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SU0004857 SSCRPT
Environmental Health - Public
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SU0004857 SSCRPT
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Entry Properties
Last modified
10/31/2019 2:52:56 PM
Creation date
9/4/2019 9:55:56 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0004857
PE
2611
FACILITY_NAME
PA-0400737
STREET_NUMBER
175
Direction
W
STREET_NAME
ARNAUDO
STREET_TYPE
BLVD
City
MOUNTAIN HOUSE
APN
NUMEROUS
ENTERED_DATE
2/22/2005 12:00:00 AM
SITE_LOCATION
175 W ARNAUDO BLVD
RECEIVED_DATE
2/22/2005 12:00:00 AM
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\sballwahn
Supplemental fields
FilePath
\MIGRATIONS\A\ARNAUDO\175\PA-0400737\SU0004857\SSC RPT.PDF
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EHD - Public
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a; • DIVISION OFxOIL AND GAS ; - <br /> CHECKLIST --RECORDS-RECEIVED AND WELL STATUS <br /> Company Well'-No. <br /> API No "L� � - � Seca - T. R <br /> County Field <br /> "RECORDS 'RECEIVED . - DATE - STATUS STATUS <br /> Well Sunmmary-:(Form -OG100) - *ytT j�,, r'groducing - 011 Water. Disposal <br /> History (Form OG103)_ +vpjldle - Oil Wa er"lood <br /> 44 <br /> Core-Retard (Form OG 101) "'lx€,.pban doned '.St Lmriaoe <br /> Directional-survey - „prilling� - Idle ' <Fire Flood <br /> �iSidepall Samp lesa Abandoned - ' Dry Hole-- - Air 'Injection <br /> �IOther - -- Producing - '.Gas ,Gas Injection <br /> -i Date final_.records received_ . '- trF'Idle - Gas _CO2 Injection <br /> Electric logs: _ cAbandoned - :;as LFG Injection <br /> Gas-Open to Oil Zone <br /> Observation <br /> G <br /> GasStnra�,_ va* _)od Source_ <br /> DATE <br /> RECOMPLETED <br /> ENGINEER' S CHECK LIST -- 'CLERICAL CHECK LIST <br /> 1. Summary, History , & 1. Location <br /> . .change _(F-OGD165) <br /> Core record_(dup1.) - _ __ `_ 'Z. Elevatio,i change _(F-OGD165) <br /> 2. EIectric..Log .. _- _---- '3-. Fori...00D121. <br /> 3. Operator'-a -Name -- 4. --Form OG159 (Final - <br /> Letter) <br /> 4. Signature 5. Form CCD150b (Release of Bond)------ <br /> 5. <br /> ond)______5. We11Designation__ __- -6. Duplicate logs to archives___ <br /> -,.. 6. ':Location:_ -.._.:_ _ _ :.7. NcU.ce of-Berords ;due(F CGDI'0) <br /> - - -- <br /> 7. Elevation .- — - -- 8. <br /> -. 8. - No ticea - - ,. <br /> 9 . 'ITh,'.Reports------- <br /> 10. <br /> eports—10. Casing .Record___._ - _ __ —� <br /> 11. Plugs "- <br /> 12. Surface Inspection <br /> 13. Production _ — "_- ` aqx <br /> 4 E�-Well on Prod. , e . „o -" a"t_ ��.E}• .. <br /> 15 . Directional Sur <br /> . <br /> y <br /> 7 <br /> M11'It <br /> E-- <br /> RECORDS !SOT-.APPROVED <br /> k <br /> FAN r s Fay �tEEORDS APPROVnD s +, <br /> Reason .__ - � + �� ' „� a:. , � � _ �'•� TMd <br /> �(LTse•-date- •last needed•�records very <br /> - eceived ) <br /> .4ND.MAp Pl'�)%: _ -- -- <br />
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