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FIELD DOCUMENTS
Environmental Health - Public
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EHD Program Facility Records by Street Name
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BENJAMIN HOLT
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2905
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3500 - Local Oversight Program
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PR0544110
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Last modified
2/6/2019 4:32:37 PM
Creation date
2/6/2019 4:13:06 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0544110
PE
3528
FACILITY_ID
FA0003712
FACILITY_NAME
CHEVRON STATION #94275*
STREET_NUMBER
2905
Direction
W
STREET_NAME
BENJAMIN HOLT
STREET_TYPE
DR
City
STOCKTON
Zip
95207
APN
09760004
CURRENT_STATUS
02
SITE_LOCATION
2905 W BENJAMIN HOLT DR
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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WNg
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EHD - Public
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2905& 2908 Benjamin Holt Dr. <br /> i <br /> Page 2 <br /> be cut off 6 inches above the bottom of this excavation, and removed. The grout used to <br /> seal the well shall then be topped off and allowed to spill over into the excavation and fill <br /> it for a thickness of one foot to form a `mushroom cap' over the top of the cut casing. <br /> If `nested' wells were installed at the site and need to be destroyed by overdrilling, an <br /> auger larger than the original auger must be used and centered on the deepest casing <br /> (which is off-center in the original borehole). The auger needs to be sized sufficiently to <br /> reach out and remove all well casings, screens, filter packs, and grout sealant installed <br /> during construction. <br /> ® All groundwater displaced to the surface during grout installation shall be pumped out of <br /> the excavation and containerized for proper disposal. <br /> • Any wells located offsite require updated access agreements and/or encroachment <br /> permits to be submitted with the EHD Well Destruction Permit Application. <br /> I <br /> Deadline for submittal of the work plan is December 6, 2012. After the EHD has approved the <br /> work plan you may submit an EHD Well Destruction Permit Application along with the <br /> appropriate fees. Current fees are: $375.00 per permit, (one permit per parcel) plus $125.00 <br /> per each well on the parcel that is to be destroyed. A nested well is considered to be one well. <br /> if you have any questions please contact Lisa Medina at (209) 468-3455 or by email at <br /> Imedina@sjcehd.com. <br /> Sincerely, <br /> Lisa edina, REHS <br /> Senior Registered Envir mental Health Specialist <br /> c: James Barton, PG, CVRWQCB, 11020 Sun Center Drive#200, Rancho Cordova, CA 95670 <br /> Brian Westhoff, Stantec, 3017 Kilgore Road Ste. 100, Rancho Cordova, CA 95670 <br /> i <br />
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