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a <br />M <br />m <br />SB -300 <br />Head Capacity, Horsepower Motor & Pump Only Efficiency <br />EXISTING PUMP BY STANDARD BRAND (CURVE) <br />TYPE: 9SB300 SERIAL: #SB10487H <br />------------ <br />DUPLICATE STATE OF CLLIFORNIA - <br />Drlller's Copy WELL COMPLETION REPORT <br />Page -1— of Befer to I NIITMeIICn Penr/bfn STATE WELL N0./3TATION NO. <br />Owner's Well No. 480164 <br />Q O g1 6 /1 <br />Date Work Began 6—Y0-91 , Ended 7—``14-93 Y L� 'f LAn'ro <br />TE ElLONWTUDE <br />r,Local Permit Agency <br />. Permit Na Permit Date 6-16-93 APNITLIS' <br />C, <br />x <br />- . ... ..... <br />WELL UWNLK <br />D tl <br />OFfIENTATON (L) .y vERT1GL—HORaoNrAL —ANGLE—(ePEOIY) <br />Name Dar Green Rartnarc, L <br />P <br />DEPTH TO FIRST WATER (FL) BELOW SURFACE <br />Mailing Address 931 - 26th Street <br />r. <br />DEPTH FROM <br />SURFACE DESCRIPTION <br />(� <br />afield <br />r•AIP Sant <br />Ft. to FL DernibetNatenef amaze volar Mc. - <br />W <br />arr�alrer <br />WELL LOCATION <br />ST <br />-)GO'e PERFORATED <br />T�� <br />z V) <br />»ono, <br />Address <br />W <br />N . <br />Zo <br />City <br />z <br />County San 3oa(;uin <br />LL1 Z <br />APN Book 'Page Parcel <br />Township .11111 $_ Range Rr%l?. Section 1334 <br />Ld <br />6L <br />11 A'KA' <br />' <br />179 <br />rl jet,` <br />} <br />Z <br />LatitudeNORTH Longitude <br />qEO. ' I MI. BEC. <br />LOCATNION SKETCH <br />WEST <br />DEO. � MW. � BEC. <br />ACTIVITY <br />' <br />' ' <br />Q <br />R2 qfi clay. <br />NORTH <br />]L NEW WELL <br />- <br />96 97 cz-vell <br />\ 5 <br />MOOIFICATIONIREPAK <br />- <br />W2. <br />2a <br />8 <br />GNRTSMA IZO, <br />_ Deep. <br />Z <br />.N <br />Q <br />O <br />ILL <br />_A Ave <br />sAiiDP''>:�7 <br />_ yin« lePeelh> <br />DESTROY foee«0eProauke ...dMNedN1.. <br />ri - <br />997 37A <br />PLANNED USES)- <br />(�) <br />12A 192' -171 Alt« <br />O <br />$lot <br />MONITORMIO <br />WATER aDPPLY <br />39A I A67 Gravel -Clay <br />IE.i4^a 5 <br />x DalaoUb <br />497 579 n <br />.eG. <br />CMALT <br />jI0J54. V�.OvJ /T , C <br />PY aao <br />Mde•Ibl, <br />W.Nidal <br />- - <br />_ -rEsr wau" <br />SOUTH <br />CATHODIC PROTEC- <br />TION <br />' <br />- r <br />Illutlrole or Dow de DHslancr of Well from Iandouf <br />such se Beads, Buildengs, Finers, fhoen, etc. <br />PLEASE BE ACCMSI E L COMPLLTE. <br />OTHER (SpeelM) <br />- <br />DRILLING <br />717 77n rrAvoi <br />METHOD Reverap Entary FLUID Watpr <br />— WATER LEVEL i YIELD OF COMPLETED WELL <br />DEPTH OF STATIC 356 7—� 4-43 <br />WATER LEVEL ��L (Ft.) B DATE MEASURED - <br />ESTIMATED YIELD' 600 (GPM) S TEST TYPE <br />TEST LENGTH _&& (We.) TOTAL DRAWDOWN SqA (Ft.) <br />79n 774 r1ay <br />' - <br />TOTAL DEPTH OF BORING 724 (Fed) <br />TOTAL DEPTH OF COMPLETED WELL --22-0(Feet) <br />' May not be repruenmtive of a Well } long-term yield. <br />DEPTH <br />CASING(S) <br />DEPTH <br />ANNULAR <br />MATERIAL <br />FROM SURFACE <br />BORE- <br />HOLE <br />FROM SURFACE <br />TypE <br />TYPE <br />DIA. <br />D1e1i'I <br />: E <br />INTERNAL <br />MATERIAL/DIAMETER <br />GAUGE <br />OA WALL <br />SLOT SIZE <br />IF ANY <br />CE- 'IN" <br />MEM TONITE <br />FILL FILTER PACK <br />FI. to Ft. <br />t �� <br />GRADE (MMeaI <br />THICKNESS <br />SNA.N <br />Ft. to FL <br />(s, ) (4) <br />(4 ) (TYPE181ZE) <br />0 567 <br />1 <br />950 <br />560 7-20 <br />ATTACHMENTS (!) <br />CERTIFICATION STATEMENT <br />1, the undersigned, certiy that this report Is complete and accurate to the beat of my knowledge and belief. <br />GoobSic Lae <br />— Wee ConMrYotloa View" <br />MAINE Aa WygAslA <br />Ww!;.46 Pump co <br />FL <br />I ) OYYL <br />OteMYebal Lope) <br />' <br />_ Stillwater Chemical ArAhme, <br />1600 E. <br />Ca1_i_fornla Avn. HakprafiwInx <br />47307 <br />Aft <br />Dow— <br />ANKU <br />SfaaM L <br />GTT <br />T D <br />StA 11P <br />7 L NOSE L� <br />ATTACH ADDITIONAL INFORMATION. f IT E ISMS. <br />DWR IES REV. r-ro IF ADDITIONAL SPACE IS NEE00, USE NEXT CONSECUT17ELY NUMBERED FORM <br />SB -300 <br />SWMRt METER. <br />,GATE VALVE <br />STariu zle T/W k . <br />CHECK VALVE <br />CV -11 <br />SWIRL METER- <br />'DRESSER COUPLER <br />II III III_ <br />14 <br />BRASS! SAMPLING TAP <br />(FIB R-ISOL ION <br />MATE ALLI <br />AR ND TYP: <br />'PUMP MOUNTING DETAIL'. -- <br />NOTES <br />. WELL AND PUMP INSTALLATION SHALL BE IN ACCORDANCE <br />WITH LOCAL HEALTH DEPARTMENT REQUIREMENTS. <br />2. THE INITIAL WATER SAMPLE OF THE WELL SHOULD BE <br />TESTED TSHOULD BEINPCONFOAL AND RMANCE WITHICALIFORNIAT <br />ERISTICS <br />ANDADMINISTRATIVE <br />CODE TITLE 22 AND AS INDICATED IN THIS PROJECTS SPECIFICATIONS. <br />WATER QUALITY SHALL MEET PRIMARY AND SECONDARY STANDARDS <br />OF TITLE 22. <br />3. WELL DRILLER SHALL KEEP A COMPLETE SET OF.DRILLING AND <br />DEVELOPMENT RECORDS AND OBTAIN ALL PERMITS REQUIRED FOR <br />DRILLERTHE WELL. THE WELL SHALL PROVIDE <br />COUNTY DEPARTMENT OFPUBLICWORKSA COMPLETE SET OFARECORDS. <br />4. WELL CONTRACTOR IS RESPONSIBLE FOR ALL COORDINATION <br />WITH P.G.&E.' <br />B <br />AREAS OF PERFORATION <br />0-560' BLANKCASING', <br />�lvr <br />560' -)lam' PERFORATED CASING <br />BLANK CASING AND PLUG <br />NOTE: <br />WELL DEVELOPMENT LOGSJP<t FURNISHED TO <br />SAN JOAQUIN PUBLIC WORKS DEPARTMENT <br />CUT OFF TOP OF WELL CASING <br />AS REQ'D PROVIDE TEMPORARY; <br />COVER PLATE DURING CONSTRUCTION <br />4" GRAVEL PACK INLET <br />4Oe CONC. FLOOR <br />OR DIRT <br />qI� <br />Y n WATER SENSOR PIPE`-_ <br />U Owl <br />W• N <br />D 0 <br />- - - - Dir Z a <br />OI <br />P-1 CXte>-F <br />s0Z ME'R5 ( t3LF <br />,J �`M.00A-MD <br />T6 NEW WELL e <br />SET`, PUMP ON <br />iREINFORCED RUBBER <br />GASKET (EXTEND <br />;BEYOND BASE OF PUMP) <br />OR DIRT <br />START GRAVEL PACK 10' ABOVE TOP OF SCREENED CASING <br />5'6o'- 7Zo' 3 X e azAdEL PAe K h*7EK/,4z, <br />F;e&" S/G/GA IC'S0t1Rl^65 <br />rn <br />d opo <br />HHD D <br />V U'l0 <br />D tl <br />J <br />D <br />Q11 <br />e <br />Z <br />a <br />WELL SECTION'- <br />M <br />.[VENT PIPE W/INSECT SCREEN <br />OVER, OPENING <br />- t PROVIDE INSECT SCREEN OVER VENT OPENING <br />VENT PIPE <br />��_[CAP _OPENING <br />�ANCHOR BOLTS X <br />LONG (4 REQ'D)' BOLT SPACING <br />^TO MATCH PUMP <br />`— #5 REBAR @ /.i'�O O.C. BOTH WAYS <br />VERTICAL AND HORIZONTAL DIRECTIONS <br />d <br />p COLUMN <br />Q� <br />I Z <br />QROFESSIpyq� I Z <br />�NpRYEy yqy �� 0 <br />C 255:4 ° Ln <br />I I W (D <br />/ w <br />Or <br />CIVIL <br />CA��A <br />QM M <br />M N <br />coth Q <br />I <br />❑ I <br />Z Z Y <br />mCW I <br />W ¢ I <br />❑ 0 U <br />Q <br />°jar CASING UAA)K - /11056 G5 - Dt3IZ W/4GC. 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