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WP0045386
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0045386
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Last modified
8/15/2024 4:56:54 PM
Creation date
7/1/2024 2:52:24 PM
Metadata
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Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0045386
PE
4366
STREET_NUMBER
13041
Direction
E
STREET_NAME
WOODBRIDGE
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
01722022
ENTERED_DATE
3/26/2024 12:00:00 AM
SITE_LOCATION
13041 E WOODBRIDGE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\gmartinez
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EHD - Public
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43 <br /> m .; iCl.�►�C�g.�? a���� � bad�8s", <br /> Casing Depth from Surface Wall Outside Screen Slot Size <br /> # Feet to Feet Casing Type Material Casings Specificatons Thickness Diameter if any Description <br /> (inches) (inches) Type (inches) <br /> 1 0 320 Blank PVC OD:6.625 in. I SDR: 0.316 6.625 LINER <br /> 211 Thickness:0.316 <br /> in. <br /> 1 320 360 Screen PVC OD:6.625 in. I SDR: 0.316 6.625 Milled 0.032 LINER <br /> 211 Thickness:0.316 Slots <br /> in. <br /> 1 360 380 Blank PVC OD:6.625 in. I SDR: 0.316 6.625 LINER <br /> 21 1 Thickness:0.316 <br /> in. <br /> 1 380 400 Screen PVC OD:6.625 in. I SDR: 0.316 6.625 Milled 0.032 LINER <br /> 21 Thickness:0.316 Slots <br /> in. <br /> P" <br /> � <br /> t A>r�iular ' aterta� <br /> a tea,.. - ' �,.. .ii <br /> I ,� , <br /> Depth from <br /> Surface Fill Fill Type Details Filter Pack Size Description <br /> Feet to Feet <br /> 0 208 Bentonite High Solids PUMPED BENTONITE <br /> 208 400 Filter Pack Other Gravel Pack BIRDS EYE PEA GRAVEL <br /> Other Observations: <br /> cil5pecafiCaf�o>t�s � ea >ficaai>o 5#af` nenf a <br /> .0h <br /> Depth from 1,the undersigned,certify that this report is complete and accurate to the best of my knowledge and belief <br /> Surface Borehole Diameter(inches) Name CANEPA AND SONS INC <br /> Feet to Feet <br /> 0 L 400 12.25 <br /> Person,Firm or Corporation <br /> 14384 CUESTA COURT SONORA CA 95370 <br /> Address City State -Z,p <br /> Signed electronic signature received 07/03/2024 425749 <br /> C-57 Licensed Water Well Contractor Date Signed C-57 License Number <br /> -21 <br /> CSG# State Well Number Site Code Local Well Number <br /> TT7N W <br /> Latitude Deg/Min/Sec Longitude Deg/Min/Sec <br /> TRS: <br /> APN: <br /> Form DWR 188 rev. 12/19/2017 Page 2 of 2 <br />
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