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WP0043911
Environmental Health - Public
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EHD Program Facility Records by Street Name
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TOBACCO
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18660
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4200/4300 - Liquid Waste/Water Well Permits
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WP0043911
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Entry Properties
Last modified
12/16/2025 12:01:19 PM
Creation date
10/7/2024 8:18:57 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0043911
PE
4378 - WELL REPLACEMENT-Existing Well Viable
STREET_NUMBER
18660
Direction
E
STREET_NAME
TOBACCO
STREET_TYPE
RD
City
LINDEN
Zip
95236-
APN
10514032
CURRENT_STATUS
Active
QC Status
Approved
Scanner
SJGOV\gmartinez
Supplemental fields
Site Address
18660 E TOBACCO RD LINDEN 95236-
Tags
EHD - Public
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274 276 BLACK SAND ' <br /> 276 278 SHALE <br /> 278 291 BLACK SAND <br /> 291 308 SHALE <br /> 308 310 BLACK SAND <br /> 310 318 SHALE <br /> 318 320 BLACK SAND <br /> 320 335 SHALE <br /> 335 340 BLACK SAND <br /> 340 356 SHALE <br /> 356 360 BLACK SAND <br /> 360 370 SHALE <br /> Casings <br /> Casing Depth from Surface Wall Outside Screen Slot Size <br /> # Feet to Feet Casing Type Material Casings Specifications Thickness Diameter if any Description <br /> (inches) (inches) Type (inches) <br /> 1 0 280 Blank PVC OD:6.900 in. I SDR: 0.329 6.9 <br /> 21 1 Thickness:0.329 <br /> in. <br /> 2 280 360 Screen PVC OD:8.625 in.I SDR: 0.41 8.625 Saw 0.045 <br /> 21 Thickness:0.410 Cut <br /> in. <br /> Annular Material <br /> Depth from <br /> Surface Fill Fill Type Details Filter Pack Size Description <br /> Feet to Feet <br /> 0 100 Bentonite High Solids <br /> 100 1 360 Other Fill See description. BIRDS EYE GRAVEL <br /> Other Observations: <br /> Borehole Specifications Certification Statement <br /> Depth from I.the undersigned,certify that this report is complete and accurate to the best of my knowledge and belief <br /> Surface Borehole Diameter(inches) Name MASELLIS DRILLING INC <br /> Feet to Feet <br /> 370 14 Person, Firm or Corporation <br /> 0 <br /> 119 ALBERS ROAD MODESTO CA 95357 <br /> Address City State Zip <br /> Signed electronic signature received 09/04/2024 668622 <br /> C-57 Licensed Water Well Contractor Date Signed C-57 License Number <br /> DWR Use Only <br /> CSG# State Well Number Site Code Local Well Number <br /> N 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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