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FIELD DOCUMENTS
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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HAZELTON
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2025
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2900 - Site Mitigation Program
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PR0505804
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Last modified
1/31/2020 6:06:16 PM
Creation date
1/31/2020 3:51:33 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0505804
PE
2960
FACILITY_ID
FA0007013
FACILITY_NAME
KOPPEL STOCKTON TERMINAL
STREET_NUMBER
2025
Direction
W
STREET_NAME
HAZELTON
STREET_TYPE
AVE
City
STOCKTON
Zip
95203
CURRENT_STATUS
01
SITE_LOCATION
2025 W HAZELTON AVE
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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0 0 <br /> MONITORING WELL INSTALLATION REPOnf <br /> Date: i 5 Zo o1' CONSTRUCTION <br /> Premise Address: Total Depth <br /> ��//�f /ZS Screen Length (from) / (to) <br /> Well No.: )C/ 7 #� Filter Pack (from) (to) <br /> �,,,,t entoni om)71 (to)T_ <br /> Inspector: Grout — ft,) — <br /> :FZL 7. Drilling rig type A5791 45 <br /> Permit No. ��f�/q Auger O.D. /V I.D. 4 <br /> Completion - Stove pipe/christie box (circle one) <br /> Drilling Company: � <br /> Driller: �� f /"l casing <br /> height <br /> Consultants /�1L <br /> Geologist _ t/ •- <br /> ABOVE—GROUND <br /> IO <br /> OONFLETbN CHRZITY-BOX <br /> OMPLCOMPLETION <br /> SPECIAL PERMIT INFO. Ground Surface �p <br /> Distance to sewer line r grout <br /> Domestic well on site - (y/ n ) , n <br /> If yes, location and distance - ft — 42e4c <br /> = m <br /> — o <br /> — s o <br /> SAMPLING dotted = 'c <br /> . wctcn — - <br /> Holding Temperature = 9,a d Pack <br /> Method = _ <br /> Screening Method = <br /> Tracking Sheet - ( y/ n ) <br /> SPOILS <br /> Storage Method MATERIALS/DEVELOPMENT <br /> Contamination Noted - ( / n ) i ��� <br /> Storage Location Casing type <br /> Blank Go ft. Screen <br /> Slot size D 1 D <br /> GROUTING Bags cement <br /> Buckets by ito i e 60 <br /> Depth to water Bags sand/gravel <br /> Mix Ratios lit Filter Pack type/size <br /> Installation Method Surge Block: - (y n <br /> Quantity Installed Discussed with geologist: - (y <br /> Type of method <br /> EH 29 29 <br />
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