Laserfiche WebLink
ORIGINAL <br /> with Q )I ITE OF , \LIFOR\[� _� DWR USE ONLY — DO N07 FILL IN <br /> File with f ELL COMPLETION REPOR' 1 1 1 1 1 I f 1 1 <br /> ts -I— tarfi, to 1+I,t+r,,rt...r Prr+,1phl,r STATE WELt_NO STATION No <br /> :z, s :S'�,1 �.a tr No I L� <br /> D tte ('11. BL,,tri E ule d 4:7 —t v -) ''j LATITUDE LONGITUDE <br /> 1'rl1111t Agenft S n Joacrui.n Cour(ty Public Health I <br /> Pi,-I n)rt \o 6026 2 37 Peinut D ite 5-1 -01 I APN17RSIOTH ER <br /> GEOLOGIC LOG WELL OWNER <br /> oRIENTATtON 1�} VERTICAL _,.HORIZONTAL —ANGLE —__(SPECIFY) Na>ne EXXonMobil 011 Corporation <br /> DRILLING <br /> DEPT, FRO, METHOD FLUID M,ui1n7 -Wdlteti5 2300 Cla ton Rd. St.e. 1 250 <br /> SURFACE DESCRIPTION' Concord CA 94520 <br /> Ft o -t CSr 1117+ nlatr I l(rl ,r{!!11 >17,(, r.VlOt ctC CIT'f STATE ZIP <br /> ZVEL LOC IalON <br /> Acldiess5 :_. El oxalo Street <br /> Citi <br /> Count <br /> 1 r t CPN Book. & { Page k Piicel <br /> r TO-Tiship Range Section <br /> Latitude I t_ NORTH Longitude I r WEST <br /> e DEG MIN SEC DEG MIN SEC v <br /> I , <br /> LOCATION SKETCI1 kCTIi ITI (Y) <br /> 7,, NORTH — NEW WELL <br /> See attached site plan. MODIFlCATIONfREP41P <br /> I , <br /> Deepen <br /> I _ Other(Specliy) <br /> r I <br /> ❑ESTROY(Describe <br /> PrOCedtrres and Mare a/& <br /> Under GEOLOGIC LOG ) <br /> PL-kNNED USES { ) <br /> ' WATER SUPPLY <br /> + I _ Domestic _ Public <br /> _ Irrigation _ Industrial <br /> LLJ U3 <br /> f j? W MONITORING _ <br /> TEST WELL_ <br /> ' CATHODIC PROTECTION <br /> HEAT EXCHANGE <br /> r DIRECT PUSH _ <br /> I , <br /> NJ ECTICN <br /> VAPOR EXTRACTION <br /> SPARGING�. <br /> SOUTH REMEDIATION <br /> 111rr}hate or Vctcnik DWrluu of lvdl front.ithrac s Brlrkf111.s <br /> Tinccs htCcrz Ctc 111(1 rJttntft r1 nrnY L'sr. rllr(ltturErlt J)ahu 1f OTHER(SPECIFY) <br /> I , <br /> uerc sulfl PLE ISE BE -iCC G'Rr11E&CGAIPLI,TL <br /> W,TER LEA EL & YIELD OF COMPLETED WELL <br /> DEPTH TO FIRST WATER <br /> (Ft) BELOW SURFACE <br /> DEPTH OF STATIC <br /> I , <br /> WATER LEVEL (FI)&DATE MEASURED <br /> / ESTEMATEED YIELD (GPM) & TEST TYPE <br /> To FkL DLL's[[ ()I- 130111\G _ ` _,FeutI TEST LENGTH (Hrs) TOTAL DRAWCOWN {Ft) <br /> IO r1L 131-1711 OF i 0\1PLETED 11 CLL IFtLt) ' liar floc be+epmieuurrz e of a ldrtg-rtr-;u Weld <br /> DEPTH BORE C 151tG (S) DEPTH ANNUL�R N1ATERI#L <br /> FROM SURFACE HOLE TYPE (=) FROM SURFACE 7(PE <br /> DIA o MATERIAL INTERNAL GAUGE SLOT SIZE O <br /> Ilncnes) ¢ o r- i GRADE DIAMETER OR WALL IF ANY E BEN) <br /> FILTER PACK <br /> FI to Ft MENT TONITE FILL <br /> m U� Ilncnesl THICKNESS (Inches} Ft to Ft (T'YPEISIZE) <br /> AD ti XX)G,H1 _ <br /> � I <br /> (i Z x <br /> � I , <br /> t rT rS , L) CERTIL'IC ITIOtN 5TXTEIIGVT <br /> — log <br /> G001091C the undersigned certify that this report Is complete and accurate to the best of my knowledge and be}ler <br /> 4 <br /> _ <br /> 'Jell Cansrructlon Diagram NAME <br /> t +PFg50N RRM JR COflP IONI +TYPED UR RiNTEO) <br /> Gaophvslcal Log(s) <br /> So1I/WRter Chemical,Azalvses ' <br /> Outer r IOORE..S 1 CIT, STATE ZIP <br /> .TT,L'-1 -40DIrfOV.1L rVj GpA,IA ON 1F T cYISTS Sr91ied ' .r" ✓ /��/!J� /��/t��'f <br /> �RlAI1FH11HIZE6 REPRESEPdTA IUk OAT IVIED' ( 77 +ILEfVSE rlt}MBEft <br /> 01 1 l IF nDDIMCAJ L SFACE IS NEEDED USE NE<T CCNSECUTfVEL r' NUMBERED FORM <br />