Laserfiche WebLink
R, <br /> I 0RIGINAL <br /> File'With DWR STATS; OF CALIFORNIA <br /> WELL COMPLETION REPORT ° N 7 1 7 <br /> Refer to Instruction Pamphler STATE WELL Nq laTATh] tIq <br /> Owners Well No 1 <br /> No 5328504AATQrTUCE ❑ <br /> `late WorkBegan 08/28/97 Ended 08/22/97 <br /> Local Permit Agency LONGITUDE <br /> Permit No 23369 Permit Date I <br /> A ! / <br /> GEOLOGIC IOG <br /> VV WELL OWNER <br /> ORIENTATION (`!) ^ VERTICAL - HORIZONTAL <br /> -ANGLE _^ (SPECIFY) Name Martin Pump & Sueely, Inc. <br /> DEPTH FROM DEPTh TO FIRST WArm WI) BELOW SURFICE Mailing Address 5 Reed Rd <br /> SURFACE DESCRIPTION Oakdale <br /> Fi to Ft Oerenbe material j(ram size color etc GTY CA 9536 <br /> O 3 $oil WELL LOCATION STATE zIP <br /> 3 12 Sandy Clay Address 2584 E_ Mariposa <br /> 12 ; 28 ;Coarse Sand c)tv Stockton <br /> 28 ! 28 ;clay County San Joaquin <br /> 28 -34 =; ne Sa TIC APN Bnnlc Page Parcel <br /> or <br /> 34 ' 60 �Clay Township Range Suction <br /> b0 :68 :Sand & Gravel Latitude oec MIN L sec NORTH Longitude WEST <br /> 68DEG MIN SEC <br /> 13$ +Clay LOCATION SKETCH ACTIVITY {�)- <br /> 138 173 'Coarse Sand NORTH X NEW WELL <br /> 173 ' 185 �Sandy Clay MODIFICATION/REPAIR <br /> 185 :200 ,Blue Clay <br /> .�Deepen <br /> Other(Specity) <br /> i <br /> DESTROY(Describe <br /> i Procedures and Materials <br /> Under GEOLOGICLOG <br /> LU <br /> w PLANNED USE(S) <br /> Lu (�) <br /> �. MONITORING <br /> WATER SUPPLY <br /> Domestic <br /> i <br /> J i Public <br /> Irrigation <br /> Industrial <br /> i <br /> TEST WELL <br /> SOUTH - CATHODIC PROTEC <br /> TION <br /> Illustrate a s Buildings <br /> gslFen of jell from Lantlmarl — OTHER(Specify) <br /> such as Roads Buildings Fences Rrr,ers etc <br /> PLEASE BE ACCURATE L COMPLETE <br /> DRILLI <br /> ROTARY <br /> METHOD I <br /> FLUID WATER ) <br /> WATER LE4EL & IIELD OF COMPLETED WELL <br /> DEPTH OF STATIC <br /> WATER LEVEL 74 (Ft) & DATE MEASURED j <br /> "TOTAL DEPTH OF BORING 200 (Feet) ESTIMATED YIELD' (GPM) & TEST TYPE <br /> TEST LENGTH (Hra) TOTAL DRAWDOWN <br /> TOTAL DEPTH OF COMPLETED WELL 180 (Ft) <br /> (Feet) "May not he representatrve of a well'T long-term yield <br /> DEPTH BORE CASING(S) ANNULAR VIT,TERIAL .1 <br /> FROM SURFACE DEPTH <br /> HOLE T'fPE � FROM SURFACE <br /> DtA z a MATERIAL! INTERNAL GAUGE SLOT SIZE TYPE <br /> Ftto Ft (Inches) o a GRADE DIAMETER OR WALL IF ANY CE BEN <br /> (inches) THICKNESS {Inches) Ft to Ft MENT TONITE FILL FILTER PACK <br /> 160 12 X �) (4) (:) (TYPElS+2E) <br /> 160 180 PLASTIC 6 i60 0 60 X <br /> X 045 60 180 <br /> X GRAVEL <br /> ATTACHMENTS (✓) CERTIFICATION STATEMENT <br /> Geologic Log I the undersigned certify that this report Is Complete and accurate to the best of my knowledge and belief <br /> .� Weil Construction Diagram NAME <br /> Geophysical Log(a) {AERSDt1 F[NEA 0)t tARPORAtION) (TYPED OR PRINTED) <br /> Soil/Water Chemical Analyses Rd <br /> Other ADDRESS mnirlest <br /> CITY4P <br /> STATE <br /> ATTACH ADDITIONAL tNFORMATION IF IT EXISTS Signed Q9»3�47 <br /> L LER Ainwruh D REP SEkTA ism! )DWfi 188 RE,,, ;W <br /> L 57 IF ADDITIONAL SPACE IS NEEDED USE NEXT C0N4Fr`I ITIVFI v ut LleOeocn =^n" LI 1N9ER <br />