Laserfiche WebLink
• RECEIAD <br /> -The free Adobe Reader may be used to view and complete this term. However,software must be purchased to complete,save,and reuse a saved form. <br /> File Original with DWR State of California -'1i U I U 111 DWR Usy.0nl -Do NotFlll In <br /> Page 1 of 1 Well Completion Report) <br /> RBlarb Inselrotbn Pampyaf ell NumbadSNe Number <br /> Owner's well Number MW-5C No.e0120516 ENVIgO N <br /> Date Work Began 08/30/2010 Date Work Ended 9/1/2010 FF� I Lon m,de <br /> jo <br /> Local Permit Agency San Joaquin County Envirommnetal Health Department <br /> Permit Number SR060786 Permit Date 7/6/10 AP n'RSr0lher <br /> ,Geologic Lo W,eh pWDpt: <br /> Orientation OVerfioal 0Horizontal OAngle Specify Name Shell Oil Products US <br /> Drilling Method Sonic Drilling Fluid Mailing Address 20945 South Wilmington Avenue <br /> Depthfrorrl Surface ,�..e_��.zs. �� Carson <br /> Feet ro eel Dei ®F—zi.� C' —State—CA—zip 90810 <br /> '— Well location <br /> Address Cordes Ranch <br /> - City Tracy County San Joaouin <br /> I I h 1 I Latitude _ N Longitude <br /> _ Oen. kMn. Sac. Deo. Min. sec. <br /> J Datum Dedmal Let:—Decimal Long. <br /> APN Book Page Parcel <br /> Township —Range Section <br /> ` Location Sketch Activity <br /> 6keirr mart ee dmwne Wena rRlerfoimb. Homo. Q New Well <br /> Q Modification/Repair <br /> --- O Deepen <br /> 0 Other <br /> owapymmumw ea emwt.e <br /> •� W mwuO Water Supply <br /> ♦ ❑Domestic ❑Public <br /> i �W sL ❑Irrigation ❑Industrial <br /> ""'_ O Cathodic Protection <br /> W / O Dewatering <br /> r, O Heat Exchange <br /> / 7` ,,, O Injection <br /> O Monitoring <br /> O Remediation <br /> fir:,,, O Sparging <br /> ``�, O Test Well <br /> ••••• iwm.m o�aer.,.m ow�maweeom�oem,aanwr.ke, v <br /> apor Extraction <br /> I Hers,ncaa anaNamaa u�amewoaQ.rma <br /> OOther <br /> Water Level and Yield of Com' IetedWell <br /> Depth to first water 37 (Feet below surface) <br /> Depth to Static <br /> Water Level (Feet) Date Measured <br /> Total Depth of Boring 45.: — —_ Estimated Yield• (GPM) Test Type <br /> Total Depth of Completed Well 45 -- Test Length (Hours)Total Drawdown_(Feet) <br /> •May not be representative of a well's long term yield. <br /> _ Ar3oular;Materie3 <br /> Depth from Borehole Type _ Screen Slot Sire Depth from <br /> Surface Diameter - Type If Any Surface FIII Description <br /> Feet to Fast (Inches) Inches Inches (Inches) Feet ro Feet <br /> 0 160 6 Blank. PVCSch.40 12 1 19 <br /> 752 cement Portland cement <br /> 160 175 6 Screen PVC sen.40 2 Moledskea 0.020 152 157 Zntt e <br /> 157 1175 IFIfterPaelk 2/12 sand <br /> 175 1130 Bentanite <br /> =Log(s) <br /> ttachments Certification Statement <br /> Geologic Log I,the ungarsg9Gd,�artity Iha(Jhls rt is comp(ele and accurate W the best of m knowled and belief <br /> struction Diagram Name sdl_J �c�pm7gr f�W/U' �' �i llo y <br /> ical Log(s) D Q Fl "y�{`" <br /> r Chemical Analyses Atltlreaa GMSignetlaeon,news. ltxwteed eterwee Canoacror Date S' ned C-57 License Number <br /> DNR tee REV.1/7008 IF ADD] SPACE IS NEEDED,USE SECUfIVEI-Y NUMBERED FORM <br />