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ARCHIVED REPORTS UIC PERMIT APP
Environmental Health - Public
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EHD Program Facility Records by Street Name
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T
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THORNTON
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12751
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2900 - Site Mitigation Program
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PR0528038
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ARCHIVED REPORTS UIC PERMIT APP
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Last modified
9/26/2019 9:59:35 AM
Creation date
9/26/2019 9:22:35 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
UIC PERMIT APP
RECORD_ID
PR0528038
PE
2950
FACILITY_ID
FA0018998
FACILITY_NAME
NCPA LODI ENERGY CENTER
STREET_NUMBER
12751
Direction
N
STREET_NAME
THORNTON
STREET_TYPE
RD
City
LODI
Zip
95242
APN
05513016
CURRENT_STATUS
01
SITE_LOCATION
12751 N THORNTON RD
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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H E V 1.1S' R 'COI JIS 11FCF3VtJ1 *AYID Wrk- 51V <br /> Wo( 1 NC <br /> company4-7 203 116- <br /> API. No <br /> Y <br /> rount Field __- <br /> RECORDS FICEIVED DATE 51 A A I!US <br /> W-IT S.-imary (Form OC100) Prnducing Oil Water Lli.spo-,4a. <br /> ki.stnry (Form OC103) .__.._.___ __ _ Idle - Oil, WALer Flocd <br /> Core Record (Form Abandoned - Oil Stearr, Fleod <br /> Directional Survey— Drilling - Idle Fire Flood <br /> Sidowall Samples Abandoned - Dry Hole— AirInlection <br /> Other Producing - Gas Gag Injection ... ... <br /> Date final records received—___-- We - Gas CO2 Injection <br /> Electric logst Abandoned - Gas LPG Injection ...... <br /> zm e,:Z Cas-Open to Oil Zone— Observation <br /> Water Flood. Source <br /> -2 DATE <br /> 2 de REcomnETED <br /> RRMRKS- <br /> 9MVIESSIS CLERICAL CHECK LIST <br /> 1 . Sumary, history. b 1. Location change__(F-OGD165)_..___..... <br /> Core record (dupt.) 2. Elevation change— (F-OGD165)______ <br /> 2. Electric Leg 3. Form OGDl 21-V/_ <br /> 3. operator's Nme4. form OG159 (Final Letter)__ Ye:;! <br /> 4. Signature S. Form OGD150b (Release of Bon d10,46, <br /> 5. Well Designation 6. Duplicate logo to <br /> 6. Location 7. Notice of Records due(F_OGDl <br /> 7. Elevation ✓ <br /> S. Notices; ✓ <br /> 9. 'IT" Reports <br /> 30. Casing Record <br /> 11. Plus* <br /> 12. Surface, In"wation <br /> 13. Production <br /> 14. 9 W*11 on Prods Dire Sur. <br /> 4- <br /> �2f <br /> do ......... <br /> RECORDS AV 1) Ls RECORDS APPROVED <br /> -4MYK <br /> NELMS BOND— <br /> Date Eligible <br /> (Us* date last needed records-were <br /> red. <br /> MAPeceiANDvMAP)Mt-11.7- <br /> .............. ........ <br /> LONG BEACH OFFICE - USE REVERSE SIDE <br />
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