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WP0040129
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040129
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Last modified
1/6/2020 2:23:34 PM
Creation date
1/6/2020 2:20:09 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040129
PE
4369
STREET_NUMBER
15917
Direction
E
STREET_NAME
SANTOS
STREET_TYPE
AVE
City
RIPON
Zip
95366-
APN
24518008
ENTERED_DATE
9/26/2019 12:00:00 AM
SITE_LOCATION
15917 E SANTOS AVE
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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311 318 CLAY <br /> 318 334 SAND <br /> 334 362 CLAY <br /> 362 400 SAND/COARSE SAND <br /> Casings <br /> Wall Outside Slot Size <br /> Casing Depth from Surface Screen <br /> # Feet to Feet Casing Type Material Casings Specificatons Thickness Diameter Type if any Description <br /> (inches) (inches) (inches) <br /> 1 0 51 Conductor or Mild Steel N/A 0.375 30 STEEL CASING <br /> Fill Pipe <br /> 2 0 100 Blank Mild Steel N/A 0.25 16.625 <br /> 2 100 140 Screen Mild Steel N/A 0.25 16.625 Milled 0.08 <br /> Slots <br /> 2 140 180 Blank Mild Steel N/A 0.25 16.625 <br /> 2 180 340 Screen Mild Steel N/A 0.25 16.625 Milled 0.08 <br /> Slots <br /> 2 340 360 Blank Mild Steel N/A 0.25 16.625 <br /> 2 360 400 Screen Mild Steel N/A 0.25 16.625 Milled 0.08 <br /> Slots <br /> Annular Material <br /> Depth from <br /> Surface Fill Fill Type Details Filter Pack Size Description <br /> Feet to Feet <br /> 0 51 Cement 10.3 Sack Mix POURED <br /> 51 1 400 Filter Pack Other Gravel Pack 3/8" <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 CANEPA AND SONS INC <br /> Feet to Feet <br /> Person,Firm or Corporation <br /> 0 51 36 <br /> 51 400 26 14384 CUESTA COURT SONORA CA 95370 <br /> Address City State Zip <br /> Signed electronic signature received 11/13/2019 425749 <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 I I 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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