Laserfiche WebLink
ORIGINAL r) STATE OF CAL)FORNIA - DWR USE ONLY - 130 NOT FILL IN <br /> File with DWR WELL COMPLETION REPORT ) ' I I 1 1 1 1 1 1 1 1 J. <br /> Page_1—of--I— Refer to Instruction Pamphlet STATE WELL NO-ISTATtON NO, <br /> ownees Well No. U-1 thrauah U-8 _ NO. 779152 <br /> LATITUDE LONGITUDE <br /> Date Work Began. <br /> Seotember 10,2001 , Ended September 11,2NOsl <br /> Local Permit Agency San Joaquin County Public Health Services <br /> - APN/TRSlOTHER <br /> Permit No. 0027311 and 0027312 Permit Date August 31.2001 <br /> GEOLOGIC LOG I WELL OWNER <br /> ORIENTATION (✓) vERTtCAL HORIZONTAL ANGLE _(SPECIFY) Name eUnocal <br /> DRILLING 87m Ok Grovei! Suite 15 <br /> METHOD FLUID Mailing Address <br /> DEPTH FROM EI I - CA 9 624 <br /> SURFACE DESCRIPTION _ - STATE ZIP <br /> FL t0 Ft Describe material, grain size, co2nr• etc. etn� <br /> WELL LOCATION <br /> 1 1 AEI wells were drilled out to 1 foot below original welEAddress.1034 Central Avenue <br /> 1 1 baring depth to remove casing,well filter pack,and seal, 'City <br /> 1 1 then well boring was backfilled to 0.5 feet below ground County - <br /> r 1 surface with neat cement,then finished to ground Surface .APN Book Page Parcel <br /> 1 1 with concrete. Township.- Range Section <br /> Latitude 1 I NORTH Longitude I i .WEST <br /> DEG. MIN. SEC. DEG, MIN. SEC. <br /> ' ' I LOCATION SKETCH ACTIVITY (•') <br /> I I ' <br /> NORTH NEW WELL <br /> 1 e o u-& MODIFICATiONtREPAIR <br /> 1 1 — Deepen <br /> ____ otherispeclh) <br /> .,,,,y 114j, STREET <br /> DESTROY lVescribe <br /> Procederea and Materials <br /> 6 U-Z Under"GEOLOGIC LOG-) <br /> u-8 u-t I PLANNED USES (�) <br /> - I WATER SUPPLY <br /> Oomeslk Public <br /> 1 , j �V-3 1 y Irrigelipn Industrial <br /> I i <br /> 1 Q I MONITORING <br /> uj <br /> TEST WELL <br /> CATHODIC PROTECTION_-- <br /> 1 <br /> 1 1 •V HEAT EXCHANGE <br /> _ _ -5_ — <br /> DIRECT R15H.�._ <br /> 1 1 Lu INJECTION <br /> 1 1 V VAPOR EXTRACTION <br /> SPARGING <br /> 1 1 <br /> SOUTH REMEDIATION— <br /> I t 1114strate ar Describe Diatdnee of WeA frons Roads,Hntddings <br /> &Ijees,Riurs,ere.and nrmch n nvey Use addttianal Per <br /> OTHER tSPECIFY) <br /> 1 I necc>ynry.PLEASE BE:ACCURAIIE U COMPLET <br /> WATER LEVEL & YIELD OF COMPLETED WELL <br /> 1 1 DEPTH TO FIRST WATER (Ft.) BELOW SURFACE <br /> 1 1 I <br /> DEPTH OF STATIC <br /> 1 WATER LEVEL (FL)1S DATE MEASURED <br /> 1 1 ESTIMATED YIELD' (GPM)3 TEST TYPE - - - <br /> TOTAL DEPTH OF BORING (Feet) TEST LENGTH (Hre.)TOTAL DRAWDOWN (FI.) <br /> TOTAL DEPTH OF COMPLETED WELL (Feet) 'Allay not be rtImesentarive of Q well's long-term yield. <br /> DEPTH BORECASING (S) I DEPTH ANNULAR MATERIAL <br /> - FROM SURFACE TYPE <br /> FROM SURFACE HOLE TYPE(-!L) <br /> DIA• x w a MATERIAL 1 INTERNAL GAUGE SLOT SIZE CE- BEN• <br /> (inches w GRADE DIAMETER OR WALL IF ANY MENT TONITE FILL FILTER PACK <br /> F1. to FL (Inches) THICKNESS (Indies) FL to Ft. (�} (^) (�) (TYPE/SIZE) <br /> 1 t <br /> � 1 <br /> I I 1 <br /> I <br /> 1 <br /> 1 I I <br /> ' I 1 <br /> ATTACHMENTS CERTIFICATION STATEMENT <br /> 1,the undersigned,certity that this report is complete and accurate to the best of my knowledge and belief. <br /> GB011agiG Log <br /> Well ConSnUction Diagram s Cascade Drilling,Inc. <br /> tPERSW FIRM, DR CORPORATION) "nO OR PRRI)EO) <br /> — Geophysical Log(s) <br /> _..... SoillWater Chemical Analyses 3632 Omer Circle Rancho Cordova CA 95742 <br /> AWRESS � I CITY StAIE IIP <br /> — Other ] tt 1 <br /> ATTACH AODITJONAL INFORAMTlOM 1F IT EXISTS- Signed OIL 1 9128101 0 <br /> tM:LI 9RILLERlFUiNORII[D R NIATIYE OATC SIGNED C-57 IICENSE CENSE NUMBER <br /> D%j'R 168 REN'. 11-97 IF ADDITIONAL SPACE IS NEEDED, USE NEXT i CONSECUTIVELY NUMBERED FORM <br />