Laserfiche WebLink
PUBLIC WATER SYSTEM DESCRIPTION REPORT <br /> Water System Name:88 Market Water System <br /> Date: 03/18/2020 <br /> Source Information <br /> ALL DATA <br /> (Use one sheet for each we//) <br /> Well Name: Well 1 <br /> Well ID Number: <br /> Well Location: 21850 E Liberty Road Clements Ca. 95227 <br /> a) Distance to Sewer: Septic Tank(s): 100 Ft Leach lines: 150 Ft <br /> b) Distance to Other Wells: N/A Abandoned wells: <br /> c) Distances to property Lines: Front 360 Ft Rear 360 Ft Side 1 180 Ft Side 2 180 Ft <br /> ATTACHA COPY OF YOUR WELL COMPLETION REPORT(WATER WELL DRILLER'S <br /> REPORT)AND COMPLETE THE FOLLOWING.- <br /> Depth of Well (from ground surface to lowest point of excavation): <br /> Casing: Depth Diameter: <br /> a) Casing Material: Gauge or Thickness: <br /> b) Annular Seal Depth: Material: <br /> c) Is the well gravel-packed? Depth: <br /> d) Is the well wall perforated? Depth: <br /> e) Impervious Strata: Thickness: Depth: <br /> f) Water Level: First Water Level: Static Water Level: <br /> When Pumping: <br /> g) Maximum Sustained Yield: <br /> Pump: Make: Model Number: <br /> a) Type (submersible,jet, turbine, centrifugal): <br /> Capacity: Gallons per minute: <br /> b) Lubrication (oil, water, sealed, etc.): <br /> c) Power (electric, gas, diesel, etc.): Electric <br /> d) Controls (automatic or manual): Automatic <br /> e) Discharges to: Distribution System &Waste <br /> f) Frequency of use: Dailey <br /> g) Flood hazard: Cement slab around well? Dimensions & Height: <br /> DESCRIBE ANY TREATMENT PERFORMED: N/A <br /> /Users/samhedge/Desktop/88 MKT Water System Description Report 03-2020.doc Page 4 of 5 <br />