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Site Address: 24685 Fuhrman Rd, Acampo Record ID WP0042269 <br /> Date: 7/15/2021 <br /> PHOTO#1 Well Log. Grouted with 10.3 sand cement slurry to 100 ft. <br /> C")UZ <br /> XKTON CA 95205-6232(209)466-3420 <br /> ' fi <br /> iRES 1 YEAR FROM DATE ISSUED 2 / <br /> M <br /> USE APPLICATION It <br /> )NE CJ Zq // �i'. V �'-''/CJ-7 v f %✓✓✓�✓ <br /> )NE 33Y� 7 1 1ST-'- ,rte <br /> JC�D7 ►7 .?N <br /> )NE J Zf 3 D �-7 <br /> )RATION DATE <br /> Arsenic(4393) <br /> it Sampling/Characterization <br /> )me or Phone Number <br /> 7 <br /> technical a of borings <br /> n Repair / <br /> 'ack/Gravel Size in diameter / �+ <br /> less Steel 0 Other <br /> �d sack mixr7 gal water <br /> 0 Christy Box 17 Stove Pipe <br /> Standing Water Level tt <br /> )NE IN ACCORDANCE WITH SAN <br /> T"KT NIY REDO\REO LICENSE 1S 7 rr, <br /> I AM IN COMPLIANCE WITH ALL 3 > p <br /> CALL(209)953-7697� / _ / <br /> DATE °��. <br /> Page 1 of 1 <br /> Daria Afonskaia, Registered Environmental Health Specialist <br />