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FIELD DOCUMENTS
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0537136
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Last modified
4/8/2020 2:09:49 PM
Creation date
4/8/2020 1:48:07 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0537136
PE
2960
FACILITY_ID
FA0021316
FACILITY_NAME
NUSTAR ENERGY, LP
STREET_NUMBER
3015
STREET_NAME
NAVY
STREET_TYPE
DR
City
STOCKTON
Zip
95206
CURRENT_STATUS
01
SITE_LOCATION
3015 NAVY DR
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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MONITORING WELL INSTALLATION REPORT <br /> Date: 2 -- ZOI'v CONSTRUCTION <br /> Premise Address: 3015 Wk44 Driven, s+°G+' „CA Total Depth S5 F1 <br /> Screen Length (from) -5O (to)� ..���� <br /> Well No.: _Ta/; W-46 Filter Pack (from) 24 (to) 55 <br /> Bentonite (from) '2-5 (to) 2' <br /> Inspector: Tad. "raS°vPo�ios Grout (from)—(to) 'Z.5 <br /> Drilling rig type CM$ yS <br /> Permit No. 0 0 (a5La( Auger O.D. -'w I.D. �&`Y(l <br /> Completion - tove pie hrisde box (circle one) <br /> Drilling Company: Cis c aQa Drdhue ,l-• P• <br /> Driller: Sa lZAK casing <br /> 3$u height <br /> Consultant �v)vivvnnd& I c I iU3 Grvvpl Tnr - 32Ya <br /> Geologist h't 4yc No it <br /> ABOVE-GROUND CNRISTY-BOX <br /> COMPLETION <br /> COMPLETION <br /> SPECIAL PERMIT INFO. Oround SUflacs <br /> Distance to sewer line 4" groLl <br /> Domestic well on site - (y/ <br /> 25 ft. <br /> If yes, location and distance - ft. <br /> SAMPLING slotted = S <br /> sa(;aon <br /> Holding Temperature4°C e. <br /> Method. t,.�� Ly wc( �so16 _ -.- fl�+�Pam <br /> Screening Method P10 <br /> Tracking Sheet - n) ' <br /> 35 <br /> }t. <br /> SPOILS <br /> Storage Method ©vts kcyo U--a&( MATERIALS/DEVELOPMENT <br /> Contamination Noted - /n) � ` <br /> Storage Location Vtar s Jd, o2Z Casing type s46 <br /> Blank----30 ft.� ) Screen <br /> Slot size 0.0t01DiC . <br /> GROUTING Bags cement 9 W.'o <br /> Buckets bentonite1 <br /> Depth to water � Bags sand/gravel r. So b <br /> Mix Ratios 74- tl- is ,.t� Filter Pack type/size -r vex <br /> Installation Method 3. r Q Surge Block: - 0/ n) <br /> Quantity Installed %k3e4 Discussed with geologist: - (<Y)/ n) <br /> Type of method S MSP n� <br /> EH 29 29 <br />
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