Laserfiche WebLink
0RI,f3INAL STATE OF CALIFORNIA DWR USE ONLY — DO NOT FILL IN <br /> File with DWR �LL COMPLETION REPOR <br /> Page 3 of 4 Refer to Instruction Pamphlet STATE WELL NO/STATION NO. <br /> Owner's Well No. MW—3 NO. 7 2 6 0 5 7 0 1 0 11 <br /> Date Work Began 12/13/00 gnded 12/14/00 LATITUDE LONGITUDE <br /> Local Permit Agency San Joaquin County Env. Health Div. <br /> Permit No. SR 7 0 Permit Date APN/TRS/OTHER <br /> GEOLOGIC LOG WELL OWNER <br /> ORIENTATION (2L) X VERTICAL HORIZONTAL _ANGLE _(SPECIFY) Name Gene Gabbard Inc. <br /> DRILLING H.S.A. P.O. Box 1260 <br /> METHOD FLUID <br /> suRFACE Mailing Address <br /> DEPTH FROM DESCRIPTION Stockton CA 9521 2 <br /> Ft. to R Describe material, grain size, color, etc. em r STATE ZIP <br /> 0 32.51 Brown ClayAddress 640 NortkiY��iL�orac�o St. <br /> 1 1 city Stockton <br /> County San Joaquin <br /> APN Book Page Parcel <br /> Township Range Section <br /> Latitude I I NORTH <br /> Longitude t IWEST <br /> DEG. MIN, SEC, DEG. MIN. SEC.. <br /> LOCATION SKETCH ACTIVITY (L) <br /> I 1 NORTH X NEW WELL <br /> MODIFICATION/REPAIR <br /> — Deepen <br /> 1 <br /> See attached site plan — Other(Specify) <br /> DESTROY(Describe <br /> Procedures and Materials <br /> Under"GEOLOGIC LOG") <br /> PLANNED USES (v) <br /> 1 WATER SUPPLY <br /> — Domestic Public <br /> F _ Irrigation Industrial <br /> MONITORING X <br /> 1 1 TEST WELL <br /> I <br /> CATHODIC PROTECTION <br /> HEAT EXCHANGE_ <br /> DIRECT PUSH <br /> INJECTION <br /> VAPOR EXTRACTION <br /> 1 I SPARGING <br /> SOUTH REMEDIATION <br /> Illustrate or Describe Distance of iVelIrom Roads Bulldingv, OTHER(SPECIFY) <br /> I I Fences,Rivers,etc and attach a nmp. ve addltumal caper if (SPECT <br /> necessary.PLEASE BE ACCLIRATE&COMPLET�. <br /> WATER LEVEL & YIELD OF COMPLETED WELL <br /> 1 1 <br /> i DEPTH TO FIRST WATER (Ft.) BELOW SURFACE <br /> i DEPTH OF STATIC <br /> WATER LEVEL (Ft.)&DATE MEASURED <br /> ESTIMATED YIELD ' (GPM) &TEST TYPE <br /> TOTAL DEPTH OF BORING 33 (Feet) TEST LENGTH (Hrs.)TOTAL DRAWDOWN (Ft.) <br /> TOTAL DEPTH OF COMPLETED WELL 32.5 (Feet) ";llrry not be representative of a well's long-teen yield. <br /> DEPTH CASING (S) DEPTH ANNULAR MATERIAL <br /> FROM SURFACE BORE- TYPE(") FROM SURFACE TYPE <br /> HOLE <br /> DIA. x z u MATERIAL/ INTERNAL GAUGE SLOT SIZE CE- BEN- <br /> (Inches) 2E c�i c_ GRADE DIAMETER OR WALL IF ANY MENT TONITE FILL FILTER PACK <br /> Ft. to FL m ac o� (Inches) THICKNESS (Inches) Ft. to Ft. (TYPE/SIZE) <br /> 7. 5132. 5 8" x PVC 2" sch 40 .01 5 132. 5 k 2/12 <br /> 0 ' 7.5 8" x PVC 2" sch 40 3 ' 5 x <br /> 0 3 x <br /> I I <br /> ATTACHMENTS (v) CERTIFICATION STATEMENT <br /> Geologic Log I, the undersigned,certify that this report is complete and accurate to the best of my knowledge and belief. <br /> _ <br /> Well Construction Diagram NAME Cascade DrillingInc.(PERSON, FIRM, DN CORPORATION) (TYPED DR PRINTED) <br /> _ Geophysical Log(s) <br /> Soil/Water Chemical Analyses 3632 me ircle Rancho Cordova CA 95742 <br /> _ Other ADDRESS CITY ��s1- /STATE ZIP <br /> ATTACH ADDITIONAL INFORMATION, IF IT EXISTS. Sincetl —__��'�/ / 717510 <br /> ELL EN/AUTHOFI WPRESENTATIVE DATE SIGNED C-57 LICENSE NUMBER <br /> DwR ISS REX. 11-97 IF ADDITIONAL SPACE IS NEEM-15'11F NEXT CONSECUTIVELY NUMBERED FORM <br />