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WP0042569
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4200/4300 - Liquid Waste/Water Well Permits
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WP0042569
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Entry Properties
Last modified
3/16/2022 1:25:58 PM
Creation date
2/10/2022 12:46:10 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0042569
PE
4378
STREET_NUMBER
8858
Direction
E
STREET_NAME
FAIRCHILD
STREET_TYPE
LN
City
STOCKTON
Zip
95215-
APN
08908003
ENTERED_DATE
9/20/2021 12:00:00 AM
SITE_LOCATION
8858 E FAIRCHILD LN
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2021
Tags
EHD - Public
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177 185 clay <br /> 185 191 sand <br /> 191 211 clay <br /> 211 240 sand-coarse <br /> 240 247 clay <br /> 247 250 sand <br /> %: <br /> 6.Sa <br /> Casing Depth from Surface wall Outside Screen Slot Size <br /> # Feet to Feet Casing Type material Casings Specificatons Thickness Diameter I Type if any Description(inches) (inches) (inches) <br /> 1 0 230 Blank PVC OD:8.625 in.I SDR: 0.41 8.625 <br /> 211 Thickness:0.410 <br /> in. <br /> 1 230 250 Screen PVC OD:8.625 In.I SDR: 0.41 8.626 Saw 0.05 <br /> 211 Thickness:0.410 Cut <br /> in. <br /> W-1 d, q <br /> RAN- <br /> 10"a, I$ �N 'AT <br /> A E "f'000 <br /> jgr <br /> M, 4� <br /> qe <br /> Depth from <br /> Surface Fill Fill Type Details Filter Pack Size Description <br /> Feet to Feet <br /> 0 200 Bentonite High Solids <br /> 200 1 250 1 Filter Pack Other Gravel Pack No 6 sand pack <br /> Other Observations: <br /> 5r,I thl, WINE" <br /> a CA 16 <br /> 'So ra <br /> 0B& <br /> (d <br /> _16i for, <br /> Depth from 1,the undersigned,cer*that this report Is complete and accurate to the best of my knowledge OW belief <br /> Surface Borehole Diameter(inches) Name HENNINGS,BROS DRILLING CO INC <br /> Feet to Feet <br /> Person,Firm or Corporation <br /> 0-1 250 14 1930 LADD RD MODESTO CA 95356 <br /> Address city State <br /> Signed electronic signature received 02109/2022 290813 <br /> C-57 Licensed Water Well Contractor Date Signed C-57 License Number <br /> y <br /> MV'44'4_ <br /> CSG# State Well Number Site Cod, Local Well Number <br /> N I W-1 <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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