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ARCHIVED REPORTS_XR0005916
Environmental Health - Public
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EHD Program Facility Records by Street Name
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FRONTAGE
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1022
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2900 - Site Mitigation Program
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PR0534875
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ARCHIVED REPORTS_XR0005916
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Entry Properties
Last modified
4/7/2020 2:09:47 PM
Creation date
4/7/2020 1:38:57 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005916
RECORD_ID
PR0534875
PE
2960
FACILITY_ID
FA0020170
FACILITY_NAME
AAA TRUCK WASH/JIMCO TRUCK PLAZA
STREET_NUMBER
1022
Direction
E
STREET_NAME
FRONTAGE
STREET_TYPE
RD
City
RIPON
Zip
95366
APN
26102004
CURRENT_STATUS
01
SITE_LOCATION
1022 E FRONTAGE RD
P_LOCATION
05
P_DISTRICT
005
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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r t <br /> ORIGINAL. STATE OF CALIFORNIA Do not fill In <br /> File With SWR THE RESOURCES AGENCY <br /> DEPARTMENT 01=' WATER RESOURCES No. 083763 <br /> WA <br /> of Intent No -17536060 TER WELL DRILLERS REPORT <br /> D <br /> State Well No <br /> rm,t No or ate <br /> Other Well Na 0ZSORE,n F i6 <br /> _. <br /> (1) OWNE$ �y\,,e Hank Wal l enburg (12) WELL LOG. 1� <br /> 6 0 6 Tata!dept}i�0r�V f; Depth of completed we v 0 <br /> Address from ft to ft Foringarac <br /> tion (Describe by color chter size or material) <br /> Ctty g°te a any opsol <br /> zip - <br /> (2) LO(�VOJ%2( UTXLL (See instructions) 10- a y t some sari Ayers <br /> County Owners We11 Number — an <br /> Well address iddfkgrent from above26 all G ay -Layers <br /> Township 6Rant,e Sgeh <br /> lltat,incr Fniui citiesrv, 70 Cla <br /> ads railroad s fences etc 5 • Wy — 0 <br /> (3) TYPE OF WORK <br /> i/ New Well 4M Deepening C] — <br /> ReconsEltruction <br /> e 0 Reconditioning ❑ o er-well wait ins a e on <br /> O� Horizontal Well ❑ e m not respons l e <br /> Destruction ❑ (Describe y g or r 'V g e <br /> G� procedures an Tt m]s <br /> (4) PROPOSED - <br /> / Doulest,e _ <br /> Irrigation 0 <br /> Industrial O ❑ _ <br /> Well [] <br /> Mumup <br /> I%ELL LOCATION SKETCH Other ❑ - <br />(5) EQUIPl1IL NT (6) GRAV ACK <br /> Rotary :] Reverie ❑ No Size <br /> Cable ❑ Air ❑ r of bore ry <br /> Other ❑ 1Suakrt ❑ m 0 100 <br /> t — <br />(7) CASIM14 INSTALLED (S) ERF <br /> Sleet ❑ YlusGc Co r Type of pewvrte of scree — <br /> Front To <br /> Dia Ga r F To - <br /> ft ft in Wail ft <br /> ft sl <br /> C10 11 X _ <br />(9) WELL SEAL o <br /> Was surface sanitary seal provided? Yes 0 No ❑ If yes to depdt_. ft <br /> Were strata sealed against gollu ep_'Yes ❑ No Jt] Interval ft _ <br /> Method of seahn l::@@ 11 Work started_ 19 Cumpl� _19 _ <br />(10) WATER LEVELS WELL DRILLERS STATE\IE\ <br /> Depth of first water of know27 n ft This well was dW udder rnl urud un „nil n ,. lu,. r„ Ih. hr.r l day <br /> Standing 1 vel after well completiort _ ft l.nowledge a,,,_ eh i <br />(11) WELL TESTS <br />\tea %'el] test ntide7 Yes ❑ No EX If yes by whom 1 <br /> T3I of teat Pump ❑ Bailer E] Air lift ❑ P ero well b?l rig; Inc . <br /> Pepth (o w at r at It in of test ft At end of test <br /> ft 31456"T.' T dtA0-Tree' Road, .�e.t, <br /> If vy,eul/nwi u([er homy Walter temperature Addrr%y -Oakdale, <br /> Calif.f• ����� <br /> 1 triil+at+ midt' lit ❑ \u (.] It %CN b% '%homy tit} _ +A7 1�� W' wi 1 5361 <br />%% .in, I �. a ul.' Sty Lv \n — It ,, Mtth �,pa l,+ thta nliurt l.ucnye \„ 333 Nair 1 tbu -'L st 10 <br /> /23/79 <br /> owes Ilse AiEw > 76 IF ADDITIONAL SPACE 15 NEEDED USE NEXT CONSECUTIVELY NUMBERED FORM <br />
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