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WP0040195
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040195
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Entry Properties
Last modified
1/6/2020 2:26:30 PM
Creation date
1/6/2020 2:22:13 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040195
PE
4372
STREET_NUMBER
4101
Direction
S
STREET_NAME
AIRPORT
STREET_TYPE
WAY
City
STOCKTON
Zip
95206-
APN
17728031
ENTERED_DATE
10/22/2019 12:00:00 AM
SITE_LOCATION
4101 S AIRPORT WAY
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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_�° c° SAN�JOAQUIN Environmental Health Department <br /> li�l —COUNTY--- <br /> ,-,— Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: I lci Inspector: ti-fhRW'1a SQQ1@ CONSTRUCTION <br /> Facility Address: AIM 5. VwWrl Wc.V <br /> Well Address: Total Depth: <br /> WP# Well#: Drilling Rig Type: L}` —j.t;Cj <br /> Soil Boring#: 241 b42Pt�j�'-1ti Min 2" Annular EHD Seal Verified: El Yes El No <br /> Drilling Company: �C=o 6 �"'OGCtkes <br /> Driller Onsite: .�Pn� <br /> Consultant: Screen Length From: To: <br /> Filter Pack From: To: <br /> �t'Q�C�tI �', �,caLi�� <br /> Geologist: f2erci,CpY1 <br /> Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes ❑No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes ❑No casing <br /> If yes, location and distance: 7,— <br /> height <br /> SAMPLING ABOVEGROUND <br /> Holding Temperature: COWPLF7toN com t-ETION <br /> Method: GroundSurtacs + <br /> Screening Method: grout <br /> Verified Chain of Custody: ❑ Yes 0 N —n• <br /> tt. <br /> SPOILS ft. <br /> Contamination Noted: ❑ Yes 11 No <br /> If yes, spoils storage Location: dotted <br /> a�c'Jan <br /> Covered: ❑ Yes ❑No = vW pack <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: 1 �S 4 '-IO !. <br /> Depth to Water:IdC`W �S <br /> Grout Material: Nent CemPn <br /> Gallons of Grout Used: 20 MATERIALS/DEVELOPMENT <br /> t5' Casing Type: <br /> ❑Well Installation ❑Well Destruction 2o` Blank Feet Screen Feet <br /> ❑Boring Installation (ABoring Destruction %S` Slot Size: <br /> i5 Bags of Cement: <br /> METHOD USED 20� Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> [:]Pressure Grout ❑Over Drill <br /> Filter Pack Type/Size: <br /> *Gravity l Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Ce n b <br /> allons Bas izallons Bas X� <br /> Thickest Thinnest uBags Thickest Thinnest ttBags a JS Bentonite/Cement Mix 3% Mix 3% Mix <br /> 2.5 5 1 5 10 1 1'8 f) 1 Bentonite per 47 Ib 1.41 2.47 <br /> 5 10 2 10 20 2 Bentonite per 94 Ib 2.82 4.7 <br /> 7.5 15 3 15 30 3 bQ( <br /> 10 20 4 20 40 4 3' <br /> 12.5 25 5 25 50 5 <br /> 15 30 6 30 60 6 <br /> 17.5 35 7 35 70 7 <br /> 20 40 8 40 80 8 <br /> q b u10/16/2017 <br /> y, ( Ib) 54 yal <br /> 1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.s*cehd.com <br />
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