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FIELD DOCUMENTS_FILE 2
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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WILSON
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102
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3500 - Local Oversight Program
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PR0545890
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FIELD DOCUMENTS_FILE 2
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Last modified
7/22/2020 10:57:40 AM
Creation date
7/22/2020 10:45:54 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
FileName_PostFix
FILE 2
RECORD_ID
PR0545890
PE
3526
FACILITY_ID
FA0025958
FACILITY_NAME
ROEK BROTHERS CONSTRUCTION
STREET_NUMBER
102
Direction
S
STREET_NAME
WILSON
STREET_TYPE
WAY
City
STOCKTON
Zip
95205
APN
15502065
CURRENT_STATUS
02
SITE_LOCATION
102 S WILSON WAY
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
LSauers
Tags
EHD - Public
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#AOl '"RING WEILTNSTALIATION REPORT <br /> v> r 9'/Z <br /> Date: <br /> C0NSTRUC70N <br /> /�Z S A41 uJG-� Tocal Dept:, <br /> Preazise Ada:esz- //L <br /> S¢ec Length (from) /U (to)4 <br /> Wel No <br /> NSW 7 C Fdtcr Pack (Lom) /O / � Cto) <br /> BZnCOmCe (.F..'OII) 97' (t0) 11;�9/ <br /> /n�r � i�erl�h Groat Com) (to) <br /> Itss�ectar /U eu Dr3ILng rig type M d P-IZ j <br /> Pesmlt No. Auge:Cz. <br /> V h G/ Completion- Stove pipe/chtistie box Ce-cle one) <br /> Drilling Company' <br /> cas�q <br /> Driller. <br /> Coosa rant C ra✓ud <br /> Geologist ° Z J3^WSvaCC.ND - tkrrl5:';�:x <br /> St�.mct _ <br /> SP=CIAL PEP.B.IIT IKFC. <br /> Distance to sewer .uie $` � <br /> Domestic well on site - C y/ a) Ctwavf 4jf 44 µU-411 �V <br /> if yes, location and distance A. <br /> - <br /> Aolj ,klow AUOnd.dvt <br /> s <br /> SAMPLING — —_ <br /> Holding Temperature <br /> Method <br /> Screening Method <br /> Tracking Sheet - C y/ a) �w T _ L. <br /> tcavi,r1v('u,t'f fcl //zr/oG 7'sl, 9,9 4; <br /> S70[IS L^ro+f 7s-711,1 Nf60 1��i C` / f/i /N/ 6.1,4 2 <br /> //4 <br /> Storage Metahad MATERIALS/DEVELO.° <br /> � -✓/✓��' v,u4ir oy,,y.... ,. <br /> Coa->-,s^tion Noted - (y/ n) <br /> Storage location Casing type. <br /> Bla'_t h. SQeen <br /> Slot siz <br /> GROL fiNG Bags cem <br /> Butte-- beamnke <br /> Death to water Bags =d/o ravel <br /> m:--Ilatias Filter Pack type/s= <br /> Inszzllation Method Sege Block - C 7/ a) <br /> Quantity Irstaned Discussed with geologist - C 7/ a ) <br /> Type of method <br />
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