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CELL DATA SHEET (Page 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 Actual, Estimated <br />field with semi -colon) or Default? <br />WELL CONSTRUCTION (continued) <br />Conductor casing used? "YES", "NO" or "UNKNOWN" (See Note 2) <br />( ) <br />............................................ <br />`. "''' ""`'' ' <br />.:,:::::.....:::::.:::::::::::::::::: <br />Conductor casing removed? (YES, NOor """" "UNKNOWN") <br />"""''""'... <br />Depth to highest perforations/screens (ft below surface) (or <br />"UNKNOWN") <br />Screened Interval Beginning Depth/Ending Depth (ft below surface); <br />2nd Screened Interval Beg. Depth/Ending Depth; 3rd Screened Interval, etc. <br />* Total length of screened interval (ft) <br />(default = 10% pump capacity in gpm) (or "UNKNOWN") <br />* Annular Seal?("YES", "NO" or "UNKNOWN") (See Note 3) <br />* Depth of Annular Seal (ft) <br />Material of Annular Seal (cement grout, bentonite, etc.) <br />Gravel pack, Depth to top (ft below ground surface) <br />Total length of gravel pack (ft) <br />AQUIFER <br />"Aquifer Materials <br />(list all that apply., sand, silt, clay, gravel, rock, fractured rock) <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 />41 <br />Static water level measurement: Date/Method <br />Pumping water level (ft below ground surface) <br />Pumping water level measurement: Date/Method <br />WELL PRODUCTION <br />Well Yield (gpm) <br />411 <br />Well Yield Based On (i.e., pump test, etc.) <br />Date measured <br />Is the well metered? ("YES" or "NO") <br />............................................ <br />no <br />Production (gallons per year) <br />Frequency of Use (hours/year) <br />Typical pumping duration (hours/day) <br />PUMP <br />Make <br />............................................ <br />Franklin <br />Type <br />submersible <br />Size(hp) <br />( P) <br />1 ............................................ <br />* Capacity (gpm) <br />20 <br />Depth to suction intake (ft below ground surface) <br />Lubrication Type <br />............................................ <br />water <br />P <br />Typeof ower: (i.e., electric diesel etc. ) <br />electric <br />Auxiliary Power available. (YES or "NO") ) <br />no <br />Operation controlled by: (i.e., level in tank pressure, etc.) <br />YES o NO <br />Pum to Waste ca abillt r <br />P P Y ( ) <br />Dischar es i.e. distributions stem storage, etc. <br />( to: <br />9 Y g ) <br />REMARKS AND DEFECTS (use additional sheets as necessary) <br />French Camp Golf Course #2/Well Data Sheet 10/1/2004 <br />