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ARCHIVED REPORTS_XR0013061
Environmental Health - Public
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EHD Program Facility Records by Street Name
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LOOMIS
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3500 - Local Oversight Program
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PR0545428
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ARCHIVED REPORTS_XR0013061
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Entry Properties
Last modified
3/9/2020 7:15:06 PM
Creation date
3/9/2020 10:47:31 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0013061
RECORD_ID
PR0545428
PE
3528
FACILITY_ID
FA0005487
FACILITY_NAME
MARCIS DIESEL SERVICE
STREET_NUMBER
2969
STREET_NAME
LOOMIS
STREET_TYPE
RD
City
STOCKTON
Zip
95205
CURRENT_STATUS
02
SITE_LOCATION
2969 LOOMIS RD
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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STAT9 Of CALIFORNIA,n bb Not Fill In <br /> OR1101 lAL TH RESOURCES AGENCY ��yy�} <br /> Me with 0m DEPARTMENT'OF WATER RESOURCES N? 12 2 6 J`L` <br /> WATER WELL DRILLERS REPORT S=ate well No. <br /> Other Well No—..2!±—1 I'l--1 2i W, <br /> (1) OWNER: (IQ WELL LOG: <br /> Name Lewis Barcla <br /> Total depth ft. Depth of compined-17 175 it <br /> Address i 6 Loomis Rd. <br /> Formation: Drreribr by rotor,rbu.rter,rine at marrrial,cpd[erserlurr <br /> Stockton Cali fe.to ft <br /> (2) LOCATION OF WELL: Top s <br /> ol <br /> County San Joacluin Owner's number,if any _ <br /> Township,Range,and Section <br /> Distance from cities,roads,r20roads,ezcL corn • Rd & fit' 99 {� <br /> L m' Westf — F <br /> (3) TYPE OF WORK (check): <br /> New Well 0 Deepening ❑ Reconditioning ❑ Destroying ❑ <br /> If destruction,describe material and procedure in Item I i. _ <br /> (4) PROPOSED USE (check): (S) ,•EQUIPMENT: _ ? <br /> L Domestic ® Industrial ❑ MunicipaI Q Rotary CI <br /> Irrigation ❑ TestWell ❑ Other ❑ Cable [] <br /> Other ❑ _ <br /> L (6) CASING-INSTALLED: _ <br /> Sand <br /> STEEL:X OTHER: Ifgravel packed _I on rl AV <br /> SINGLE DOUBLE F71a . <br /> Gage Diameter <br /> From Co or of From To <br /> ft. it, Diam. W2 11 Bore ft. ft. <br /> ); w <br /> Sim of shoe or well ring: Size of¢rayl: - <br /> 1]eserihe joint <br /> (7) PERFORATIONS OR SCREEN: <br /> Type of ts-i-6—or name of screen a' - <br /> Perf. Rows _ <br /> From To per per Size r t•' it <br /> ft. fl, row f t: in.x in. <br /> vV . <br /> ;&-n <br /> L � . <br /> l <br /> i <br /> (s) CONSTRUCTION: <br /> Wa;a surface sanitary sea]provided? Yes i110❑ To what depth 50 f, <br /> J Wrrr aur grata an,d a;sins[pollution% Yes 0 No <br /> ❑ if yes,note depth of strata <br /> *tort ft.to ft. ` <br /> ir� trnm <br /> it. to fv. Work started r- — 19 1+,Completed 79 <br /> Method of,tali-K Rentonite WELL DRILLER'S STATEMENT: t <br /> (9) WATER LEVELS: This well was drilled under my jurisdiction and this report is true to the best <br /> of my knowledge and belief. <br /> Depth at wbith water was first found, if known .fr. <br /> itanding level before 0"f600 K, if knnwo .'ft. NAME Tse. r � �� 1 • D C O In _ <br /> - Person,firm,or corporation)axion) [F yprd pr nfrpr: d) <br /> LL ]tandinK level s(ter perforaring grad developing s �ft. [ p <br /> (10) WELL TESTS: Address l Rumble T3 <br /> d. <br /> '\V7as pump test made? Yes C] No if yes,is horn? <br /> tld: <br /> A.I./min.with it,drawdorn after hn.ell [SIGNED].. <br /> Tempara[ure of water Wsa a chrmieal analysis made' Yes ❑ No f1�l O (Wolf Drrtlerrj <br /> Was electric tui[made of bell? Yes ❑ 310 If yes.attach copy License No. ZL,LL}-�,. Hated ��f-.3.1 __.._, 19-7-4 <br /> SKETCH LOCATION OF WELL ON REVERSE SIDE <br /> L <br /> o W R 188 tea++.6-450 I 67126-726 5.7a*DM THIP©r se <br /> i aJ <br />
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