Laserfiche WebLink
ff �_ Page 2 of 2 <br /> From: Vicki McCartney [EH] [mailto:vmccartney@sjcehd.com] <br /> Sent: Wednesday, June 19, 2013 3:31 PM <br /> To: Steve Carter <br /> Subject: Master File Record (MFR)form <br /> Steve, <br /> This is the Master File Record (MFR)form that you need to submit with the well destruction permit <br /> application. As I mentioned today during our telephone conversation, whomever signs the MFR form is <br /> responsible for fees that exceed the amount submitted with the well destruction permit application. Please <br /> remember to include the tax ID#. (The shaded area on the form is for internal use.) <br /> When destroying MW-6, the conductor casing may remain in place; however, the 2-inch diameter Schedule <br /> 40 PVC casing, filter pack, and grout between the PVC casing and metal conductor casing must be <br /> removed and the borehole filled from total depth of approximately 64 feet bsg to surface with 10.3 Sack <br /> sand/cement grout, forming a"mushroom cap"at approximately three feet bsg. <br /> Please do not hesitate to call me if you have any other questions concerning well destructions. <br /> Vicki McCartney, Senior REHS <br /> San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue <br /> Stockton, California 95205 <br /> Phone: (209)468-9852 <br /> Email: vmccartnevCcD-sjcehd.com <br /> 6/20/2013 <br />