SU0012668 - Laserfiche WebLink

Home Browse Search

QUADRUPLICATE STATE OF CALIFORNIA For Local Requirements WELL COMPLETION REPORT Pare I of I Refer to lnslrucmm l'ntnpldei ONt ner's Well No. #5 WELL No. 201$_006840 Date Work Began 7/31/2018 , Ended8/16/2018 Local Permit Aeenc,, SAN tJQACJl11N COUNTY Permit No. WP0038310 Permit Date 5/23/2018 GEOLOGIC LOG ORIENTATION(!) ->- VERTICAL —HORIZONTAL — ANGLE —(SPECIFY) DRILLING DEPTH FROM METHOD REVER E FLUID DESCRH'TION Ft to Ft I Describe material. Yrain, size. color, etc. _30F 40: CLAY 40 45 ROCKS/CLAY 45': 50: CLAY 50: 130: ROCK 130: 162: ROCK & SAND 1; 162; 177: SANDY CLAY 177 i 380: ROCK 380; _ 387; CLAY 387; 420 ROCK 420; 430: SANDY CLAY 430; 780: ROCKS/CLAY 780; 805: CLAY 805; 813: GRAVEL 813: 831 CLAY 831: 840: ROCK 840: 861:CLAY 861: 1020 i SANDY CLAY W/RC STATE WELL NOJ STATION NO. 11�i I ID LATITUDE LONGITUDE WELL OWNER — Deepen — Otnx (Spey) Name TRACY GRANITE CONSTRUCTIO Procedwers and Matenals Mailing Address 37400 S BIRD RD TRACY CA 95304 Cm STATE ZIP Address BIRD RD. 8, BL"WTIO City CA _ — Count\ SAN JDA-01h APN Book 265— Page 0080 Parcel 15 tship Range Section fillude37 36 718 N 121 120 603 W DEG. MIN SEC. DEG. MIN. SEC LOCATION SKETCH ACTIVITY (✓_) — NORTH --V-NEW WELL Blewel-/ r`j� d MODIFICATION/REPAIR /o SOUTH T 111wrmte or lkacnbe INstancv of Well from Rnrnh, BmIkUnp, Fences, Rivert, etc and attach a map Use additional paper if neeesaary. PLEASE BE ACCURATE & COMPLETE. WATER LEVEL & YIELD OF COMPLETED NVELL DEPTH TO FIRST WATER-- (Ft.) BELOW SURFACE DEPTH OF STATIC WATER LEVEL (FL) 8 DATE MEASURED — 1020 ESTIMATED YIELD ' (GPM) & TEST TYPE TOTAL DEPTH OF BORING (Feet) TEST LENGTH (Hrs) TOTAL DRAWDOWN____. (Ft) TOTAL DEPTH OF COMPLETED WELL 1000 (FKO 11ov not he renreaentntive ofa well's lone -term yield. ATTACHMENTS (,,) CERTIFICATION STATEMENT Geologic Log i the undersigned. certify that this report is complete and accurate to the tent of my knowledge and oe)ief — Well Construction Diagram NAME MYERS BROS. WELL DRILLING, INC. Geophysical Logs) (PERSON, FIRM, OR CORPORATION) (TYPED OR PRINTED) — ScNWater Chemical Anays:s P HANFORD __CA 93232_ Other ADORESS CITY STATE ZIP ATTACH ADDITIONAL INFORMATION. IF IT EXISTS08/16/18 548214 WELL DRILLER/AUTHORIZED R RESEWA DATE SIGNED C-57 LICENSE NUMBER D% VR 188 REV II -97 IF ADDITIONAL SPACE IS NEEDED USE NEXT CC5NSECUTIVELY NUMBERED FORM — Deepen — Otnx (Spey) — DESTROY (Describe Procedwers and Matenals Under 'GEOLOGIC LOG" PLANNED USES( -e) WATER SUPPLY — DomesticPtbkc — lidgetion hxkmblW MONITORING — TEST WELL — THODIC PROTECTION— HEAT EXCHANGE— DIRECT PUSH— INJECTION — VAPOR EXTRACTION — SPARGING — REMEDIATION — OTHER (SPECIFY)— WATER LEVEL & YIELD OF COMPLETED NVELL DEPTH TO FIRST WATER-- (Ft.) BELOW SURFACE DEPTH OF STATIC WATER LEVEL (FL) 8 DATE MEASURED — 1020 ESTIMATED YIELD ' (GPM) & TEST TYPE TOTAL DEPTH OF BORING (Feet) TEST LENGTH (Hrs) TOTAL DRAWDOWN____. (Ft) TOTAL DEPTH OF COMPLETED WELL 1000 (FKO 11ov not he renreaentntive ofa well's lone -term yield. ATTACHMENTS (,,) CERTIFICATION STATEMENT Geologic Log i the undersigned. certify that this report is complete and accurate to the tent of my knowledge and oe)ief — Well Construction Diagram NAME MYERS BROS. WELL DRILLING, INC. Geophysical Logs) (PERSON, FIRM, OR CORPORATION) (TYPED OR PRINTED) — ScNWater Chemical Anays:s P HANFORD __CA 93232_ Other ADORESS CITY STATE ZIP ATTACH ADDITIONAL INFORMATION. IF IT EXISTS08/16/18 548214 WELL DRILLER/AUTHORIZED R RESEWA DATE SIGNED C-57 LICENSE NUMBER D% VR 188 REV II -97 IF ADDITIONAL SPACE IS NEEDED USE NEXT CC5NSECUTIVELY NUMBERED FORM