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UIP <br /> 'ma SAKJOAQUIN Environmental Health Department <br /> 1A COUNTY <br /> IFF.0 Greatness grows here. <br /> New Well Information <br /> Pursuant to California Water Code, Section 13808, all new wells that do not meet the exemption <br /> criteria must submit the following required information, to the extent that can be reasonably known. <br /> The Environmental Health Department must collect this information before a new well permit is <br /> issued and must post the information on the Department's website for public information. <br /> WELL LOCATION AND OWNER INFORMATION <br /> Well Location Address: 1320 W Weber Avenue I CitTj Stockton <br /> Well Location APN: 145-190-150-000 <br /> Well Latitude:37 . 95034 N Well Longitude: 121 . 31012 W <br /> Flood Plain Designation: Well Elevation: <br /> Applicant Name:Ter racon Consultants, Inc. Applicant Title: Engineer <br /> Applicant Address:1421 Edinger Avenue, Suite C City: Tustin, CA <br /> Applicant Phone: (949) 864-2067 Applicantemail: Abigail.McCranie@terrac n.com <br /> Property Owner Name: Stockton Cold Storage LLC C/O Michael J Mcnulty <br /> Property Owner Address:132 0 W Weber Avenue I City: Stockton, CA <br /> Property Owner Phone: (2 0 9) 948-0793 Property Owner email: <br /> PROPOSED WELL INFORMATION <br /> Well Total Depth(ft):l 14 borings, 20 ft bgs each Acres to be Served by Well: <br /> Use of Well: ❑ Domestic ❑ Irrigation ❑ Small Public Water Supply ❑ Municipal Public Water Supply ❑ Industrial ❑Stock <br /> Other: Geotechnical Soil Borings <br /> Depth of Corcoran Clay(ft): <br /> Proposed Well Capacity(gal/ft): Estimated Pumping Rate(gal/min): <br /> Anticipated Pumping Schedule(gal/day): Estimated Annual Extraction Volume(acre-feet): <br /> Estimated Cumulative Extraction Volume before January 1,2020(acre-feet): <br /> EXISTING WELLS INFORMATION <br /> Total Number of Existing Wells on Property: <br /> Please complete the information below for every well on property. Use extra paper if needed <br /> Well#1 Information <br /> Use of Well: ❑ Domestic ❑ Irrigation ❑ Small Public Water Supply ❑ Municipal Public Water Supply ❑ Industrial ❑ Stock <br /> ❑ Other: <br /> Total Depth(ft): To: From: <br /> Casing Diameter(in): ❑Open Bottom or Screen Interval(ft): To: From: <br /> Pumping Rate(gpm): To: From: <br /> Annual Extraction Volume(acre-feet: ❑ Estimated ❑ Measured <br /> Specific Capacity(gal/min/ft): <br /> Other Pumping Tests Performed: Test Result: <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />