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Environmental Health - Public
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BENJAMIN HOLT
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3500 - Local Oversight Program
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PR0544110
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
2/6/2019 5:09:00 PM
Creation date
2/6/2019 4:14:27 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
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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EHD - Public
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VMater Well Drillers Report <br /> Order No......2 5 6.7.....---....._._._—._ <br /> OWNER.- (11) WELL LOG: <br /> Total depth 9 ft. Depth of compiercd woll 3 5,5 f t. <br /> -on <br /> Tie City of Stockt Formotlun: Doccribe by color, clukr3cmr,alzo of rn-lt6rlsi, find structure. <br /> 0 ft.to 4 ft. Soil <br /> Stockton - Calif. -4 12 <br /> ars <br /> .12 44 <br /> LocAviJN OF WELL: 44 4 F S2nd <br /> my S a n J a @ q u i n Owner's number, If any— 48 72 C 1 a Y. <br /> D. of Street No. 72 19 Coarse sand <br /> 146 <br /> 9 14-6 Cle'y <br /> North East corner of j, 152_ Fln c 2-,rin <br /> and Plymouth 152 117 'C I a Y-* <br /> ...... 177 '193 Hr rd o n.- <br /> " a <br /> I TYPE OF WORK (check) 193 238- C 1 Y <br /> 238 244 " Fine said. <br /> 'f well Deepening 0 Rec-ondicloning 13 Abandon ❑ 244. 304 - C1 ID V <br /> ,b2ndonment.describe material and procedure in Item 11. -04 310 " F_4 n e a2nd <br /> I PROPOSED.USE (check) (5) EQUIPMENT: -310 338 " Clay <br /> meatic 0 industrial 0 Municipal 12§ Rotary 0: 3 3 8 3 5 0 " Coarse sand <br /> i9ation (3 Test Well.[3 ether 0 Cable. [Z 3S0 355' ' " C1@\1 <br /> I CASING INSTALLED: If gravel packed - <br /> gle 0 Double IX cane or Diameter from to <br /> , 55 f t of . 20 -inch 114 C O n dS1s•tor pipe- <br /> )M ft.to ft. Olam. Wall of bore ft. ft. <br /> C&M�ntId in.'616co' <br /> '80 28B f t bf . &er�dni plu�_]: bottom_Rt_lvell <br /> 3 3 5. 14. - 219 <br /> '25 ;_3!5 ; 12 <br /> -a and six*of shoo or wall ring 9 R Y 1$lz6_0f�Slrevol: <br /> scribe Joint I d P d. <br /> I PERFORATIONS:- <br /> o of perforstlof used <br /> leam5i Z �y i f, pororstiorks /32 in., length, <br /> _ <br /> )m ft, to ft. Perf. per row <br /> 5 " 315 7 <br /> -333 " 353 6 2 <br /> CONSTRUCTION: To what <br /> Is a surface &snitary soei provided Yes No_Q_dsplh 4. 4. <br /> Ira any ,tram scaled aganist pollution? foyce Ea No if y6s, note depth of strata - <br /> 0M <br /> Work started 1lfr17 Completed _9/24 1e a- <br /> cihod Of SEaljng WELL DRILLER'S STATEMENT: <br /> This wolf was drilled under my jurisdiction and this report 16 true 10 the bast <br /> =T27-R LEVEL: ft. of my knowledge and bOlief. <br /> 01 %V:LL TEST By Pacific Gas & Electric NAME Clark ttif-11 0-ri 1I ir-.g Co. <br /> 'Lfir purn;)cd 9.95 G-P'M' Address f <br /> down 50!_3 ft. tPzAd0N.FIRM,OR CORIOQnATION) ("rYP&0 OR PR.INTEDI <br /> tal lift 87.6 ft. — _+Qckton . Calif. 95206 <br /> Ad of well 19. 5 5 rs.p.m-/f Lnc� P.—I <br /> llLtz 6� _e —- <br /> (Signed) ;j4 ... <br /> WELL DRILLER <br /> mpersturs of water Chemical an$Y$16' License No 76602 <br /> 38 electric log made of wolf? 3 Y66 E]No I — <br /> kk <br /> X00 Gt7T *ON P)S'R FVP RTr_ +- Nn i)nn i q (Tnw Tgl:rR qr,/qT/MT <br />
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