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WORK PLANS_PART 1 FILE 1
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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PR0009015
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WORK PLANS_PART 1 FILE 1
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Last modified
5/26/2020 2:11:25 PM
Creation date
5/26/2020 1:12:49 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
WORK PLANS
FileName_PostFix
PART 1 FILE 1
RECORD_ID
PR0009015
PE
2960
FACILITY_ID
FA0004094
FACILITY_NAME
J R SIMPLOT (OCCIDENTAL CHEMICAL)
STREET_NUMBER
16777
STREET_NAME
HOWLAND
STREET_TYPE
RD
City
LATHROP
Zip
95330
APN
19818005
CURRENT_STATUS
02
SITE_LOCATION
16777 HOWLAND RD
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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r <br /> CLAR WELL & EQUIPMENT CO.We <br /> 4111010- ! <br /> Report <br /> Contractor's R 50 <br /> f <br /> "• OWNER: _ (11) WELL LOG:.. _. <br /> to Occidental Chemical Company Total depth 1 55 ft epth Dof completed well 1 ft. <br /> Address 16777 South Howland RDescribe oad Formation: Descby color,character,sirs of matorlal, and strueture. � <br /> Lathrop, Cal Porn a 95330 0 ft.to 7 ft. X01 i <br /> _7 10 Senn <br /> t,) LOCATION OF WELL: I& • N — <br /> c, -ty Sar. Joaquin owner's No Site d 8 A 14 24 "_ sand <br /> r No. 23 •' 42 y <br /> 2 •' 8.0 n <br /> 82 91 CT-say _ <br /> 91 at Sand <br /> TYPE OF WORK (check) 9 144 �• Clay <br /> Stand• , <br /> Ne well Ix Deepening ❑ Reconditioning ❑ Abandon ❑ 147 "- 11 r� ,• Cla� <br /> rndonment. describe material and procedure In Item 11. N S 2 ,• <br /> I PROPOSED USE (check) -onitor (5) EQUIPMENT: ,. <br /> Dc—estic ❑ Industrial ❑ Municipal ❑ Rotary t <br /> 3tlon ❑ Test Well ❑ Other Cable ❑ „ <br /> J CASING INSTALLED: " <br /> Sin i Double ❑ If gravel packed <br /> Gags <br /> or Diameter <br /> .,,I ft.to ft. Diam. Wall of bora from n •• r <br /> •• M <br /> dd <br /> ' 1509 31' #12 <br /> •• N <br /> We ihos size 1Vo21e size of gravel: "21" " �• <br /> scribe Joint Welded <br /> (7! )ERFORATIONS: None .. N <br /> e of perforatior used .. „ <br /> e of perforations In., length, by In. " '• <br /> Frc ft. to ft. Pert. per row Rows per ft. '• <br /> Johnson Well Screen, 60 Slot, Low " .. <br /> r on Shaped . rel <br /> �• N <br /> �• N <br /> (8) :ONSTRUCTION: <br /> To what <br /> I it surface sanitary seal provided? M Yes No❑ depth 138 ft. ,• ,. <br /> e any strata sealed agonist pollution? ❑Yea ❑No If yes,trate depth of strata N .. <br /> f ti ft. to ft. .. " <br /> f shod of Sealing <br /> worts started June 90 is 80 Completed June 30 1 0 <br /> Cement Grout <br /> CONTRACTOR'S STATEMENT: <br /> This wall was drilled under my jurisdiction and this report is true to the bast <br /> (9) TATER LEVEL: 9 ft of my knowledge and belief. <br /> NAME rlr:srlc taiQll =�j �rp, 1 Co. Inn <br /> NELL TEST By <br /> Vate romped G.P.M. Address 2024 East Charter way <br /> •m down ft. <br /> ft ft Stoc'--ii cali QOr;Zi 952(1 <br /> wall G.P.M./ft. ~ <br /> 'P. <br /> iarature of water Chemical analysis (Signed) <br /> wtrlc log made of well? ❑Yes ❑No License No.... 371 560 <br /> DatedJurle34___• 19___-S 9_ <br />
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