Laserfiche WebLink
I 1' 'The free Adobe Reader may be used to view and complete-thais form. However,software must be purchased to complete,",--,no reuse a seven tarn. � <br /> 1 File Original With DWR {I/ J State of California a <br /> 4 V 6. kDW, Q'sa- of 00Ftlllt nrl 6�;Aii g l!- <br /> Page of Well Completion Report <br /> ''NofnMbn Pamphlet State Well NumbedSke Number <br /> Owners Well Number MW-7 ;' o. 1110e0156696 <br /> Date Work Began 07/12/2012 Date Work Ended 7/12/2012 Latitude Lon kude <br /> Local Permit Agency San Joaoutn County Environmental Health <br /> Permit Number 9965151 Permit Date 6/11/12 '". APWTRS/pther <br /> Orientation O Vertical O Horizontal OAngle Specify Name ATC Associates <br /> Dolling Method Au of Drilling Fluid Mailing Address 6602 Owens Drive#100 <br /> 6 Pleasanton CA 94588 <br /> . . . p C' State�i <br /> Pressure grout to abandon 2"23'well <br /> Address 3507 West Hammer Lanes... <br /> City Stockton CCo't _ San Joaquin <br /> Latitude <br /> .._ gdud a 'a�ry <br /> P. Dec Min 5 Min. ec. <br /> if Datum D„acimaI t. - Decimal ong. 13 <br /> y R APN Book P,a a9R Parcel <br /> .p Townshi -Ra on ' <br /> Niidh �> O Ne Well <br /> Y, IMolification/Repair <br /> O Deepen <br /> O Other <br /> Destroy <br /> .Pmcn.emn vw m.retl.s <br /> under <br /> I� wtivgEO LOG' <br /> I .. O Water SuPPIy <br /> -y: ,. ' []Domestic ❑Public <br /> $, m" [Irrigation ❑Industrial <br /> - O Cathodic Protection <br /> h. <br /> „..,. O Dewatering <br /> ll(bsvp OHeat Exchange <br /> "sr O Injection <br /> :, Monitoring <br /> r4" O Remediabon <br /> O Sparging <br /> South O Test Well <br /> -s' .I. meiewae.am.6wnm orsvll a.m meas,dJlanpa,kmw, O Vapor Extraction <br /> mom,et mammmam.v.U-adddwelwwrunma. . OOther <br /> . N Pieeseaeccuw.otl corn km. <br /> n . <br /> ., ►ew'. ar €d— tM3m <br /> Depth to first water (Feet below surface) <br /> Depth to Static <br /> Water Level (Feet) Date Measured <br /> Total Depth of 1 <br /> ra�Cg, Feet Estimated Yield• (GPM) Test Type <br /> Total Depth ompleted Well � ap - "° Feet Test Length (Hours) Total Drawdown (Feet) <br /> +.... May not be more semative of a well's Ion term field. <br /> FLaakd .: - hY�ti'jt1 .. � :e'• <br /> Depth from ,: hole wP,.,., �; '""Y Wall Oufaitle Screen Slot Size Depth from - <br /> Surface I; I :� yPa •_.,# Material Thickness Diameter .Type If Any Surface Fill Description <br /> Feet to Feel`. In § k .' Inches Inches Inches Feet to Feet <br /> I, <br /> Y.� <br /> 44 Ir <br /> ❑Geologic Log I,the undersigned,certify that this report is complete and accurate to the best of my knowledge and belief <br /> ❑Well Construction Diagram Name Cascade DrillinD.L.P. <br /> ❑GeophysicalL Person,Finn or Corporation <br /> o9(S) 3632 Ome Circle Rancho Cordova CA 95742 <br /> ❑SolllWaler Chemical Analyses - Aaan s n.�ncity state zip <br /> ❑Other Site Map Signed / ,1� e, 07/17/2012 938110 <br /> Attech ag,iuonallMormatkn It it estate. - C-5Licen�Wen Gontuactor Date Si ned C-57 License Number <br /> OWR 188 REV.112006 IF ADDITIONAL SPACE IS NEEDED,USE NEXT CONSECUTIVELY NUMBERED FORM <br /> Ii' <br />