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WP0044244
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4200/4300 - Liquid Waste/Water Well Permits
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WP0044244
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Last modified
4/29/2024 8:54:04 AM
Creation date
10/9/2023 10:42:35 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0044244
PE
4378
STREET_NUMBER
20087
STREET_NAME
ELLIS
STREET_TYPE
RD
City
ESCALON
Zip
95320-
APN
24714021
ENTERED_DATE
2/3/2023 12:00:00 AM
SITE_LOCATION
20087 ELLIS RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\gmartinez
Tags
EHD - Public
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230 250 clay <br /> 250 280 sand <br /> 280 360 clay <br /> 360 400 clay <br /> Casings � ., <br /> Casing Depth from Surface Wall outside Screen slot Size <br /> tt Feet to Feet Casing Type Material Casings Specifieatons Thickness Diameter Type if any Description <br /> (inches) (inches) (inches) <br /> 1 0 200 Blank PVC OD:8.625 in.I SDR: 0.41 8.625 <br /> 211 Thickness:0.410 <br /> in. <br /> 1 200 220 Screen PVC OD:8.625 in.I SDR: 0.41 8.625 Saw 0.05 <br /> 211 Thickness:0.410 Cut <br /> in. <br /> 1 220 240 Blank PVC OD:8.625 in.I SDR: 0.41 8.625 <br /> 211 Thickness:0.410 <br /> in. <br /> 1 240 270 Screen PVC OD:8.625 in.I SDR: 0.41 8.625 Saw 0.05 <br /> 211 Thickness:0.410 Cut <br /> in. <br /> Airi <br /> ar Ma�erlai <br /> r <br /> .: <br /> Depth from <br /> Surface Fill Fill Type Details Filter Pack Size Description <br /> Feet to Feet <br /> 0 170 Bentonite High Solids <br /> 170 270 Filter Pack Other Gravel Pack No 6 sand pack <br /> Other Observations: <br /> Borehole Specifications3 n L' ,: CertI IdAtlon Statements <br /> _ . - <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 HENNINGS BROS DRILLING CO INC <br /> Feet to Feet <br /> Person,Firm or Corporation <br /> 0 270 14 <br /> 270 400 8 1930 LADD RD MODESTO CA 95356 <br /> Address City State <br /> Signed electronic signature received 10/05/2023 290813 <br /> C-57 Licensed Water Well Contractor Date Signed C-57 License Number <br /> _=i �DWR Use O�tly <br /> CSG# State Well Number Site Code Local Well Number <br /> NFJ7 I I Lw <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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