Laserfiche WebLink
`The free Adobe Reader may be used to view and comfolform. However,software must be purchased to complete,s no reuse a saved forth. <br /> File Original with DWR State of California DWR Use Only—Do Not Fill In <br /> Page of Well Completion Report <br /> Renamo instruction Pamphlet <br /> Owner's Well Number MW-6 No. eO246369 Stale Well Number/Site Number <br /> Date Work Began 11/24/2014 Date Work Ended 11/24/2014 LaLonL—LI�L <br /> Local Permit Agency San Joaauin County Environmental Health <br /> Permit Number 70661 Permit Date 9/30/14 APNrrRS/Other <br /> Geologic Log Well Owner <br /> Orientation O Vertical O Horizontal OAngle Specity Name CA Army National Guard <br /> Drilling Method Auger Drilling Fluid <br /> Mailing Address 10260 Mather Blvd. <br /> Depth from Surface Description <br /> Feet to Feet Describe material.itraln size,color,etc City Mather State C_A__Zi 95655 <br /> Overdrill to abandon 4"well to 50'and grout to Well Location <br /> surface Address 2000 Stimson Road <br /> City Stockton County San Joaquin <br /> Latitude N Longitude ____y,/ <br /> Dec. Min. Sec. Dec. Min. Sec. <br /> Datum Dec.Lat. Dec.Long. <br /> APN Boi Page Parcel <br /> Township —Range - Section <br /> Location Sketch Activit <br /> Sketch must be drawn b hand afterform is printer, Q New Well <br /> North <br /> O Modification/Repair <br /> O Deepen <br /> O Other <br /> Destroy <br /> oras pm maleate <br /> uMa'GEOLLOGIC LOG'OGIC LOG' <br /> Planned Uses <br /> O Water Supply <br /> ❑Domestic ❑Public <br /> 3 w El Irrigation El Industrial <br /> O Cathodic Protection <br /> O Dewatering <br /> O Heat Exchange <br /> O Injection <br /> Q Monitoring <br /> O Remediation <br /> O Spangling <br /> South O Test Well <br /> nhauala.ramcaese'mla.m cfwml n—meas,emai.ss,rmm�, O Vapor Extraction <br /> m ,a.amammamap.Jssadaironalpaperffn--n. OOther <br /> MI....aaseur.m.m..m Ll.. <br /> Water Level and Yield of Completed Well <br /> Depth to first water (Feet below surface) <br /> Depth to Static <br /> Water Level (Feet) Date Measured <br /> Total Depth of Boring Feet Estimated Yield` (GPM) Test Type <br /> Total Depth of Completed Well Feet Test Length (Hours) Total Drawdown (Feet) <br /> *May not be representative of a well's long term yield. <br /> Casings Annular Material <br /> Depth from Borehole Type Material Wall Outside Screen Slot Size Depth from <br /> Surface Diameter Thickness Diameter Type If Any Surface Fill Description <br /> Feet to Feet Inches Inches Inches Inches Feet to Feet <br /> Attachments Certification Statement <br /> ❑ Geologic Log I,the undersigned,certify that this report is complete and accurate to the best of my knowledge and belief <br /> ❑ Well Construction Diagram Name Cascade Drilling. L.P. <br /> ❑ Geophysical Log(s) Person,Firm or Corporation <br /> 3000 Dulut St West Sacramento CA 95691 <br /> El Spill Chemical Analyses AdI ,1J . City state zip <br /> ❑ Other Site Mai) Signed (,/�, 10- 12/12/14 938110 <br /> Attach additional information.Bit exists. C-57 Llcens ater en contractor Date Signed C-57 License Number <br /> DWR 188 REV.12005 IF ADDITIONAL SPACE IS NEEDED,USE NEM CONSECUTIVELY NUMBERED FORM <br />