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WP0043555
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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WP0043555
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Entry Properties
Last modified
10/24/2022 3:06:06 PM
Creation date
8/23/2022 4:51:41 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0043555
PE
4366
STREET_NUMBER
22331
Direction
E
STREET_NAME
SKIFF
STREET_TYPE
RD
City
ESCALON
Zip
95320-
APN
20519003
ENTERED_DATE
7/29/2022 12:00:00 AM
SITE_LOCATION
22331 E SKIFF RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2022
Tags
EHD - Public
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290 1 310 send/gravel <br /> >r r -1 F 3 .`xa' i £i'iS Tj:'. <br /> ; alsln s a ; ` ' L <br /> 1- <br /> t � <br /> Wall Outside Slot Size <br /> Casing Depth from Surface Screen <br /> # Feet to Feet Casing Type Material Casings Specfficatons Thickness Diameter Type if any Description <br /> (inches) (inches) (Inches) <br /> 1 0 290 Blank PVC OD:6.625 in. I SDR: 0.316 6.625 <br /> 211 Thickness:0.316 <br /> in. <br /> 1 290 310 Screen PVC OD:6.625 in. I SDR: 0.316 6.625 Saw 0.032 <br /> 211 Thickness:0.316 Cut <br /> in. „„55 Bim& <br /> 11`' 2 51i♦ i 1.F,L;� ak., 7'�i iYt IIE3^tf^��'x t s•G,-t- <br /> _ aEe <br /> ar t*t a �j �.� .. <br /> ,...... ..., ._.... :`:, ._..� Y...i :R.�L.:tfl.. j3.Y._.J. T-•:.f..t�..4......vT�.< :....�...�.. <br /> Depth from <br /> Surface Fill Fill Type Details Filter Pack Size Description <br /> Feel to Feet <br /> 0 200 Bentonite High Solids <br /> 200 1 310 Filter Pack Other Gravel Pack No 6 sand pack <br /> Other Observations: <br /> Bo>eiole Speclficaons _ t ,tear'i#`�cai"on;'Sahaen ` <br /> _':'�..�'� <br /> Depth from 1,the undersigned,certify that this report Is complete and aocurate to the best of my knowledge and belief <br /> Surface Borehole Diameter(inches) Name HENNINGS BROS DRILLING CO INC <br /> Feet to Feel <br /> 0 310 12 Person,Firm or Corporation <br /> 1930 LADD RD MODESTO CA 95356 <br /> Address City State <br /> Signed electronic signature received 08/16/2022 290813 <br /> C-57 Licensed Water Well Contractor Date Signed G57 License Number <br /> f ^t^5,.fk or?�ri't ,t., wwro i 3y�.y 5r7: ^•as t <br /> S £.`Y3 �I�WI�Us�GE' <br /> CSG# j State Well Number Site Code Local Well Number <br /> i T-i I I I N W <br /> Latitude Deg/Min/Sec Longitude Deg/Min/Sec <br /> TRS: <br /> APN: <br /> Form DWR 188 rev. 12/19/2017 Page-L of 2 <br />
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