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90-578
EnvironmentalHealth
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MACARTHUR
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4200/4300 - Liquid Waste/Water Well Permits
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90-578
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Entry Properties
Last modified
3/5/2020 11:40:51 PM
Creation date
12/2/2017 11:45:43 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
90-578
STREET_NUMBER
2650
Direction
N
STREET_NAME
MACARTHUR
STREET_TYPE
DR
City
TRACY
APN
21307061
SITE_LOCATION
2650 N MACARTHUR DR
RECEIVED_DATE
03/16/1990
P_LOCATION
JIM JOSEPH
Supplemental fields
FilePath
\MIGRATIONS\M\MACARTHUR\2650\90-578.PDF
QuestysFileName
90-578
QuestysRecordID
1864033
QuestysRecordType
12
Tags
EHD - Public
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it <br /> a PAGE OF - <br /> . . i <br /> MONITORING WELL INSTALLATION REPORT <br /> Date. 3 o CONSTRUCTION <br /> Premise Address: 6U411J A*CAIPt Well No. <br /> Inspector: Total Depth <br /> Screen Length eg2^ <br /> Filter Pack <br /> Bentonite Pellets <br /> Permit No. <br /> Grout 1 <br /> Consultant Completion-Stove pike chxistie box <br /> Geologist • i <br /> Aku-4er 0.D. <br /> r <br /> D. <br /> SAMPLING <br /> stido-u <br /> Holding T mperature <br /> Method ULZ ` <br /> Screening Method <br /> AgOVE.GROtJNG CHRISTY.BOX <br /> Tracking Sheet(54n) MPLET ON COMPLETION <br /> around Surface <br />[ SPOILS <br />€ proof <br /> Storage method <br /> Contamination Note ye no <br /> Storage Location _�;SI LQ.. _ n. <br /> p <br /> • <br /> SPECIAL PERMIT INFO. — C <br /> 0 <br /> slotted E <br /> Distance. to sewer line section <br /> Domestic well on site - yes/no9MV49padc <br /> If yes, location & distance <br /> GROUTING <br /> MATERIALS USED: <br /> I <br /> Depth to water _ Casing type <br /> Mix Ratios Blank ft. Screen ft. <br /> Installation Method Slot size0� 0� — <br /> i <br /> Quantity Installed Bags cement <br /> Buckets bentonite <br /> Bags sand/gravel <br /> Filter Pack type/size <br /> Total Billed Time Per Site <br /> Date Permit Finalized <br />
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