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2900 - Site Mitigation Program
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PR0535564
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Last modified
3/13/2020 7:29:05 PM
Creation date
3/13/2020 4:05:49 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0535564
PE
2950
FACILITY_ID
FA0020509
FACILITY_NAME
TOP-GUN DRYWALL INC
STREET_NUMBER
280
Direction
S
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95337
APN
22103017
CURRENT_STATUS
01
SITE_LOCATION
280 S MAIN ST
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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MONITORING WELL INSTALLATION DEPORT <br /> Date: q1 71 CONSTRUCTION <br /> Premise Address: Total Depth <br /> Screen Length (from) (to) <br /> Well No.s Filter Pack (from) (to) <br /> VV Bentonite (from) (to) <br /> Inspector: rm';t&.a Grout (from) (to) <br /> Drilling rig type <br /> Permit No._60cl O Auger O.D. I.D. <br /> Completion - Stove pipe/christie box (circle one) <br /> Drilling Company:_ M A <br /> Driller: TT casing <br /> height <br /> Consultant <br /> Geologist ._ <br /> ABOVE-GROUND <br /> COMPLETION CHRLM-BOX <br /> SPECIAL PERMIT INFO. Ground Svfacs COMPLETION <br /> Distance to sewer line Ofoul <br /> Domestic well on site - (y/ n ) <br /> If yes, location and distance - n• <br /> it. <br /> = m <br /> C <br /> SAMPLING ° <br /> 6 j10 <br /> aacl n <br /> Holding T peratur `� L <br /> Method ua �"�Pack <br /> Screening Method _ <br /> Tracking Sheet - n ) <br /> SPOILS e n <br /> Storage Method MATERIALS EVEL PMENT <br /> Contamination Noted - r,,)/ n ) <br /> Storage Location Casing type <br /> Blank ft. Screen ft. <br /> Slot size <br /> GROUTING Bags cement <br /> Buckets bento to <br /> Depth to water Bags sand/ el <br /> Mix Ratios 1144- Filter Pack a/size <br /> Installation Method Surge Blo - ( y/ n ) <br /> Quantity Installed Discussed 'th geologist: - (y/ n ) <br /> Type of method <br /> EH 29 29 <br />
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