Laserfiche WebLink
-The nee Adabe AaAdar may be used b New and ry ,,la Oft fo1m, Ho ",.adtwam muse be purchased m mmplele Md revue n nmpd(fano• <br /> ,File Ori(ginal wlth DWR V Slate of California MVR use on -Do NN FAI In . <br /> Well Completion Report <br /> lege 1 oF '1 R°ArromFnl,erorrrrmpnrcr Stale bsrs�lm Nu ar � <br /> 'Owner's Wall Number MWS No. 00107553 � e r I I I I I IW <br /> .Date Work Began 09J1612010 Date Work Hndetl ?1.19!2010 Izntude Wn wg <br /> 'Local Permit Agency San Josouln County Eavhonmemlat <br /> Permit Number SR59332 Permit Dere 2/12/10 AFrvrn:sromer <br /> Geologic Log Wall Owner <br /> Orientation Overtital 0Horizontal OAngle SPPray Name DalvdnderDhlml <br /> nr0lna Method pdNns Fluid Mal"Addfass 15600S0u9h1001ien.Road.. <br /> Depth from Surface .... . . . '.. Description, . <br /> Feet s, Few 'DotcdneMaterial,grain elxo,color,ale CityLathrpDStale CA n <br /> Wan Locatf <br /> Pressure grout With neat DemCRt Address 1ar6110_South Hanan.Road <br /> Remove vaulL box city County-San doaauin <br /> Remove uppE 3 feet of WOO materiels Latitude _— N Longitude <br /> Patch ground surface Dee mm sea DMIinn see <br /> Datum Decimal Lai. Decimal Long. <br /> APN Boric 7,96 ` Paged Parcel 79 <br /> Townsh Ran $salon <br /> Location Sketch Activi <br /> mm�lm b sere Morn QNew Well <br /> Norm O Modlntation/Rcpair <br /> 0 Deepen <br /> O Other <br /> (a Destroy <br /> ouvaeaeeesxn edr,.n.� <br /> ^. __ ` ..Ma veolmloLar <br /> + Planned uses <br /> O water supply <br /> ----- 's []Domestic ❑Public <br /> •. ` ❑Imgation Olndusblar <br /> O Cathodic Protection <br /> 6C O Dewstefklg <br /> MW O Heat Exchange <br /> _ O Injection <br /> 0 Monitoring <br /> O Remselallon <br /> . 0 S'perging <br /> South O Test Wea I <br /> Ia,nnMeanmeae ur.nnarwmrtan.ane.,emrmn en�n. O Vapor Extraction <br /> rheM,ale.Mp Mlaennenp,uanraaumM nwlnnneeeMnry. 0 Other <br /> 1'IuraMwrwnMeM ISM1. <br /> Water Level and Yield of Completed Well <br /> Deplh to first vaster (Feet below curfaea) <br /> Depth to Static <br /> Water Level (Peen Date Measured <br /> Totai Depth of Bgdng Feet Est mated Yield- _ (GPM) Test Type' <br /> Tota(Deplh of completed Wen 20 Feet Test Length (Hours)Total Drawdovn_(Feet) <br /> *Mav not be rrepr tatkre of a well's long tam yield. <br /> I' - <br /> casings Annular Material <br /> Mae,from sombele ryp° Malarial wall Dntatda semn S1otsVp DomROM <br /> Surface Diameter ThMkneee DIMnMar Type If Ally a-Ko p Fm Dammam <br /> Feet Is Feet Omheal (I=hnlInehn an Fant m Feet <br /> . .AttachmentsCeRlncation Statement <br /> 0 Geologic Log I,the•undrumiggnnad,cariiy that rola report is complete aril accurate to the best army knowledge and balef <br /> O!Nall Construction DI. am Name Ry5),Ihilfina Company <br /> `'g'• F a,saner calpa nnan 3a6 <br /> ❑Gsopl yakal L ig(s) North <br /> e t wase and cn <br /> O Scilfwaler Chemical Analyses :: oq am nP <br /> 0 Other Signed D�d'wte 802354 <br /> ssaa asci err aaMaa so a�nu C.eJ ueannwwnmrwml f.Srsmna <br /> Date sinned C-57 License Number <br /> MR 180 REV.14M IF ADDITIONAL SPACE IS MRMM USE NF,xr OONSECUT VE,V NVMSERED FORM <br /> i . <br />� I <br />