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WP0042998
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4200/4300 - Liquid Waste/Water Well Permits
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WP0042998
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Entry Properties
Last modified
4/1/2022 12:28:00 PM
Creation date
3/30/2022 8:50:48 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0042998
PE
4373
STREET_NUMBER
21399
Direction
S
STREET_NAME
CARROLTON
STREET_TYPE
RD
City
RIPON
Zip
95366-
APN
24522002
ENTERED_DATE
2/23/2022 12:00:00 AM
SITE_LOCATION
21399 S CARROLTON RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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State of California <br /> Well Completion Report <br /> Form DWR 188 Submitted 3/2412022 <br /> WCR2022-003452 <br /> Owner's Well Number Date Work Began 03/17/2022 Date Work Ended 03/21/2022 <br /> Local Permit Agency San Joaquin County Environmental Health Department <br /> Secondary Permit Agency Permit Number 42998 Permit Date 02/23/2022 <br /> " <br /> Well Owhdrj <br /> ormeri.;Use <br /> Name FONDSE FARMS TRUCKING, Activity Destroy <br /> Mailing Address P.O.Box 904 Former Use Water Supply <br /> City Ripon State CA Zip 95366 <br /> -NHvILovation <br /> ; <br /> ti <br /> Address 21399 S Carrolton RD APN 245-220-02 <br /> City Ripon Zip 95366 County San Joaquin Township 02S <br /> Latitude 37 45 58.2685 N Longitude -121 4 26.7653 W Range 08 E <br /> Section 15 <br /> Deg. Min. Sec. Deg. Min. Sec. Baseline Meridian Mount Diablo <br /> Dec.Lat. 37.7661857 Dec.Long. -121.0741015 Ground Surface Elevation <br /> Vertical Datum Horizontal Datum WGS84 Elevation Accuracy <br /> Location Accuracy Location Determination Elevation Determination Method <br /> Method <br /> /tit j ............ <br /> 0,T <br /> b Xdl <br /> -T-H, OWN MR 11611, <br /> u. 1", -17 <br /> 4h <br /> e n dtYibld; iftolet'd <br /> Orientation Vertical Specify Depth to first water (Feet below surface) <br /> Drilling Method Drilling Fluid Depth to Static <br /> Water Level (Feet) Date Measured <br /> Total Depth of Boring Feet Estimated Yield* (GPM) Test Type <br /> Test Length (Hours) Total Drawdown (feet) <br /> Total Depth of Completed Well 68 Feet *May not be representative of a well's long term yield. <br /> Destruction Details: <br /> Pulled pump,pumped bentonite from the bottom of the old On well to the top.Put a cement cap on the well. <br /> Other Observations: <br /> Form DWR 188 rev. 12/19/2017 Page_1 of 2 <br />
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