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SU0000087 SSC RPT
Environmental Health - Public
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SU0000087 SSC RPT
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Entry Properties
Last modified
11/21/2019 10:20:56 AM
Creation date
11/21/2019 9:48:36 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSC RPT
RECORD_ID
SU0000087
PE
2622
FACILITY_NAME
MS-99-09
STREET_NUMBER
1120
Direction
W
STREET_NAME
FOREST LAKE
City
ACAMPO
ENTERED_DATE
8/8/2001 12:00:00 AM
SITE_LOCATION
1120 W FOREST LAKE
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\gmartinez
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EHD - Public
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SUBMTI IN DUPLICATE 'N OF Olt AND GA.; <br /> knOURCcs AO[NCY OF CALIFORNIA RECEIVED <br /> OKPARTM[NT OF CONfLRVATION <br /> DIVISION OF OIL AND GAS JAN 4 1988 <br /> History of Oil or Gas Well WOODLAND, CALIFORNIA <br /> Operator...Coastal_,Oil...&„Gas.,GorpQTatj,pn.............Field or County ...San„ Q.4.q.v1n,.C.ourtt.y................. <br /> Wei l...liumelU.#J.................................................................. . Sec....9...., T..4N....I R .bE.... ,MD...B. & M. <br /> A.P.I. No.....Q7.7.-.2.0506.........................Name E. 1.ee.n...D.anni.D.e.y.....................Title Regulatory .Analyst <br /> Date ...Decem.bgr..29 19 6.7.. (Pei zubmkW*rapon) (hs,�dmt.SeuuaryorAseatl <br /> 6 <br /> Signature.. .. .............. <br /> P....0....Box„749,...1?enveX,...GQIazado..d020J .07..49....................................... X303)...573-4476........... <br /> (Addrm) (Tekpbom Nmba) <br /> History must be complete in sM detail.Use this form to report all operations during&Ming sad testing of the we11 or during r drilling <br /> or altering the casing,plugging,or abandonment with the dates thereof.Include tach item•as hok size,formation •-st detail.•, amounts <br /> of cement used, tap and bottom of plugs,pezforation details,sidetracked junk, bailing tats and initial production data. <br /> Ass <br /> See attached chronological report for drilling and plug and <br /> abandonment operations on the above—referenced well. <br /> flG 103 ta�rw� <br />
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