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FIELD DOCUMENTS_CASE 1
Environmental Health - Public
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EHD Program Facility Records by Street Name
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HAZELTON
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375
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2900 - Site Mitigation Program
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PR0540905
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FIELD DOCUMENTS_CASE 1
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Last modified
2/3/2020 9:28:55 AM
Creation date
2/3/2020 8:37:39 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
FileName_PostFix
CASE 1
RECORD_ID
PR0540905
PE
2960
FACILITY_ID
FA0023406
FACILITY_NAME
SIERRA LUMBER MANUFACTURERS
STREET_NUMBER
375
Direction
W
STREET_NAME
HAZELTON
STREET_TYPE
AVE
City
STOCKTON
Zip
95205
APN
147120808
CURRENT_STATUS
01
SITE_LOCATION
375 W HAZELTON AVE
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\sballwahn
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EHD - Public
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MCMI CRING 'N°:-' EZNSaL_ki1ON ZoCRT <br /> Dace•. D Zo �( ° CONS L RUCTION <br /> ?-!mise Address: S �Sl /' ld Tocal Depch 4.S' <br /> Sceen Length (coca) o (co) Zb <br /> Well No: ® t uJ �� 4 F Icer ?ack (from) fI 4 i (co) [1 tIf <br /> n 3enconice (f`om) `1 (to) b <br /> Inspector. K Grout <br /> (&om) f S �(to) i <br /> Ordling ag type <br /> ?e.^ic No. / Auger O.D. J.D. <br /> Dr.IILng Company: SFS <br /> cellar: <br /> Consuk—mc <br /> GZOIogSC <br /> SPECIAL ?EtLA4T INFO. <br /> Distance A sewer line <br /> Comescc well on site - (y/ n) <br /> If?es, location and distance - <br /> S��rt?L;vG / <br /> Holding TempetaCUre /�/(/OV <br /> e <br /> Method <br /> Screening Merhod <br /> Tracking Sheet - yv a <br /> j: <br /> S?CILS ir`�• <br /> Storage Method 6^ P" MAiERI4LS/DEVELOPIE:r i <br /> Concaz nacon Noced • - f a) q� <br /> Swage Location C o rr+� r�ecu- casing e <br /> Blank__LIZZD fc. Sceen Z o fe <br /> Slot size G- o z O <br /> GROU?iNG Bags cement 5- <br /> Buckets bentonite / <-oc <br /> Depch to water 3b 3ags sand/gravel 6.S nc <br /> Mix Zados _ Fater Pack ype/size 7 <br /> Inscalladon Method Surge 3lock: - (y/(-m) <br /> Quand.!InscalIed [ T - Diwussed with geologist - / a) <br /> Type of:aechod <br />
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