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VELL DATA SHEET (Paae 2 of <br />Complete as much information as possible. Leave blank if information is not available, use N.A. if not applicable. <br />Indicates items required for Source Water Assessment <br />%* Indicates additional items required for assessments and Ground Water Rule <br />(separate multiple entries in <br />field with semi -colon) <br />Actual, Estimated <br />or Default? <br />WELL CONSTRUCTION (continued) <br />Conductor casing used? ("YES", "NO" or "UNKNOWN") (See Note 2) <br />Conductor casing removed? ("YES", "NO" or "UNKNOWN") <br />Depth to highest perforations/screens (ft below surface) (or <br />"UNKNOWN") <br />163 <br />Screened Interval Beginning Depth/Ending Depth (ft below surface); <br />2nd Screened Interval Beg. Depth/Ending Depth; 3rd Screened Interval, etc. <br />163/203 <br />• Total length of screened interval (ft) <br />(default = 10% pump capacity in gpm) (or "UNKNOWN") <br />40 <br />• Annular Seal?("YES", "NO" or "UNKNOWN") (See Note 3) <br />yes <br />• Depth of Annular Seal (ft) <br />100 <br />Material of Annular Seal (cement grout, bentonite, etc.) <br />cement <br />Gravel pack, Depth to top (ft below ground surface) <br />100 <br />Total length of gravel pack (ft) <br />105 <br />AQUIFER <br />Aquifer Materials <br />(list all that apply: sand, silt, clay, gravel, rock, fractured rock) <br />clay, sand <br />• Effective porosity (decimal percent) (default = 0.2) (or "UNKNOWN") <br />• Confining layer (Impervious Strata) above aquifer? <br />("YES" "NO" or "UNKNOWN") <br />Thickness of confining layer, if known (ft) <br />Depth to confining layer, if known (ft below ground) <br />. Static water level (ft below ground surface) <br />48 <br />Static water level measurement: Date/Method <br />12/2/1994 <br />Pumping water level (ft below ground surface) <br />Pumping water level measurement: Date/Method <br />WELL PRODUCTION <br />Well Yield (gpm) <br />1774 <br />Well Yield Based On (i.e., pump test, etc.) <br />Date measured <br />12/2/1994 <br />Is the well metered? ("YES" or "NO") <br />Production (gallons per year) <br />Frequency of Use (hours/year) <br />Typical pumping duration (hours/day) <br />PUMP <br />Make <br />Type <br />submersible <br />Size (hp) <br />30 <br />Capacity (gpm) <br />Depth to suction intake (ft below ground surface) <br />105 <br />Lubrication Type <br />water <br />Type of Power: (i.e., electric, diesel, etc.) <br />electric <br />Auxiliary power available? ("YES" or "NO") <br />Operation controlled by: (i.e., level in tank, pressure, etc.) <br />Pump to Waste capability? ("YES" or "NO") <br />Discharges to: (i.e., distribution system, storage, etc.) <br />REMARKS AND DEFECTS (use additional sheets as necessary) <br />French Camp Golf/Well Data Sheet <br />5/22/2002 <br />