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WP0040889
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040889
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Entry Properties
Last modified
6/29/2020 1:56:14 PM
Creation date
6/29/2020 1:49:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040889
PE
4372
STREET_NUMBER
3988
STREET_NAME
PLYMOUTH
STREET_TYPE
RD
City
STOCKTON
Zip
95204-
APN
11102001
ENTERED_DATE
6/15/2020 12:00:00 AM
SITE_LOCATION
3988 PLYMOUTH RD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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SA NJ 0 A 0 U I N Environmental Health Department <br /> — --COUNTY-- <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: 6'�9'M5 inspector: CONSTRUCTION <br /> Facility Address: 37JRf ;+'/ ono-&,* <br /> Well Address: Total Depth: <br /> WP#(QD gfow? Well#: Drilling Rig Type: <br /> Soil Boring#: C-5A - / C a)4- 2-, CSA —3 Min 2"Annular EHD Seal Verified: ❑ Yes ❑No <br /> Drilling Company: �'^��� c o4( <br /> Driller Onsite: e�c� Screen Length From: To: <br /> � N-, 5��� /�dS• Filter Pack From: To: <br /> Consultant: <br /> Geologist: 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: height <br /> SAMPLING AWVE-GROUND CHR__ <br /> Holding Temperature: CONFLETION coMPLEncN <br /> Method: G=nd Surface <br /> Screening Method: y�sali� grout <br /> Verified Chain of Custody: ElYes ❑No <br /> tt. <br /> SPOILS <br /> . <br /> a <br /> VA <br /> Contamination Noted: ElYes El No 3!/ <br /> If yes, spoils storage Location: �s�'Z stottad <br /> e o <br /> Y ..cyon � <br /> Covered: ❑ Yes ❑No = 9_VW <br /> If yes, material: ' <br /> GROUTING or DESTRUCTION Total Depth: <br /> Depth to Water:/Z' tt• 2F — IF <br /> tt. <br /> Grout Material: AAe,,9Loaf we <br /> Gallons of Grout Used: MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> 19" <br /> Slot Size: <br /> ❑Boring Installation L7Boring Destruction Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> L?'GravityC:rA Premie ❑Other: Type of Method: <br /> at nt 4 1 Water Cement 941b <br /> allons a s Rallons Bags <br /> Thi invest pBags Thickest Thinnest #Bags Bentonite/Cement Mix 3% Mix 5% Mix <br /> 2.5 5 1 5 10 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 <br /> 10 20 4 20 40 4 <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 /> 3,57— Ko�y 10/16/2017 <br /> 1868 E. Hazelton Avenue Stockton, California 95205 T 209 468-3420 1 F 209 464-0138 1 www.sicehd.com <br />
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