ARCHIVED REPORTS XR0007973 - Laserfiche WebLink

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5rATL+ OR CALIFORNIA ORIGINAL, THE RESOURCES AGENCY Do not fill zn File with DWR DEPARTMENT OF WATER RESOURCES 3 3 6 917 A - � WATER WELL DRILLERS REPORT No. Jotice of Intent Na State Welt No. Local Permit Na or Date Other Well No. (1) OWNER Name KEARNEY-KPF (12) WFLL LOC; Total drptli 300 ft C•nmpietrd depth N/A ft Addrr.�ss 1624 E. Alpine Avenue from ft. to ft Formation{Describe by color character,size or material) ctt,� Stockton. California zIP95208 - See information attached (2) LOCATION OF WELL (See instructions) KSH-3 - Exploration borehole KSH-3 total � colrnty_ San_ Joaquin _ Owners Well Number KI-5 KO-5 - depth 300 feet. Well Address if different from above same as above - Intermediate monitor we U-5 Township 2 North Range 6 East Section 35 - completed to 112 feet. Distance from cures roads railroads, fences, etc - Dee monitor w 1 KS-5 CDmp ere -See. fjqyre attached - to 218.5 feet (3) TYPE OF WORK - New Well IN Deepening ❑ Reconstruction KI-5 ❑ Reconditioning KD-5 ❑ Honzonwl Well K511-3 0 c� ^ Destruction CA (Describe destruction materials and pro- cedures in Item 12) (4) PROPOSED US Domestic _ �✓ Irrigation C w fnckustrial ❑ fr1_. .^, �- �� Test Well �� ❑ \ \ v/ Munzco V ❑ \� _ O erMO ll or WELL LOCATION SKETCH be) WMI,1s -` �! (5) EQUIPMENT GRAV)qA�CK. i1 rC U Rotary K] Reverse ❑ No1� Siie^ V \ at Cable ❑ Air ❑ met of bore ! -- Other ❑ Suckeel.....1 ed vm%ttaC d Note: Exploration borehole KSH-3 ht (7) CASINGINSTALLE& ` : ti (S) PERREWATIO �� - drilled and electric logged 5/1-2/89 steel ❑ Plastic ❑ Tycr an of Borehole abandoned by pressure From i t Gage or �� t - groutingwith neat cement. ft f� ii, Wal size -- Intermediate monitor well KI-5 atta - drilled and cam feted 5/25-26/89 -- Deep monitor well KD-5 drilled and C com leted 5/23-24/89 (9) WELL SEAL - wassurfacesanitarysealpmvideda Yes KJ No ❑ f,yes.tod,ptliattached ft - Werestratascaledagairntpollution? Yes [A No ❑ Intrrval attached fl _ Methodof�-ding pressurp Urntiting1trmieWork started 19— completed ee above 1f1 (10) WATER LEVELS WELL DRILLERS ST kTEMENT Depthof first water if known Unknown _ ft Standin IBvel after Well cxini ietion U feet - ft This well may ledgerilled under ief iurRulu tIurt and this report is true to the g p Bess of my knowledge and belief (11) WELL TESTS �gned m Was well test ade Yes K] No ❑ If yes,by whom�ar l s + AS so t �sT ri yO�G6eGfLid/�?" Tyke of test P,itri��__ sailer ❑ sir �[a9 NAME HARD 15 + ASSOC I A�`� Depth to water at start of testa aft At and of test-- �y ( ei�Ffrm o tigo)(T opted) Discharge 69 gairmmaftCr 2 5 haezrs WaterremperariereL 1 'O 9ddress 222`x` S. `""''SOn JI]I a tJ I Chemieai anaiy=made? Yes lA No ❑ If yes,by whom?H r i s t Ass t 7Ay Mesa Arizona ZIP 85 0 Was electric log made Yes M No ❑ If yes,attach copy to this reP Wt License No Date of this report OWR tett(REV 12.M IF ADDITIONAL SPACE 15 NEEDED USE NEXT CONSECUTIVELY NUMBERED FORM l36?