Laserfiche WebLink
r <br /> QUADRUPLICATE STATE OF CALIFORNIA DWR USE ONLY — DO NOT FILL IN <br /> For Local Requirements WELL COMPLETION REPORT I I I I I J I I <br /> Page 1 of I Refer to Imtructmn Pamphlet STATE WELLN0./STATION NO. <br /> Owner's Well No. 95320 No. <br /> e0270199 <br /> Owner's LI <br /> Date Work Began 6/1/2015 Ended6/8/2019 LATITUDE LONGITUDE <br /> Local.Permit Agency Envimninental Health I I I I I I�n�R�oTI I I I I I <br /> Permit No. 72193 Permit Date 5/14/2015 <br /> GEOLOGIC LOG WELL OWNER <br /> ,/) VERTICAL —HORIZONTAL —ANGLE —(SPECIFY) Name Maria Barron <br /> ORIENTATION(- DRILLING gD7LA F Rjygr Rd <br /> DEPTH FROM METHOD ROTARY FLUID Mud Mailing Address- CA 95320 <br /> SURFACE DESCRIM'ION Escalon <br /> Ft. to FL Describe Material, grain, size, color. etc. CITY --_-....-------- STATE ZIP <br /> 0 2;TO SOII LL LOCATTO <br /> Address 3QT4-9 E._Ri- KO_. <br /> 2 6;Hard Pan _ City Escalon CA 95320 <br /> 6; 43::Sand County San Joaquin <br /> 43: 88 i Clay -- --- -- _ APN Book -----Page Parcel <br /> 88:1 98:Gravel -_— - Township- _ Range Section <br /> 98: 227:Clay _ _ Latitude <br /> 227 i 229 Sand DEG. MIN. SEC, DEG. MIN. SEC. <br /> LOCATION SKETCH ACTIVITY (V-) <br /> 229 247:Clair - - __-- -- Norm+ - - ,L NEW WELL <br /> 247' 252:Sand -- -__-_- MODIFICATION/REPAIR <br /> - 252`, 280 Omer Clay — _ -- DeepenW( <br /> — _ - - - (sv") <br /> _ DESTROY(Describe <br /> Procedures and Materials <br /> _ Under"GEOLOGIC LOG" <br /> PLANNED USES(�) <br /> WATER SUPPLY <br /> 1- -3/ m <br /> Doestic- Punlic <br /> Q _ Irrigation _. Industrial <br /> s W <br /> MONITORING <br /> TEST WELL <br /> ATHODIC PROTECTION— <br /> HEAT EXCHANGE— <br /> DIRECT PUSH— <br /> INJECTION—_ <br /> VAPOR EXTRACTION <br /> SPARGING <br /> SOUTH REMEDIATION <br /> ntuamre ar De nbe Disrunoe f W,11f—ttouJ.,. BmWuw�. <br /> Fences,Riven,etc and attach a map. Use additional paper it OTHER(SPECIFY) <br /> Imo.PLEASE BE ACCURATE: & COMPLETE. <br /> WATER LEVEL&YIELD OF COMPLETED WELL <br /> DEPTH TO FIRST WATER (Ft.)BELOW SURFACE 1 <br /> DEPTH OF STATIC 6/3/Z015 <br /> WATER LEVEL 90 - -----(Ft)a DATE MEASURED <br /> - - ----- ESTIMATED YIELD ' (GPM)&TEST TYPE <br /> TOTAL DEPTH OF BORING 280 (Feet) TEST LENGTH (Hnii TOTAL DRAWDOWN (FL) <br /> TOTAL DEPTH OF COMPLETED WELLZ6 (Feet) I ilav not he representative o a well's long-term vield. <br /> DEPTH CASING(S) - DEPTHJ_ ANNLLAR MATERIAL _ <br /> FROM SURFACE BORE TYPE �) FROM SURFACE =BEI <br /> HOLE - <br /> DIA. x = n MATERIAL! INTERNAL GAUGE SLOT SIZE CE-w ZDUMETER OR WALL IF ANY MENT Ft b FL (Inaba) mu � GRADE (Indts1) THICKNESS (Ind—) Ft o FL — <br /> 0 i 240 10 5f8 TIC - <br /> 100 '� <br /> 240: 260 260 <br /> ATTACHMENTS I I CERTIFICATION STATEMENT <br /> Geologic Log I the undersigned.candy that this report's complete and accurate to the beat of my krtarledge,and bellef. <br /> Well Construction Diagram NAME MAS IS DRILLIN INC___ <br /> Geophysical Log(s) (PERSO TI NTED) <br /> SoNWater Chemical Analysis -- ZIP -- <br /> ADDRESS CITY STATE <br /> Other 0&M15 -- <br /> Signed _ - -------- - -- --- --- ....- - ---- -- <br /> ATTACH ADDITIONAL INFORMATION,IF IT EXISTS. WELL DRILLER/AUTHO D REP ENTATI DATE SIGNED CS!LICENSE NUMBER <br /> DWR 188 REV 11-97 IF ADDITIONAL SPACE IS NEEDED,USE NEXT CONSECUTIVELY NUMBERED FORM <br />