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WP0045070
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4200/4300 - Liquid Waste/Water Well Permits
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WP0045070
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Entry Properties
Last modified
7/1/2024 3:02:56 PM
Creation date
2/26/2024 4:12:24 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0045070
PE
4369
STREET_NUMBER
28300
Direction
S
STREET_NAME
BURWOOD
STREET_TYPE
RD
City
ESCALON
Zip
95320-
APN
24725021
ENTERED_DATE
11/15/2023 12:00:00 AM
SITE_LOCATION
28300 S BURWOOD RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\gmartinez
Tags
EHD - Public
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436 460 1/4"GRAVEL <br /> 460 500 CLAY <br /> X✓r�12 <br /> �iirr ��/ �%y l'' ri rirxiro/ria Ni rr��Ci✓ ��/ ir,la's,�,�x /� �i/ i /, <br /> ..0 <br /> Casing Depth from Surface <br /> Wall Outside Slot Size <br /> Screen <br /> # Feet to Feet Casing Type Material Casings Specificatons Thickness Diameter Type if any Description <br /> (inches) (inches) (inches) <br /> 1 0 43 Conductor or Low Carbon Grade:ASTM A36 0.312 30 CONDUCTOR <br /> Fill Pipe Steel <br /> 2 0 280 Blank Low Carbon Grade:ASTM A36 0.25 16 LINER <br /> Steel <br /> 2 280 360 Screen Low Carbon Grade:ASTM A36 0.25 16 Milled 0.08 LINER DOUBLE SLOT <br /> Steel Slots <br /> 2 360 400 Blank Low Carbon Grade:ASTM A36 0.25 16 <br /> Steel <br /> 2 400 480 Screen Low Carbon Grade:ASTM A36 0.25 16 Milled 0.08 DOUBLE SLOT <br /> Steel I Slots <br /> 2 480 500 Blank Low Carbon Grade:ASTM A36 0.25 16 0.08 DOUBLE SLOT <br /> Steel <br /> 7 <br /> Depth from <br /> Surface Fill Fill Type Details Filter Pack Size Description <br /> Feet to Feet <br /> 0 43 Cement 10.3 Sack Mix 11 SACK SAND SLURREY CEMENT <br /> 43 150 Cement Other Cement 11 SACK SAND SLURREY CEMENT <br /> 150 500 Filter Pack Other Gravel Pack BIRDS EYE PEA GRAVEL <br /> Other Observations: <br /> t, e\i� ' <br /> f` .E \ti��� . r...r�A "\. /.�•:,, <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 CANEPA AND SONS INC <br /> Feet to Feet <br /> 0 43 40 <br /> Person,Firm or Corporation <br /> 43 500 26 14384 CUESTA COURT SONORA CA 95370 <br /> Address City State <br /> Signed electronic signature received 02/22/2024 425749 <br /> C-57 Licensed Water Well Contractor Date Signed C-57 License Number <br /> ©WR Use E)nly N <br /> y <br /> CSG# State Well Number Site Code Local Well Number <br /> NFT F1 I IWI <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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