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WP0041127
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4200/4300 - Liquid Waste/Water Well Permits
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WP0041127
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Entry Properties
Last modified
11/17/2021 11:45:58 AM
Creation date
9/1/2020 4:46:15 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0041127
PE
4373
STREET_NUMBER
7436
Direction
N
STREET_NAME
MEADOW
STREET_TYPE
AVE
City
STOCKTON
Zip
95207-
APN
07737032
ENTERED_DATE
8/21/2020 12:00:00 AM
SITE_LOCATION
7436 N MEADOW AVE
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2020
Tags
EHD - Public
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Borehole Specifications t' ," CelrfificationxStafelm.ent <br /> Depth from I,the undersigned,certify that this report is complete and accurate to the best of my knowledge and belief <br /> Surface Borehole Diameter(inches) Name HENNINGS BROS DRILLING CO INC <br /> Feet to Feet <br /> Person,Firm or Corporation <br /> 1930 LADD RD MODESTO CA 95356 <br /> Address City State <br /> Signed electronic signature received 08/25/2020 290813 <br /> C-57 Licensed Water Well Contractor Date Signed C-57 License Number <br /> -iDWR Use"Only <br /> - .-_ <br /> a . <br /> CSG# State Well Number Site Code Local Well Number <br /> N W <br /> Latitude Deg/Min/Sec Longitude Deg/Min/Sec <br /> TRS: <br /> APN: <br /> Form DWR 188 rev. 12/19/2017 Page 2 of 2 <br />
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