FIELD DOCUMENTS - Laserfiche WebLink

Home Browse Search

"The free Adobe Reader may be used to view and complete this form; However,software must be purchased to complete,save,and reuse a saved form, File Original with DWR State of California _ __ 011Uft"tlse�nt f7ofilaFinln Well Completion Report ,17 - _ _ Page 1 of 1 Rererlo fnsrnrclr'on pemphlef $tstevVJell NuniberrlSIle, ulnbcr_ Owner's Well Number MW-7.- N0, 0107045 Date Work Began 02/2412010 Date W6rk Ended,-_212412010.- Local 12412010.Local Permit Agency.-„!aan.Joaauin.CI )4HD .. - r t { - erm - - Permit Number SR 0059329 Pit Date 2112!10- _ ----- - - Geolo_� is Lo _ prientation OVerUcal O"HorizontalQAngle spec'ify��y Name Continental:GrainCo _ _ Drilling Melhod,. - __ __._ ..Drilling Fluid Mali! Addr255,'Aori Center 00_r ^ dal h*Butte 4. Q� - -"" . peptfl"trofn'SuifaDescrition ee P Chica"a _ - ---State-ILi . -60601 Feet to Feet Describe material rain size color,etc Cit- Overdrill Abandonment Procedure: _ __ .__Well Location _... Overdrill to complete de th with 4.25”ID HSA .__ Address 1805 Harbor Streei ( U on com fete well destruction lower tremie City,_Stockton County.San Joaquin pipe to bottom of-borehole and pump neat cement I Latiude _Longitude:— T- y� 1 grout(mix ratio 5-6 gal.water194#ba of T e IV oem Min Sol- # Min see., � - _ Datum NAD63 Decimal Lat. 7.93 488205 Decimal Long. 121.314&1! Porttand) Pump sealant"to surface,recover displaced groundwater for.disposaL Remove entire APN Book Page:.,Parcel 14502005 m +cemented well.box excavate and cut off 2"_PVC Tawr shl North. Range,B East:. .. -Seaton: _ - - ._-Activi ;tielow,gr'ade top_off sealent,to-create mushroom -, Location Sketch _ - .. - _l - -zh ust'Oedrawn'b handaftartarmis:nn[ed), iQ New Well l 'ca above seated borehole and restore,ground kei Q MadificativNRepair i surface to surrounding soil conditions(unpaved) " O Deepen O Other- -'se ther .. 1 � I Q'tRastroy... I ,sealant used-15 47#bags using:Z 5 3 gallons" waterl47#bag,:total vol:of water=41„ allons j^tw 1 Planned Uses i Q ` water Suppl Monitoring"Well MW-7 Installed 04/0512004. y DDomestic ❑Public Abandoned 0212412010. [[Irrigation ❑Industrial - - _.: -- '• 0 Cathodic Protection 4 µ:. 0 Dewatering Exchange w a - � Heal x ng e ; -.- - - - - i 0 Injection i iQ - Monitoring ,Q Remedial Ion - - r 3 Test Well _:— .. IAushalc or eesc>!be distance el weN}rom roads trrddings,fenocs .0 -aN after!a maP:llse add"Aiomdl gaPei it necessary Vapor Extraction _�.' 0 Other�pandoned ete�4i's'aaaiWWre!aeirgkbm _..- I Water Level.and.Yleld_of=Com leted.Well- - _ _ - _ Depth to first water - --."-(Feet below surface) De th to Static - I P Watertevel 13 (Peet) Date Measured 1211012008_ -_ Total Depth of Boring 35 Feet Estimated Yield (GPM) Test Type ;Test Length -(Hours)Total Drawdown (Feet) Total Depth of Completed Well,35 Feet `Ma ;oat he re re.sentative_of,amell's,tan -term.teld _. .-_Casio s., _ -- :- -- _--.. ___-- .- -- - _...Annular Material: Depth from BoreholeWall Outside Screen slot Size Depth from Surface Diameter Type Material 'Thickness Diameter Type If Any Surface ' Fill Description L.. .-Feet_to Feet .-.--inches _ - -_ ... Inches inches)__- ___ Inches ..Feet to Feei 4 30 &:3_-__ stank PvC Bch 46 0.154 ;2 0_ 0, 28 Cement cement over bent. 30 35 $;3 scree PVC sch.40, 0.,154 2.0 fdilled Sims Q_020 128-. 35 ; Filler pack'. SRI"Supreme No 81 I i Attachments Certification Statement - - f Geologic Log 1,the undersigned,certify tffat thls reportis complete and accurate to"the`best`df my knowledge and heUe ❑ NamerTuan N u e .President Well Construction Diagram Person,Firm or Corperallon ❑Geophysical Log(s) -:1238-Alice St.-Suite- 'Woodland_ CA. 95776 - 13 SoiINYaler Chemical Analyses r till slate ZiP t Other 51 ne�� 3 ea O" -.906899_,- 0 . - _ . _ ... - g Licensed WaF -_ _ ontraCloc _ ... _. ntralssad crrio nrnlcn uu''sr�.. ate. i ned,.-,C-57_Llcense.Number - - 'bWR 168 REW1R006 - `1F AObITIDt Ai SPACE'IS N ;VSE NE%T CONS ECUTIVE'CY'NUMBERED FORM Y r I l