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STATE OR CALIFORNIA - <br /> ORIGINAL uRGEB AGENCY _ J DO not fill'in <br /> File With DWR DEPART14 1!J_OF.WATER RESOURCES <br /> WATER WELL DRILLERS REPOIE ;T�= >. �'l�-t32 <br /> Alice of Intent No. none filed EMCON B02-02.01 State Well No. <br /> Local Permit No. or Date $8-3111 Other Well No.Q-1-A166F'E EG <br /> (I) OWNER: Name CITY OF STOCKTON (12) WELL LOG: Total depth' 5 ft. completed depth 53.7 ft, <br /> Add,, 425 North El Dorado St. from ft to ft. Formation (Describe by color,character,size or material) <br /> City Stockton, Ca ZIP 0-3 - FILL : CLAYEY SAND SP-SM) - Yellowish <br /> (2) LOCATION OF WELL (See instructions): - brown• l se to medium. dense; dry. <br /> County San joQuin Owner's Well Number MW-1 3-37 - REFUSE: AND FILL: dark brown• <br /> Well address if different from above French Camp Landfill - medium dense• dr <br /> Township T1 Range R 6 E Section 22 @5 - dark gray,• stiff; dam <br /> Distance from cities,roads, railroads, fences,etc. see attached map @10 - wood and 1 an ebri s.. <br /> @15 - glass,• loose,• moist. • <br /> @21 _ sandy cl inter <br /> @35 - lant"deb e• wet. <br /> (3) TYPE OF WORK 37-48 _ CLAY--CO: e• firm to stiff; <br /> Please see attached mag New Well Deepening ❑ - dam p & moi <br /> Reconstruction © -@40 - 9Vff ver •stiff. <br /> Reconditioning ❑ @45.5 a e ' sand Xe s • med. dense• wet.• . <br /> Horizontal Well p 48-55J-;- SU-TY SAN DJ SK .:, dark--greenish gra ; <br /> Destruction ❑ (Describe den e• wets �•/ <br /> destruction materials and pro- @r4 1 o o s e <br /> cedures in Item 12) <br /> (4) PROPOSED USFf' <br /> Domestic r�,❑ <br /> Industrial - '� LJ 7%, <br /> - — <br /> Test Well ��J ❑ <br /> other moii•to r i n g A <br /> WELL. LOCATION SKETCH <�{%L- ribe) <br /> (5) EQUJPMENT: (61 GRAVEL PACK: 1 oAe.sta-r. . `1 <br /> Rotary ❑ Reverse ❑ Yes No- , Size` #30 ` <br /> Cable ❑ Air ❑ \ t3iameterofbareT <br /> Other ElBuckel—❑ Pclued i,.. 'm�7 -to. 55.5 It, — <br /> (7) CASING INSTALLED, t t t8) PERGORATIONS: <br /> 1. <br /> steel ❑ Plastic Type,of perforvlion or size of J — <br /> From T I Gage or rr, T it <br /> ft. ft ib I !�[t �\ �size <br /> Wall k - <br /> (9) WELL SEAL. , - <br /> Was surface sanitary seal provided? Ye �y1 s y1„ No ElIf yea io depth 2 5 ft <br /> Were stratasealedagainst pollution? YE'3B No ❑ Interva325—Z7• ft. — <br /> �irthu,lofsealing Cement Bentonite: Bentonite �Vurkstartrd - 19__-_ Cumplrtrt! - 19 <br /> (10) WATER LEVELS- WELL DRILLER'S STATEMENT: <br /> 33 <br /> Depth of first water•if known ft. <br /> t Thia well was dr" under my jurisdiction an th" report is trete to the <br /> Slarnlinglevelafterwellcompletion ft. bEs1 of mykno ed and bklie`. <br /> k <br /> ELL TESTS: yy,.y, Signed <br /> well test made? Yes C3YoXJ ifyes,by,+•horn? (Wrll Iter) <br /> of lest - Pump ❑ Railer ❑ Air lift.❑ NAME Sn4trum EX 1 n <br /> pth to water at start of test ft. At end of test ft. Pe fi co tion)tTyped or printed) <br /> Address_ 282 5 E�. ` yr •i�e '. _ <br /> Discharge g31/mini after hours Water temperature Stockton; Ga 95205 <br /> Chemical analysis node? Yes ❑ No El If yes•by wiwioi? City ZIP <br /> Was electric log made Yes ❑ No ❑ {Eyes attach copy to t his report License No. C 5 7 512 2 68 Date oft his report 2-24-89 <br /> ovvw tsa twt:v. 12-SMIF ADDITIONAL SPACE IS NEEDED, USE NEXT CONSECUTIVELY NUMBERED FORM 9A3�S <br />