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4200/4300 - Liquid Waste/Water Well Permits
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WP0041860
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Last modified
4/14/2021 12:32:48 PM
Creation date
4/14/2021 10:30:25 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0041860
PE
4372
STREET_NUMBER
950
Direction
W
STREET_NAME
STEWART
STREET_TYPE
RD
City
LATHROP
Zip
95330-
APN
21021001
ENTERED_DATE
3/24/2021 12:00:00 AM
SITE_LOCATION
950 W STEWART RD
P_LOCATION
07
P_DISTRICT
005
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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Boring Inspection Report <br />CONSTRUCTION <br />Total Depth: <br />Drilling Rig Type: <br />casing <br />height <br />COMPLETION GI Stove Pipe LIChristie Box <br />Gnxind Surfacs <br />COMPLETION <br />Min 2" Annular EHD Seal Verified: <br />Screen Length <br />Filter Pack <br />Bentonite <br />Grout <br />0 Yes El No <br />To: <br />To: <br />To: <br />To: <br />From: <br />From: <br />From: <br />From: <br />MATERIALS/DEVELOPMENT <br />Casing Type: <br />Blank Feet Screen Feet <br />Slot Size: <br />Bags of Cement: <br />Bags Sand/Gravel: <br />Type/Brand of Bentonite: <br />Filter Pack Type/Size: <br />Type of Method: <br />SAN.DJOAQUIN 1.6.1,16) COUNTY <br />,451,e3r Greatness grows here <br />Environmental Health Department <br />Monitoring Well/Soil <br />Date: 751 2SJ2 Inspector: <br />Facility Address. 50 0--) • StQU-tAV <br />Well Address: <br />vott 0 k t H60 Well#: <br />Soil Boring#: C*1-15 - <br />Drilling Company: ("iC36, &WM (180 Te5R, <br />Driller Onsite: WOL\ <br />frk C140 CocA,(, <br />Public Water System Onsite: 0 Yes El] No <br />Domestic Well Onsite: 0 Yes ON° <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method: <br />Verified Chain of Custody: 171 Yes El No <br />SPOILS <br />Contamination Noted: 0 Yes El No <br />If yes, spoils storage Location: <br />Covered: 0 Yes CI No <br />If yes, material: <br />GROUTING or DESTRUCTIOV Total Depth: 5 f . <br />Depth to Water: (0 (# <br />Grout Material: (9 k ( <br />ElWell <br />se.' <br />Vera <br />Installation ElWell Destruction <br />0 Boring Installation CI Boring Destruction <br />METHOD USED <br />Pressure Grout DOver Drill <br />Gravity ElTremie DOther: <br />Consultant: <br />Geologist: <br />Gallons of Grout Used: <br />Water <br />gallons <br />Cement 471b <br />Bags <br />Water <br />gallons <br />cement 941b <br />Bags <br />Thickest Thinnest #Bags Thickest Thinnest # Bags <br />2.5 5 1 i-' 5 10 1 <br />5 10 2 ,-- 10 20 2 <br />7.5 qq) 15 30- 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 />Bentonite/Cement Mix 3% Mix 5% Mix <br />Bentonite per 47 lb 1.41 2.47 <br />Bentonite per 94 lb 2.82 4.7 <br />10/16/2017 <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sicehd.com
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