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FIELD DOCUMENTS
Environmental Health - Public
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EHD Program Facility Records by Street Name
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BROADWAY
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1705
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3500 - Local Oversight Program
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PR0544127
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Last modified
2/8/2019 4:46:28 PM
Creation date
2/8/2019 4:33:20 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0544127
PE
3528
FACILITY_ID
FA0009518
FACILITY_NAME
GEORGE F SCHULER INC
STREET_NUMBER
1705
Direction
N
STREET_NAME
BROADWAY
STREET_TYPE
AVE
City
STOCKTON
Zip
95205
APN
14315007
CURRENT_STATUS
02
SITE_LOCATION
1705 N BROADWAY AVE
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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NITORING WELL INSTALLATION REP4� <br /> jjj� JE <br /> Date: CONSTRUCTION <br /> Premise Address: 005 I �� - TotalnD17> <br /> Length (from) �'� 30 <br /> WeII No.: 6 , 2— FilterPack . (from) 15- (to) 28 <br /> • Bentonite (from) Z8 (to) ZS i <br /> Inspector. _ �5C.c—$�1� LW, OyC-___ Grout lI (from) '2-6' (to) e— <br /> �7�'7/jJ ` + Drilling rig type <br />} Permit No._ ��— �a `111P Auger O.D. I.D.M <br /> —T CompletionStove pip {circle one} <br /> Drilling Company: t5a- 1Zt/&4 <br /> Driller: casing <br /> t , height <br /> Consultant -T1 � <br />{ Geologist 1�.�bS Y !I <br /> ii ABa1lE-GFtC CHMM-Sox <br /> cGiOLErldN CWPLETICN <br /> SPECIAL PERMIT INFO.' '`' " �j Ground Surlacs <br /> �� l+ <br /> 4 Distance-to sewer line ,�j/-3 ;j� `' grout F <br /> Domestic well on site - (y/ n) <br /> If yes, location and distance - <br /> SAMPLING <br /> JI: glared <br /> aac-!cn <br /> Holding Temperature <br /> Fa* <br />` Method Gcr — <br /> Screening Method -- <br /> Tracking Sheet - / n ) — <br /> '.Y <br /> ` ems+.'...I....r l•a 11 � ' <br /> e <br /> SPOILS <br /> i Storage Method MATERIALS%DEVEI OPMENT <br /> 4 <br /> Contamination Noted - (y/n ) <br /> 1I , <br /> Storage Location Casing type <br /> ? Blanky ft. Screen 35 ft. <br /> Slot size it O10 2 <br /> GROUTING , 3 Bags cement -7 s i <br /> Buckets bcntonite <br /> k Depth to water If s Bags sand/gravel � <br /> h <br /> Mix RatiosJZD Filter ,Pack type/size GN �-- <br /> Installation Method > Surge u <br /> PBlock:�- (y/ <br /> Quantity Installed Discussed with geologist: - (y <br /> Type of method N� <br /> EH 29 29 <br />
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