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tf <br />I <br />200 <br />200/260 <br />clay, sand <br />5/28/2002Pacific Bell (8 Mile Rd)/Well Data Sheet <br />.7ELL DATA SHEET(Paqe2ofL <br />Complete as much information as possible. Leave blank if information is not available, use N.A. if not applicable. <br />* Aquifer Materials <br />(list all that apply: sand, silt, clay, gravel, rock, fractured rock) <br />Actual, Estimated <br />or Default? <br />Make_____ <br />Type__________________________________________________ <br />Size (hp)______________________________________________ <br />* Capacity (gpm)________________________________________ <br />Depth to suction intake (ft below ground surface)_______________ <br />Lubrication Type_________________________________________ <br />Type of Power: (i.e., electric, diesel, etc.)_____________________ <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 />water <br />electric <br />no <br />65 <br />1978 <br />Well Yield (gpm)____________________ <br />Well Yield Based On (i.e., pump test, etc.) <br />Date measured_____________________ <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 />* 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 />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 />60 <br />yes <br />50 <br />cement grout <br />50 <br />210 <br />submersible <br />5 <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 />_____________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 />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