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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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PR0516247
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Entry Properties
Last modified
6/23/2026 3:41:17 PM
Creation date
7/14/2021 9:05:32 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0516247
PE
2960 - RWQCB LEAD AGENCY CLEAN UP SITE
FACILITY_ID
FA0012531
FACILITY_NAME
CITY OF LODI-CENTRAL PLUME
STREET_NUMBER
221
Direction
W
STREET_NAME
PINE
STREET_TYPE
ST
City
LODI
Zip
95241
APN
04303111
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\gmartinez
Supplemental fields
Site Address
221 W PINE ST LODI 95241
Tags
EHD - Public
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SAN�JOAQUIN <br /> � Environmental Health Department <br /> I' COUNTY <br /> Greotness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: 41A710-.4-1 Inspector: lj_ 5&A CONSTRUCTION <br /> Facility Add ess.'21-� /V - i2l(AJIL, <br /> Well Address: �� Total Depth: <br /> WP# 1/64IAZ_�? Well#: Drilling Rig Type: <br /> Soil Boring#: <br /> Drilling Compa y: Min 2" Annular EHD Seal Verified: El Yes ❑No <br /> Driller Onsite: lw Screen Length From: To: <br /> Consultant: � Filter Pack From: To: <br /> �SLL. <br /> Bentonite From: To: <br /> Geologist: 1 <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes o casing <br /> If yes, location and distance: WT <br /> height <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: COMPLETION COMPLETION <br /> Method: G=nd Sumacs <br /> Screening Method: act <br /> Verified Chain of Custody: ❑ Yes ❑No —`—ft. <br /> tt. <br /> ft. <br /> SPOILS = <br /> Contamination Noted: ❑ Yes El No — <br /> If yes, spoils storage Location: Biome <br /> asc:ion <br /> Covered: ❑ Yes ❑No = �� <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: <br /> Depth to Water: <br /> Grout Material: <br /> Gallons of Grout Used: MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> []Well Installation ❑Well Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation Boring Destruction gags iz Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> Type/Brand of Bentonite: <br /> ❑Pressure Grout <br /> /❑Over Drill Filter Pack Type/Size: <br /> �/Gravity remie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> gallons Bags gallons Bags <br /> Thickest Thinnest 1JBags Thickest Thinnest VBags Bentonite/Cement Mix 3% Mix 5% Mix <br /> 2.5 5 1 5 10 1 Bentonite per 47 lb 1.41 2.47 <br /> 5 10 2 10 20 2 Bentonite per 94 lb 2.82 4.7 <br /> 7.5 15 3 15 30 3 <br /> 10 20 4 20 40 4 <br /> 12.5 25 5 25 50 5 <br /> 15 30 6 30 60 6 <br /> 17.5 35 7 35 70 7 <br /> 20 '4�0� '82 80 8 <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 www.s'cehd.com <br />
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