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FIELD DOCUMENTS
Environmental Health - Public
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EHD Program Facility Records by Street Name
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FREMONT
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2185
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3500 - Local Oversight Program
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PR0544922
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Last modified
10/7/2019 3:14:33 PM
Creation date
10/7/2019 3:04:58 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0544922
PE
3528
FACILITY_ID
FA0003284
FACILITY_NAME
FOOD MART GASOLINE*
STREET_NUMBER
2185
Direction
E
STREET_NAME
FREMONT
STREET_TYPE
ST
City
STOCKTON
Zip
95205
APN
14113045
CURRENT_STATUS
02
SITE_LOCATION
2185 E FREMONT ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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t <br /> B ORING WELL INSTALLATION R:.'ORT <br /> 20NSTRucrTorr ' <br /> Date: 8� <br /> Z!�5 tS➢ Total Depth <br /> Premise Address: Screen Le-zgth (from) <br /> Filter Pack (from) I? (to) <br /> Well No.: ��'� y Eenronite (from) O (to) <br /> �o1' (to)--- �_ <br /> Grout (From) 5 <br /> Inspec"or: Drilling rig type <br /> Pe_*mit No. Z Auger O D. <br /> D ID. 4 <br /> Completion - Stove pipe/christie box (circle one) <br /> Drilling Company <br /> cas=ng:. <br /> height' <br /> fF6 <br /> Consultan7/4 <br /> t� �✓ <br /> Czologist !b`�c –�M"�^ — ,�.3CvE-.3PC(:I�D C�JSY-30x <br /> C-W=nd Sulaci <br /> SPcrlat PEFUWT INFO. i <br /> DtSta.^.Ce LO SEWe: line <br /> Domestic well on site - (y/ n > ft_ . <br /> If yes, location and distance is Z n,` <br /> JL <br /> SANIPLING <br /> ;a O <br /> w ii p <br /> Holdin-Temperature <br /> Method C <br /> Screening M. e,-hod =.1' <br /> Tracking Sheet n ) V _ n; <br /> SPOILS <br /> .� �s <br /> Storage Method MAmIUAjS/`DEVE.LOPNEN7 <br /> Contamination Noted.- y ) it <br /> Storage Location Casing type <br /> Blank Z ft. Screen I.S ft- <br /> . Slot size <br /> Y r Bags cement St + 5 <br /> C-ROU LNG <br /> Buckets bentonite <br /> Depth to water Bags sand/graveI <br /> Mix Rados '\ <br /> Filter Flack type/siz 3 LS <br /> lnsmIlation Method Surge Block- - <br /> Quantity installed Discussed with geologist: - CDn } <br /> Type of method \ <br />
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