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SAN J O A Q U I N Environmental Health Department <br /> COUNTY <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: 15300 E. Sargent Rd. City: Lodi <br /> Well Location APN: 053-070-08 <br /> Well Latitude: 38.08079 Well Longitude: -121.07554 <br /> Flood Plain Designation: Well Elevation: <br /> Applicant Name: Hennings Bros. Drilling Co., Inc. Applicant Title: <br /> Applicant Address: 1930 Ladd Rd. City: <br /> Modesto <br /> Applicant Phone: 209-545-1185 Applicant email: wells4u@henningsbros.corl <br /> Property Owner Name: Sargent Estates LLC <br /> Property Owner Address: 15300 E. Sargent Rd. City Lodi 95240 <br /> Property Owner Phone: 650-867-7784 Property Owner email:1 sargent15757@gmail.com <br /> PROPOSED WELL INFORMATION <br /> Well Total Depth(ft):l 1 400 Acres to be Served by Well: <br /> Use of Well: ❑ Domestic n Irrigation ❑Small Public Water Supply ❑Municipal Public Water Supply ❑ Industrial ❑Stock <br /> ❑Other: <br /> Depth of Corcoran Clay(ft): n/a <br /> Proposed Well Capacity(gallft): n/a Estimated Pumping Rate(gal/min): n/a <br /> Anticipated Pumping Schedule(gal/day): n/a Estimated Annual Extraction Volume(acre-feet): n/a <br /> Estimated Cumulative Extraction Volume before January 1,2020(acre-feet): n/a <br /> EXISTING WELLS INFORMATION <br /> Total Number of Existing Wells on Property: 1 <br /> Please complete the information below for every well on property.Use extra paper if needed <br /> Well#1 Information <br /> Use of Well: Il Domestic ❑Irrigation ❑Small Public Water Supply ❑Municipal Public Water Supply ❑Industrial ❑Stock <br /> ❑Other: <br /> Total Depth(ft): est. 300' To: From: <br /> Casing Diameter(in): 6" PVC ❑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 1 Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />