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WP0041882
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4200/4300 - Liquid Waste/Water Well Permits
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WP0041882
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Entry Properties
Last modified
6/8/2021 9:42:39 AM
Creation date
6/8/2021 9:36:10 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
File Section
COMPLIANCE INFO
RECORD_ID
WP0041882
PE
2905
FACILITY_ID
FA0026453
STREET_NUMBER
1721
Direction
S
STREET_NAME
CHEROKEE
STREET_TYPE
LN
City
STOCKTON
Zip
95240-
APN
06206048
ENTERED_DATE
3/31/2021 12:00:00 AM
SITE_LOCATION
1721 S CHEROKEE LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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SJGOV\dsedra
Tags
EHD - Public
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Ground Surfacs <br />slotted <br />s4-con <br />gralroi pack <br />SANIJOAQUIN <br />ritutai) —COUNTY <br />Greatness grows here <br />Monitoring Well/Soil <br />Date:11 lag, Inspector: <br />Facility ddress: <br /> OLrit <br />tfr) <br />Well Address: <br />WP# 001-i L 16 <br />„ <br />Well#: <br />Soil Boring#: 6 t- 13 9 <br />Drilling Company: e p y-019 _e or; 14,1 <br />Driller Onsite: <br />Consultant: - h I Asoc..4,N. <br />Geologist: tth <br />Environmental Health Department <br />Boring Inspection Report <br />CONSTRUCTION <br />Total Depth: <br />Drilling Rig Type: <br />Min 2” Annular EHD Seal Verified: <br />Screen Length From: <br />Filter Pack <br /> <br />From: <br />Bentonite From: <br />Grout <br /> <br />From: <br />CI Yes <br />To: <br />El No <br />To: <br />To: <br />To: <br />Public Water System Onsite: El Yes 0No COMPLETION CI Stove Pipe 111Ch ristie Box <br /> <br />Domestic Well Onsite: 0 Yes 0No <br />If yes, location and distance: <br /> <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method: <br />Verified Chain of Custody: Yes EINo <br />SPOILS <br />Contamination Noted: CI Yes El N o <br />If yes, spoils storage Location: <br />Covered: El Yes 0No <br />GROUTING or DESTRUCTION Total Depth: g° 14) <br />Grout Material:ca <br />Gallons of Grout Used: -?, <br />Depth to Water: n kt...e...„ <br />If yes, material: <br />0Well Installation 0Well Destruction <br />El Boring Installation 116oring Destruction <br />METHOD USED <br />CIPressure Grout 00ver Drill <br />ravity 0Tremie 00ther: <br />ABOVE-GROUND <br />OOMPLET{ON <br />—ft <br />ft <br />casing <br />height <br />CHALSTY-SOX <br />COMPLETION <br />ft. <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 />Water <br />gallons <br />Cementtljo <br />Bags <br />Water <br />gallons <br />Cement 941b <br />Bags <br />Thickest Thinnest #Bags Thickest Thinnest #Bags <br />2.5 5 1 5 10 1 <br />5 10 2 10 20 2 <br />7.5 15 3 15 30 3 <br />10 20 4 20 40 4 <br />12.5 25 5 25 50 s <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 />^- 2 e 9 0-1 6 5 I 1868 E. Hazelton Avenue I S ockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sjcehd.com <br />10/16/2017
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