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SR0083900_SSNL
EnvironmentalHealth
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2600 - Land Use Program
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SR0083900_SSNL
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Entry Properties
Last modified
7/15/2021 9:26:16 AM
Creation date
7/15/2021 9:01:57 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0083900
PE
2602
FACILITY_NAME
MORADA PRODUCE
STREET_NUMBER
500
Direction
N
STREET_NAME
JACK TONE
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
10504022
ENTERED_DATE
6/24/2021 12:00:00 AM
SITE_LOCATION
500 N JACK TONE RD
P_LOCATION
99
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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casing <br />height <br />SAN JOAQUN <br />N "r Y— <br /> Environmental Health Departmeat <br />Monitoring Well/Soil Boring Inspection Report <br />Date: 13 7)11)Ut IZAD Inspector: <br />Facility Address: c)C•C? It3 • 'S tIr ck 1-'0%4e- 74-g0 <br />Well Address: <br />WP &S5 Wel;#: k <br />Soil Boring#: <br />Drilling Company: C4,c, <br />Driller Onsite: tzgA,,s6,,c <br />Co n sul-za nt: <br />Geologist: VA•ro. 044i,ruo-t-3‘\ <br />Public Water System Onsite: <br /> <br />LI Yes IDNo <br />Domestic Well Onsite: Yes ONG <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method: <br />Verified Chain of Custody: lA Yes I:No <br />SPOILS <br />Contamination Noted: ED Yes 7No <br />If yes, spoils storage Location: <br />Yes ONo <br />GROUTING or DESTRUCTION Total Depth: \-0 <br />Depth to Water: ‘,) <br />Grout Material: ru-c <br />Gallons of Grout Used: S'o <br />O Well Installation LJVVell Destruction <br />UBo'ing Installation 'XBoring Destruction <br />METHOD USED <br />r Pressure Grout DOver Drill <br />0 Gravity tA,Tremie 0hr: <br />CONSTRUCTION <br />Total Depth: <br />Drilling Rig Type: <br />Min 2" Annular ENO Seal Verified: 11- Yes L_IN0 <br />Screen Length From: To: <br />;"-ilter Pack From: To: <br />Bentonite From: To: <br />Grout From: To: <br />COMPLETION 0 Stove Pipe DChristie Box <br />MATERIALS/DEVELOPMENT <br />Casing Type: <br />8Iank Feet Screen Feat <br />Slot Size: <br />Bags of Cement: <br />Bags Sand/Gravel: <br />Type/Brand of Bentonite: <br />filter Pack Type/SiLe: <br />Type of Method: <br />Covered: <br />If yes, material: <br />Wate, <br />trailons <br />Cernent 47Ib <br />6a115 <br />Watcr <br />Ilsot <br />Otre1t 94Ib <br />Ba• <br />ihtd<est 7111nrst,st X!R Thickest 7ttlin st s <br />15 5 1 5 10 1 <br />to .. 10 <br />7,5 11. 3 0 5. <br />10 r. :. 22 40 <br />121 25 5 J 25 5,3 5 <br />15 3C 32 63 <br />17.5 7 5 7.3 7 <br />-40 kJ so <br />Bentontte/Cern e nt Mix <br />entonile per 47 lb <br />Bentonite per 94 lb <br />3% Mix 57 Mix <br /> <br />1.41 2.47 <br /> <br />2,82 4,7 <br />10/16/2017 <br />1868 E. Hazelton Avenue Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I,,vww.scehd.com
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