Laserfiche WebLink
ORIGINAL STATE OF CALIFORNIADwR USE ONLY — Do NOT FILL IN <br /> File with DWR WELL COMPLETION REPORT <br /> Pageof1 Refer to Instruction Pamphlet <br /> STATE WELL NO!STATION NO ❑ <br /> Owner's Well No - No 779200 11 <br /> Pte Work Began FEBRUARY 19,2002 , Ended FEBRUARY 19,02 LATITUDE LONGITUDE <br /> Local Permit Agency San Joaquin County Public Health Services-Environmental Health Div <br /> Ferrari No 28821 Permit Date <br /> FEBRUARY 8 2002 APNITRS/OTHER <br /> GEOLOCIC LOG WELL OWNER <br /> ORIENTATION (4) ✓ VERTICAL —HORIZONTAL —ANGLE —(SPECIFY) Name UNOCAL CORPORATIO <br /> DRILLING Hollow Steam Auger NONE Mallin Address 8788 ELK GROVE BOULEVARD BUILDING 3 STE 15 <br /> DEPTH FROM METHOD FLUID g <br /> SURFACE DESCRIPTION ELK GROVE CA 9 5 6 2 4 <br /> Ft to FI Describe material grain size color, etc CIT! STATE ZIP <br /> WELL LOCATION <br /> 0 1 1 , ASPHALT OVER CONCRETE OVER BASE ROCK Address <br /> 1 1 13 , CLAY City <br /> 13 I 17 ', SILT County <br /> 17 23 , SILTY SAND APN Book Page Parcel <br /> 23 1 325 I CLAY I CLAY WITH SAND Township Range Section <br /> 325 1 38 I SILT Latitude I NORTH Longitude , I WEST <br /> DEG MIN SEC DEG MIN SEC <br /> 38 1 575 1 CLAY LOCATION SKETCH ACTIVITY ('') <br /> 575 , 625 , SILTY SAND NORTH ✓ NEW WELL <br /> 625 , 625 , SILT WITH SAND I SILT MODIFICATION/REPAIR <br /> 825 975- , CLAY / SANDY CLAY Deepen <br /> 975 , 1025 , SILT V� — Outer(specify) <br /> 1025 , 116 , CLAY ST MINES AV!-c7' <br /> (Describe <br /> and <br /> 116 , 120 , SILTY SAND Urfrdedures GEOLOGJCILOG) <br /> b PLANNED USES (.:n) <br /> WATER SUPPLY <br /> DomssltC Public <br /> Irrt9atnn Industnsl <br /> MONITORING <br /> I I � <br /> TEST WELL <br /> 1 I CATHODIC PROTECTION_ <br /> HEAT EXCHANGE <br /> DIRECT I"— <br /> t '�} INJECTION <br /> 1R VAPOR EXTRACTION— <br /> SPARGING <br /> SOUTH REMEDIATION <br /> Illas?rare or Describe Distance of Well from Aootla Brr1[d[ngs OTHER(SPECIFY) <br /> t Fences Rnxrs etc and attach a n,a Use additional�xrycr!f — <br /> necassan,j PLEASE BE ACCURATE it COMPLEYE <br /> WATER LEVEL & YIELD OF COMPLETED WELL <br /> DEPTH TO FIRST WATER (Ft) BELOW SURFACE <br /> DEPTH OF STATIC <br /> WATER LEVEL 2895—(Ft)tL DATE MEASURED APRIL <br /> t I ESTIMATED YIELD (GPM) S TEST TYPE <br /> TOTAL DEPTH OF BORING 120 (Feet) TEST LENGTH (His)TOTAL ORAWDOWN - (FI) <br /> TOTAL DEPTH OF COMPLETED WELL 124 (Peet) 'May not be npresentatrve ofa weirs ion -term yreid <br /> CASING (S) DEPTH ANNULAR MATERIAL <br /> DEPTH BORE- FROM SURFACE TYPE <br /> FROM SURFACE HOLE TYPEWw <br /> DIA x MATERIAL J INTERNAL GAUGE SLOT SIZE CE- BEN•(inches) z "' GRADE DIAMETER OR WALL IF ANY MENT ONITE FILL FILTER PACK <br /> Ft to Ft Sm cc w (inches) THICKNESS (Inches) Ft to FI (TYPE7SIZE) <br /> CK) (—) (—) <br /> 0 1 110 8 ✓ PVC 2 0 , 103 ✓ <br /> 110 1 120 8 ✓ 2 0 020 103 I 108 ✓ <br /> r 108 , 120 ✓ #3 LONESTAR <br /> SAND <br /> , <br /> r <br /> ' ATTACHMENTS (z�) CERTIFICATION STATEMENT <br /> 11he undersigned,certify that this report is complete and accurate to the best of my knowledge and belief <br /> �- Geoioytc Lag <br /> _ Well Construction Diagram NAME WOODWARD DRILLING <br /> (PERSON FIRM OR CDRPORAIIUN) (TYPED OR PRIMED) <br /> C—Owslca!Log(s) P O BOX 336 RIO VISTA CA 94571 <br /> SaVWater Chemical Analyses CITY STATE IP <br /> Other ADDRESS <br /> 79 <br /> ATTACH ADDITIONAL lNFORAAATION IF IT Exists 3gned ti MAY 1.6 2002 7 1 0 0 U B <br /> 11 LL DRILL NT <br /> UTHORIIED EPRES ATIV DATE SIGNED C 57 LICENSE NUMBER <br /> Det A lag REV I1 97 IF ADDITIONAL SPACE ISN ED, USE NEXT CONSECUTIVELY NUMBERED FORM <br />