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ARCHIVED REPORTS_XR0008736
Environmental Health - Public
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EHD Program Facility Records by Street Name
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WATERLOO
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2537
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3500 - Local Oversight Program
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PR0545857
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ARCHIVED REPORTS_XR0008736
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Entry Properties
Last modified
10/10/2020 10:30:26 PM
Creation date
7/15/2020 3:06:22 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0008736
RECORD_ID
PR0545857
PE
3528
FACILITY_ID
FA0005147
FACILITY_NAME
E-Z FOOD
STREET_NUMBER
2537
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95205
APN
11914035
CURRENT_STATUS
02
SITE_LOCATION
2537 WATERLOO RD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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LOCATION, fjoT ej4EC,*(1P,-0 <br /> O14IGINAI. WATER WELL DRILLERS REPORT Do Not Fill In 3- <br /> File Original,Duplicate and Triplicate with the (Section Toys,7077,7078,Water code) � 34542 <br /> REGIONAL WA'T'ER POLLUTION Stats VPeil No T--- <br /> CONTROL STATE OF CALIFORNIA I30ARD No r- <br /> r a1.Cro1•ctrtr t:9mbrr) Otho Wr11 Na .t <br /> I} OWNER- (10 WELL LOG- <br /> Name Freak M. Milson g2�Ma'ny, TInc. _ _ Total depth it Depth of completed well s {�+ fc <br /> Address Cher&kee^Lane & Harding TU Formanon DnMbe by color,ebarertn,dee of marrld,eisd,lracfure <br />' Stockton, Cel if. Q it 3 ft Surface tr 1 Soil <br /> 12 Sandy uµ <br /> (2) LOCATION OF WELL- 12 46 Hard Sandy Clay Sand Streaks) <br /> 46 <br /> ay <br /> c"onty_llllilli J� �]�1� Owner's number,if any— 67 S--a----- -- D"^✓,_Cl <br /> R F D or Street Ne Cherokee I eml Y <br /> Harding inti£- 67 744 95 Send, <br /> andy Cl <br /> ay <br /> lU 1n DU Sandy Clay <br />' ni _ 344 Sante..ClSY <br /> 1,64 '7 Sand <br /> IL47 177 San Clay <br /> (3) TYPE OF WORK (check): 177 210 Sand & Gravel (Hard Streaks <br />' New*eJ1 M Deepening ❑ Recondmonmi; ❑ Abandon 0 210 2a Sand & Gravel (ClEff Stregk.A <br /> If abandonment,describe tadersal and proredure an Item 11 __221 M Sand & Gravel <br /> (4) PROPOSED USE (check): (5) EQUIPMENT. 222 '2 Sandy-Clay <br /> _._. <br />' Domestic ❑ Industnal ® Mnnlclpal ❑ Rotary ® 3A 254 Sand & Gravel _ <br /> Irrigation ❑ Test Well ❑ Other [] Cable ❑ 254 297 HBXA- Blue SMft C197 <br /> 11 1 Du Weil ❑ 297 d F11iiR Sana�nd tSt1i <br /> _ (6) CASING INSTALLED: If gravel packed Gr_ (CIgy StIcs. <br />' SlNGLrm 2g DOUBLE❑ Gage -354- n3- Sandy TKI no Clay <br /> /•� <br /> Diameter frena 3`71 417 Hine sandy Clay (Hard Streakip) <br /> From Oft O ft 3ODLIMIZA W.11 of Sors ft it <br /> - !p 200 16 1 ��" O Sfl 41.7 _- " _ !,1'iD Hard Ssndy Clay (,��4�. StreAks) <br />' ?ODAAQ 12 1 1M 50 14 <br /> Type and ssxe of shoe or well ring none Stxe of gn 41/8 <br /> Deserabelarat welded <br /> (7) PERFORATIONS. <br /> Type ofperforat-tea <br /> �adC <br /> Slxo of perforation-s1 1* m.,length by a/8 _an l <br /> From 9Aft to M ft :L5 Pert per row_ - Row.per ft -— -�y -,4 <br /> 124 130 Z3&2541 -3-3S--3-561 <br /> — JAR 1491 1 <br /> 173 198 29 O t i ' - <br />' 206 218 U6zaa 32' 428-434t <br /> (8) CONSTRUCTION. ' <br /> Was a surface sanitary teal ptonded? X Ya ❑ No To whit depth 50 it '^ - - -• <br />' Were my strata sealed agamat polletmn? ❑ Yes :9 No If yet,ooze depth of strata <br /> From fe to h <br /> Method of Sealing_ �' c 55 <br /> _ •_ , _. _-J Werk caned-- J • lJf _195 Compleud_—.T'-E�. $s 19 <br /> r -WELL DRILLER'S STATEMENT <br /> (9) WATER LEVELS: t �_Thfr_wpll win drsUed under nay jurtsdschon and this report is trete to the bent of <br /> Depth at which Inter wa Erse found not available "- - fc my knowledge and belief t•s rt <br /> +^ d, a level before perforating 1! n A -NAME �TMN WELL � LTNG CO. L r�D. <br /> ing Isrd¢fits per£onttag 11 11 ft (Pejo. fum r eorporanon Si (Typrd or prt) <br /> Address F. 4. Bax 47 <br /> (I Q) WELL TESTS: t SAn X•oge l_ Cal If, <br /> War a pump test made? Z Yea lj No If yes,by wbdm? driller dx'ill.0r <br /> Ytdd 275n gal/ma with^ -_12 - ft dzaaas down after lI breJ r� �t -- iron Drill" iT <br /> Temperaron of water Was¢chemical aealys,s made? ❑ Yes (,X No �iu+OV866 Nov. <br /> License No' — Dated___— _, 19_ <br />' Wee electt,c to made of welly Yet 9'669 3 94 a9At QUIP4 O SPO <br /> g g} []No ❑WR F[Sasd Na 246 tiisY 3 s.tl <br />
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