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Environmental Health - Public
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EHD Program Facility Records by Street Name
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932
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2900 - Site Mitigation Program
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PR0527598
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Last modified
1/15/2020 5:40:13 PM
Creation date
1/15/2020 4:24:35 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0527598
PE
2960
FACILITY_ID
FA0018700
FACILITY_NAME
RIPON FARM SERVICES
STREET_NUMBER
932
STREET_NAME
FRONTAGE
STREET_TYPE
RD
City
RIPON
Zip
95366
APN
26102011
CURRENT_STATUS
01
SITE_LOCATION
932 FRONTAGE RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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gONITORING WELL INSTALLATION REPORT <br /> Date: it 11a /2-0114 CONSTRUCTION <br /> Premise Address: `1316 6-y"a kern ' J2; O: Total Depth &0 r <br /> Screen Length (from) 40 (to) 5% <br /> Well No.: EX-1. Filter Pack (from) Zy (to) S <br /> Bentonite (from) 3(" (to) 3 iB <br /> Inspecto : 3okAt- 'Ycvjc v. Grout (from) •O' (to) IT& <br /> Drilling rig type H 4i6 , sn<-m _RnKky <br /> Permit N . Auger O.D. I.D. <br /> Completion - tove pi christie box (circle one) <br /> Drilling Company: (n9cu�r. p,;�j„y <br /> Driller: 'rconj SaJr..Zar casing <br /> height <br /> Consultant l mak ncerins 1 RCaCVJ0PMC.K - rIV <br /> Geologist 44kic a►a+on� /�4rlrc. uu _ T <br /> ABOVE-GROUND <br /> COMPLE'DON CHRISTI-BOX <br /> SPECIAL PERMIT INFO. Grour)d grfaae COMPLETION <br /> Distance to sewer line Cry <br /> Domestic well on site - (y/n ) 46 r fl <br /> If yes, location and distance - <br /> yo �. <br /> n. <br /> C <br /> 0 <br /> SAMPLING r = <br /> 1f� sbriad _ � 1� <br /> section �� � <br /> Holding Temperature ivy S LhIP , -fa K” _ P <br /> Method *i — 71 <br /> ack <br /> Screening Method <br /> Tracking Sheet - Cy/ n ) _ <br /> SPOILS <br /> Storage Method k'_a off 61N MATERIALS/DEVELOPMENT <br /> Contamination Noted - (6?/n ) <br /> Storage Location Si eV- 01 B3 ,' ai nv Casing type SGI. 140 )7VC- <br /> Blank YO ft. Screen K ft. <br /> Slot size o,olo i„cy, <br /> GROUTING Bags cement <br /> Buckets bentonite <br /> Depth to water Bags sand/gravel <br /> Mix RatiosA Filter Pack type/size <br /> �al <br /> Installation MethodaJ 4e=� AAA" Surge Block: - (y/ n) <br /> Quantity Installed Discussed with geologist: - (y/n) <br /> Type of method <br /> EH 29 29 <br />
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