Laserfiche WebLink
^The tree AcrQt)e Reader may ne used to view and complete ,m,. However,software moat De pumhaeed to oemplete,sa, I reuse a saved form, <br /> File Crig mall with DVVR Slate of California DVVI 4}e e =Ra <br /> Well Completion Report I III <br /> Page 1 Of 1 Ifo k''q'd'v PwtState WeB Numberi9ite Number <br /> Owners M11 Number Unknown No. eNDS746 I 1-7-1 1 1 1 1 1 1 1 1 w <br /> Dani worn Began 061161200.9 Date Wolk Ended OEf2312009 L-atrtude L.on ltuOe <br /> Local Form itAgancy San Joaquin County Environmental Hea4th Department <br /> Permit Number Permit Date 611 APRTMw mer <br /> YV811. lY[s6f° <br /> oriorrtation dDVertical 01iorizontal OA" Specey Name tlrlkrtiovwn.�pronerN owner is Pacific Gas aW Electric Co_ <br /> DrDingMthod ',yell Abandonment Cxilling Fluid Fresh Water MaIIIIIg Address 3A41 Gow Gannon Rand <br /> Dep A ttaoPa.Senfacs axr •'•. . <br /> Fait' m fvt' Dribesr +at' t eye Cl San nate <br /> Q 76 Well of unknown identification was abandoned b 111?el ' <br /> backfilling wHh neat cement. Address 712 S. Sacramento St <br /> City Lodi Cffuntjr San Joaquin <br /> Latitude 36 1 29 N Congjude. 121 16 <br /> Dna Aih. s' :. DGa W. –ReG <br /> Datum Dadmal Lat: Decimal Lang. <br /> APH Book Z5 Page 32 Parrel:. 08 <br /> Tormshi Ra Section <br /> ts5t8t7r, own nw,a 5dorrrlorrd it ed <br /> ModiHr�tian+Repair <br /> Q Oeepen <br /> O Other <br /> - lQ Destroy <br /> Par-a.bepao-`Guts am mabiok <br /> uruer•'CFJ0LJ0G2:LQV <br /> Rt8n ed—Llsm <br /> See achad Site Plan; valor Supply <br /> ita <br /> wee abandoned was Domestic OPub71c <br /> westernmost well <br /> I ❑Irrigation Qlndustrial <br /> IdGr►t11iCd on the Site Plan. 0 Cathodic PruteCtivn <br /> 0 05watertrts <br /> Q ileal Exchange <br /> Q tr c ion <br /> Q Monitoring <br /> 4 Remediation <br /> Q Sparging <br /> South Q Test Well <br /> xu aaroa osav arae rwa,Oct naT oxk,Wrynpc,tanaa. Q Vapor Extraction <br /> . rltvmot.aru wr m.-np.u: aws uwpaw,irmc 08,9, 0 Other <br /> . .. Pbr<seb�aa..4uccakandcam Nk. <br /> ... sli'N tY7nPI•Szdyteldof ccm 'welt <br /> Depth to first water (Feet below surfaoe) <br /> Depth to Static <br /> WOW Lo"I (Feet) pate Measured <br /> Totai Depth of 6odng Fees Estimated Yiedd (GPM) Test Type <br /> Total Dep4h Of CompleWd Welt Feet Tool Leirgth (Hours) Totel Drawdown (Feat} <br /> 'Ma r*t be n9 RmrttatNe of a wall's ion term yield. <br /> z�lanti�-7Watr�[iatC <br /> DeM ftin 130r0ale ...hPe ilaEertlel lm de scream Slut SIZA Deptft from <br /> 5urfdCe otimosr. ihDcltnesa Diameter Type It Any Surface FRI oesenption <br /> Feat to Feet (Inches) Inches lmhsa inches Feet w Feet <br /> Atlwhmuerfa. G tc ion S stten@ . <br /> Geoiogiv Log I,the undersigned,aertlfv thal I his repad is opiate aro i=rato t0 the best of my knowledge and belief <br /> fl Well C0n6tr1iCtICW Diagram Name Woodward Dr'11 C+nnD$nY <br /> ❑Geophysical Logs? P.O. BOX <br /> T3 <br /> Rio Vista CA 94571 <br /> ❑ 6oilLWaterChemical Ana YWS AA,-*,E— C' State <br /> EM Other Site Plan _ Signed ` a 1=n 9 ?JP 710079 <br /> aamdtaMlowl Cd- 1 Gay I mrwall Corrlrrxw Date Sd ried G67 Lioense Number <br /> DOOR 185 flP/,11210W IFAt7DIP-O*4LSPPLE IS EDED,USE NEXT MNSECurIV–.LY NUMBERED FORM <br />