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WP0042042
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4200/4300 - Liquid Waste/Water Well Permits
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WP0042042
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Last modified
9/14/2021 2:55:51 PM
Creation date
9/14/2021 2:48:45 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0042042
PE
4372
STREET_NUMBER
816
Direction
W
STREET_NAME
MAIN
STREET_TYPE
ST
City
RIPON
Zip
95366-
APN
25918017
ENTERED_DATE
5/17/2021 12:00:00 AM
SITE_LOCATION
816 W MAIN ST
P_LOCATION
05
P_DISTRICT
004
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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casing <br />height <br />CHFIISTY-p0X <br />COMPLETION <br />Total Depth: <br />Drilling Rig Type: <br />Min 2" Annular EHD Seal Verified: LI Yes ON° <br />To: <br />To: <br />To: <br />To: <br />COMPLETION El Stove Pipe E] Christie Box <br />Greund Surface <br />slotted <br />saclon <br />ft <br />ft <br />ft. <br />;rout <br />4. <br />ft <br />Screen Length <br />Filter Pack <br />Bentonite <br />Grout <br />From: <br />From: <br />From: <br />From: <br />SANAAQUIN <br />COUNTY <br />Greatness grows here. <br />Environmental Health Department <br />Monitoring Well/Soil Boring Inspection Report <br />Date: (17. \A.1...c, Inspector: <br />vvP# LVZSD`—\1 We 11#01 <br />Well Address: <br />Facility Address: Cb%0 \rAIP.c.'c. <br />N <br />Soil Boring#: <br />Drilling Company: <br />Driller Onsite: <br />Consultant: <br />Geologist: <br />Public Water System Onsite: Yes v?o <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method: <br />Verified Chain of Custody: El Yes LIN0 <br />SPOILS <br />Contamination Noted: CI Yes liNo <br />If yes, spoils storage Location: <br />Covered: LI Yes No <br />If yes, material: <br />GROUTING or DESTRUCTION Total Depth: \o- S(;) <br />Depth to Water: <br />Grout Material: IQ <br />Gallons of Grout Used: <br />LI Well Installation LI Well Destruction <br />E Boring Installation Boring Destruction <br />METHOD USED <br />E Pressure Grout Over Drill <br />LI Gravity Tremie El Other: <br />Water <br />gallons <br />Cement 471b <br />Bags <br />Water <br />gallons <br />Cement 94 lb <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 50 5 <br />15 <br />it? <br />t 30 60 6 <br />17.5 7 35 70 7 <br />20 40 8 40 80 8 <br />CONSTRUCTION <br />MATERIALS/DEVELOPMENT <br />Casing Type: <br />Blank <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 />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 />Domestic Well Onsite: Yes No <br />Feet <br /> Screen Feet <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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