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SR0080888_SSNL
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2600 - Land Use Program
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SR0080888_SSNL
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Last modified
2/10/2022 11:01:17 AM
Creation date
2/10/2022 10:52:30 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0080888
PE
2602
FACILITY_NAME
PHRABUDDHIVONGSAMUNEE BUDDHIST TEMPLE
STREET_NUMBER
11265
Direction
N
STREET_NAME
THORNTON
STREET_TYPE
RD
City
LODI
Zip
95219
APN
05520003
ENTERED_DATE
7/15/2019 12:00:00 AM
SITE_LOCATION
11265 N THORNTON RD
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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ft. (12) WELL LOG: Total depth1_7_6t. Depth of completed well 176 <br />Distance from cities, roads, railroads, fenceso etc <br />(2)LOCaTIOI3 OF WELL(seeinstmaiom): an oaquin County Owner's Well Number <br />Well address if different from above <br />Township Rang e Section_ <br />°a.me address <br />190 - 148 <br />0 -00 rAlci9tin well <br />Sena <br />ORIGINAL <br />rile with DWR <br />be Intent No <br />Permit No. or Date 81-323 <br />1:46 STATE OF CALIFORNIA <br />THE RESOURCES AGENCY L,1 <br />DEPARTMENT OF WATER RESOURCES <br />WATER WELL DRILLERS REPORT <br />from ft. to ft. Fonnation (Describe by color, character, size or material) <br />A nroper welaover was installed on <br />this well and not responsible . for any teriA,V'or removing of the <br />seal -or c n ,. <br />\\ <br />>' <br />f'; <br />l k) <br />V <br />TYPE OF WORK: 7\ <br />New Well 0 Deepenin g <br />Reconstruction 13 <br />s Reconditioning ° (N\ - N'7 <br />Horizontal Well 0 ''''',''',-'\. -.\ <br />Destruction 0 (Describe destruction materials and <br />s procedures in Item 1 <br />PROPOSED ‘c, C c Domestic <br />Industrial <br />T Well 0 <br />Stock\ <qTC.:X\-.) - <br />,:r /e-, ,A31- • /2 „,/lev7-, Munich) <br />/10ther (/:t:7 0 <br />j.,,,=....„...,...\,..,7 WELL LOCATION SKETCH \\\, <br />(5 ) EQUIPMENT: <br />Rotary 0 Reverse 0 ,.Ctes. <br />Cable Art 0 S.2:-Ae <br />Other 0 Bucket 0 <br />(6) GRA PACK: <br />D No Size <br />er of bore <br />\11.44 tom <br /> <br />( 8 j•• PERFORNittS: <br /> K \ , <br />(7) CASING INSTALLED: <br />Steel a Plastic 0 Co c te\L',. <br />- <br />Type of perTRaYrFaLri!\rSze of scree \ ..) - <br />From <br />ft. <br />Toe—. <br />ft( (*** <br />,Dia. <br />/ in. <br />&3ir <br />Wall <br />Fro k*,_j\3) <br />fe:-.,.,\ <br />To <br />ft. <br />- <br />sa ..," <br />- <br />0 120,7Aoting well \' \ \/ \,. _.. <br />:14, 164 V2A/4" 10114' '->N - v - <br />- <br />(9) WELL SEAL - <br />Was Yes 0 No CX If yes, to depth__ft surfacesanitary seal provided? - <br />Were strata sealed a gainst pollution? Yes 0 NoX:1 Interval ft. - <br />Method of sealing Work started 5/6 0 81 Co n leted_5 /12 19Ai1_ <br />( 10) WATER LEVELS: WELL DRILLER'S STATEMENT: <br />was um( Depth of first water, if known________2 ft <br />level after well completion 3 it. This well dr under m letioni, id 0. report is true to the hest of rot <br />knowledge a • .ell <br />(11) WELL TESTS: SIGNED <br />Was well test made? Yes 0 No Cfc If yes, by whom? (Well Mil -r) <br />Type of test Pump U Bailer 0 Air lift 0 NAME Panero Well 1)ri ling; inc. <br />Depth to water at start of test ft. At end of teat ft 3 141trorzfi.rm,tbc„noraff)4apNorganted) <br />Addrcss 'Aarge_ gal/min after __hours Water temperature _ Oakdale , L;aIlt. 9-5361 <br />City_ Zi <br />' al analysis made? Yes 0 No 0 If yes, by whom? <br />lo g this Was electric made? Yes D No 0 If yes, attach copy to report License No. 333114 Date of this report /21./81--- <br />DWR 18 (REV. 7.76) IF ADDITIONAL SPACE IS NEEDED. USE NEXT CONSECUTIVELY NUMBERED FORM <br />Do not fill in <br />No. 097949 <br />State Well No <br />Other Well NoP311•4MZ Z`)/ <br />148 -17 <br />170 -17
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