Laserfiche WebLink
'The free Adobe Reader maybe used to view and complete trrtt However,software must be purchased to complete,savelpeuse a saved form. <br /> Slate of California DWR Use ON -Do Not FIII In ---�� <br /> File Original with DWRr—I I I J <br /> Well Completion R6:port Slate Well Number/ 1w <br /> Page 1 of 16 Rete,to lnstmGlon Pamphlet N I INumberI W <br /> No. e0150662 Lan Boas <br /> Owner's Well Number VW-1 a/4nO19 _L Lan ut de <br /> Date Work Ended��.. <br /> Data Work Began 03/26120_ 1�—t Fmironmental Heath Deoartm nom_. APN/TRS/Other <br /> Local Permit Agency San Jo <br /> Per <br /> Permit Number A1,� mit Date 31511_2 Well Owner <br /> Geolo is Lo pensco Trust Co Cust Eta, <br /> Orientation OVertical O Horizontal OAinggl Fluid Ssenllonile mud ENa <br /> il ng Address Drilling Method Hollow Stem Au ar State CA�iDescription ' Linden <br /> Depth from Surface Describe material, rein size,color,etc <br /> Feet to Feet Well Location <br /> 20 0 Drill,Sam le and Install VW-1 to 20'usin gdliress 1 1 Turnpike Ro d <br /> Well materials listed below. County San Joagui_�__ <br /> City Stockton <br /> Lalitutle N Longitude Dao. Nin, sec <br /> Deo. Min. sec. <br /> Datum Decimal Lat. Decimal Long. <br /> At k Boo <br /> Page 040 Parcel 13 <br /> Tc+vnshi Ran aSection <br /> Location Sketch Activit <br /> ;-kth must be drawl by harusfterformis 111.0`, Q. New Well <br /> ; North Q Modification/Repair <br /> Q Deepen <br /> 0 Other <br /> Q Destroy <br /> oa.a�ee v,�mwea marcn.b <br /> unaer'GEOLOGIL LOG'OG' <br /> Planned Uses <br /> L Q Water Supply <br /> ❑Domestic ❑Public <br /> A ❑Irrigation ❑Industrial <br /> Q Cathodic Protection <br /> Q Dewatering <br /> Q Heat Exchange <br /> Q Injection <br /> Q Monitoring <br /> Q Remediation <br /> Q Sparging <br /> Q Test Well <br /> South Q Vapor Extraction <br /> m.�v.m a.eoanb.m1.1u a.en f.m ro.,ami r,ri <br /> n,etc.ane.n.m.m•v u.e.aana•.1 vewlnnec.ann. Q Other <br /> Pe�see.a n1e..a=.m Nm. <br /> ater Level and Yield of Com feted Well <br /> Cepth to first water (Feet below surface) <br /> Depth to Static <br /> Vater Level (Feet) Date Measured <br /> Feet Eiilimated Yield' (GPM) Test Type <br /> Total Depth of Boring 20 <br /> T1st Length (Hours) Total Drawdown_(Feet) <br /> Total Depth of Completed Well 20 Feet 'k4a Ion term i <br /> not be re resentative of a well's Id. <br /> Casings Annular <br /> Material <br /> Depthfrom Borehole Wall Diameter <br /> Sc'een Slot Size Depth from <br /> Type Material Thickness Diameter T•rpe If Any Surface FIII Description <br /> Surface Diameter Inches Inches Inches Feet to Feet <br /> Feet to Fast Inches 4 Miller.slots 0.020 20 3 Filler Pack #3 <br /> 20 5 8 Screen PVC Sch.40 3 1 Bentonite Chips <br /> 5 1 8 Blank PVC Sch.ao 4 <br /> 1 0 cement Portland type I/ll <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 /> L3Well Construction Diagram Name All Well Abandonment <br /> Person,Firm or corporation aaramento CA 95626 <br /> ❑ Geophysical Log(s) 9245 Beatty Drive Suite A state Zip <br /> Addreee-,r' "-any <br /> ❑ Soil/Water Chemical Analyses Signed i �. ' 4/25/2012 848359 <br /> ❑+ Other Site MaD osTuce n a,vador Date Signed C-57 license Number <br /> Attachaddill1fim all exists. <br /> DWR 188 REV <br /> .12006/2006 IF ADDITIONAL SPACE IS NEEDED,USE PIEXT CONSECUTIVELY NUMBERED FORM <br />