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WP0042897
EnvironmentalHealth
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STEINEGUL
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4300 - Water Well Program
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WP0042897
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Last modified
10/6/2022 2:22:50 PM
Creation date
9/16/2022 11:26:34 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
WP0042897
PE
4378
STREET_NUMBER
17202
Direction
S
STREET_NAME
STEINEGUL
STREET_TYPE
RD
City
ESCALON
Zip
95320-
APN
22916021
ENTERED_DATE
1/12/2022 12:00:00 AM
SITE_LOCATION
17202 S STEINEGUL RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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322 342 CLAY <br /> 342 352 SHALE <br /> 352 358 SAND&GRAVEL <br /> 358 398 SHALE <br /> Casings <br /> Wall Outside Slot Size <br /> Casing Depth from Surface Screen <br /> # Feel to Feet Casing Type Material Casings Specificatons Thickness Diameter Tif any Description <br /> Type(inches) (inches) (inches) <br /> 1 0 345 Blank PVC OD:6.900 in. I SDR: 0.329 6.9 <br /> 21 1 Thickness:0.329 <br /> in- <br /> 2 345 365 Screen PVC OD:6.900 in. I SDR: 0.329 6.9 1 Saw 0.045 <br /> 21 1 Thickness:0.329 Cut <br /> in. <br /> Annular Material <br /> Depth from <br /> Surface Fill Fill Type Details Filter Pack Size Description <br /> Feet to Feet <br /> 0 210 Bentonite High Solids <br /> 210 1 365 Other Fill See description. BIRDS EYE GRAVEL <br /> Other Observations: <br /> Borehole Specifications Certification Statement <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 MASELLIS DRILLING INC <br /> Feet to Feet <br /> 0 398 11 Person,Firm or Corporation <br /> 119 ALBERS ROAD MODESTO CA 95357 <br /> Address City State Zip <br /> Signed electronic signature received 08/17/2022 668622 <br /> C-57 Licensed Water Well Contractor Date Signed C-57 License Number <br /> DWR Use Only <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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