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FIELD DOCUMENTS
Environmental Health - Public
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EHD Program Facility Records by Street Name
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FONTANA
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2130
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3500 - Local Oversight Program
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PR0545053
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Last modified
12/11/2019 10:13:44 AM
Creation date
12/11/2019 9:31:58 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0545053
PE
3528
FACILITY_ID
FA0005720
FACILITY_NAME
SMITH CANAL PUMP STATION
STREET_NUMBER
2130
STREET_NAME
FONTANA
STREET_TYPE
DR
City
STOCKTON
Zip
95204
CURRENT_STATUS
02
SITE_LOCATION
2130 FONTANA DR
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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MONITORING WELL INSTALLATION REP-e-T <br /> � ( LCONSTRUCTIONDate: 0,11 <br /> SZQTotal Depth ��IIJJ <br /> Premise Address: Steen Length (from) (Lo) <br /> C[o} <br /> Filter Pack (from) <br /> Well No.: /�l(j (. ` Bentonite (from) (CO) <br /> � U�J � Grout (from) (to) <br /> inspector. / Drilling rig type <br /> Auger O.D.-- [D. <br /> Permit No. �p Completion - Stove Pipe/chnstle box (circle one) <br /> Drilling Company. k ' <br /> casing <br /> Driller. Wv C he;ight <br /> Consultant <br /> AiC <br /> _ <br /> logist �D 0 n « � VE—ROUND tS-1 1-30X <br /> lC, <br /> l��� l CION COAAPU—: CN <br /> ! ��� ,Y� � 1, �-C//t� C�'1 Ground S+rhu <br /> SPECIAL PER INFO 111 <br /> orwc <br /> Distance to sewer lme p �_'t <br /> e- on site - (y/ n ) <br /> if yes, location and distance - —_R T--- <br /> 73 <br /> n vz7 0 <br /> �y X16 S docrnd _ a <br /> SAMPLING � ` o o &ec:o <br /> "pacx <br /> Holding Temperature F, _ = '� <br /> Method L' _ <br /> Screening Method _n <br /> Tracking Sheet - ( y/ n ) = tt <br /> SPOILS 1 C � <br /> /DEVELOPMENT <br /> Storage Method <br /> Contamination Noted - (y/ n) Casing type <br /> Storage Location Blank fc Screen----------'L <br /> slat <br /> creen —fr- <br /> Slot size <br /> Bags cement <br /> GROUTING n Buckets bentonite <br /> '^JV Bags sand/gavel <br /> Depth to water Filter Pack typesize <br /> Mix Ratios— Surge Block: - C y/ n ) <br /> Installation Method Discussed with geologist: - (y/ a) <br /> Quantity Installed Type of method <br /> EH 29 29 ht <br /> l ��' <br />
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