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WP0042774
EnvironmentalHealth
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MCKINLEY
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18389
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4200/4300 - Liquid Waste/Water Well Permits
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WP0042774
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Entry Properties
Last modified
1/27/2022 9:31:20 AM
Creation date
12/21/2021 2:06:46 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0042774
PE
4373
STREET_NUMBER
18389
Direction
S
STREET_NAME
MCKINLEY
STREET_TYPE
AVE
City
MANTECA
Zip
95337-
APN
24140029
ENTERED_DATE
12/1/2021 12:00:00 AM
SITE_LOCATION
18389 S MCKINLEY AVE
P_LOCATION
07
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2021
Tags
EHD - Public
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Borehole Specifit:ations F rs._v f CeicationStateine t�Y <br /> rti n <br /> 71, <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 IADD RD MODESTO CA 95356 <br /> Address City State <br /> Signed electronic signature received 12/15/2021 290813 <br /> C-57 Licensed Water Well Contractor Date Signed G57 License Number <br /> r <br /> DWR Use Oniy <br /> 1 <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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