft 11 ork started 1 2=1 2 t9 /r74 Completed 14 <br /> Method of sral,n¢ R a WELL DRILLERS STATEMENT <br /> Thrs weft was drilled under m} furisdirteon and fbit report rs brie to the best <br /> 9) WATER LEVELS <br /> of my knowledge and belief <br /> 1 <br /> epth at which rater vas first found ,f known ft <br /> )tand,nR keen before perforating ,f known ft NAMElf-ennin s 'Bros . rrzllina Co. Inc . <br /> (Person firm or eorporat,on) (Tvprd or printed) <br /> tandsnR level after perforating and developrnR ft <br /> lo) WELL TESTS- Address 2500 vd. Rumble Rd <br /> Ab&p-p test madra Yet Q No if vis by whom? Modesto , C 11 • 953 0 <br /> gal tm with it drawdown after hra [SIGNED] <br /> ernperature of watar Was a chemical analysts made? Yet ED No la i <br /> flarff Drr J <br /> n <br /> as electric toll made of well? Yes [] No if yn attach copy License No Dated <br /> SKETCH LOCATION OF WELL ON REVERSE SIDE 3�1 <br /> 1WR 168 (REY 9 Ga 47125 750 6 72 1011 TRI'10T 011P <br />
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