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ARCHIVED REPORTS_2009_16
Environmental Health - Public
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ARCHIVED REPORTS_2009_16
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Entry Properties
Last modified
7/17/2020 3:53:33 PM
Creation date
7/3/2020 10:54:52 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4400 - Solid Waste Program
File Section
ARCHIVED REPORTS
FileName_PostFix
2009_16
RECORD_ID
PR0440005
PE
4433
FACILITY_ID
FA0004516
FACILITY_NAME
FORWARD DISPOSAL SITE
STREET_NUMBER
9999
STREET_NAME
AUSTIN
STREET_TYPE
RD
City
MANTECA
Zip
95336
APN
20106001-3, 5
CURRENT_STATUS
01
SITE_LOCATION
9999 AUSTIN RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\SW\SW_4433_PR0440005_9999 AUSTIN_2009_16.tif
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EHD - Public
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KEUI <br /> r� ItalNAi WATER WELL DRILLERS RPOR I?o ot` a±l is <br /> "dile Original,Duplicate acid Triplicate with the (sect'ene 7016,7077,7018, water code) <br /> DIVISION OF WATER RESOURCES State V(/c!I No... .AI -7 ,.J-:.' <br /> A.O.BOX 1079 <br /> STATE OF CALIFORNIA—DEPARTMENT OF PUBLIC WORKS <br /> -- -••—---�. _ <br /> SACRAMQNTO 0,CALIFORNIA DIVISION OF WATER RESOURCES ,. Outer WeI1 No.... ._....... <br /> 39-152 <br /> DRILLER; (person, firm, or corporation) (8) LOCATION OF WELL: <br /> Name Clark viell Drilling Co. County San Joa.guin <br /> Address b , U r er , ay R.Is.D.or Street No. <br /> Stockton 6, C7aljf. Uenter ofj section 35 <br /> VE J.s. T�.xA`) <br /> n <br /> OWNER: <br /> Name HenrV tleiershauser <br /> Address Rt. -4- ox Calif.t 1P ) WELL LOG: <br /> btoc ton, JI. 'total depth of well 104, Is <br /> Formations Mention size of water gravel— <br /> (2) Proposed Use (Check) Equipment to it.to 3 ft. Adobe <br /> 3 6a Vel_ oi-,r clay <br /> Domestic ❑ Industrial L3RotaryRotar!' fm Air 92 Clay & hard pan <br /> Irrigation [S Test Well ❑ Dug \Veli ❑ 92 112 Sand <br /> Municipal ❑ Other ❑ Other ❑ 1,12_ 132 Sand & aay02 <br /> .132 1110 " 6 oft clay <br /> (3) CASING: 1h,p - 15/Lt Brittle wa.ndy hardpa <br /> ft. of in 16./ga. 'axing loft In well 1 51� •• 1CJL. crravei <br /> 1 .. .. �, ,• .. 1& Soft clay <br /> Type and size of shoo or well ring ., <br /> ro PERFORATIONS: ., . <br /> perforator used <br /> Perforated 92 ft.to 132 2 ft. holes per In. <br /> 't&O 164 <br /> .. .. .. to <br /> Diameter of perforations in.,length 16 X 7 In. <br /> (5) WATER LEVELS: " <br /> Was electric log made of well?❑Yes 0 No Ilya,attach copy. �t <br /> Depth ar which water was first found 23 fr. •• l Its <br /> Standing level before perforating ft. <br /> 5exnding revel after perforating ft. ° <br /> \ote your chserv3don of any change is water level while drilling <br /> Wit a surface sanitary seal provided? NO <br /> as Da <br /> (6) WELL PUMPING TEST: Work atarted 19 Cyn ��pleletL. 19�. <br /> capacity gal./mru. ft.draw down Date o£Report 1 <br /> a WELL DRMLER'S STATEMENT: � <br /> was well gravel packed? No This well was drilled under my jnrisdiction and this report is trite to the ben <br /> 21!t sttxta scaled against pollution? of my knowledge and bel <br /> ti <br /> e/. <br /> \ Peroerxtore was acheWcalapalyurmadel tA`hehl Clark Ifell Dr*11i 00 <br /> If abandoned was well capped) w rfffen�� <br /> (7) TYPE OF WORK (check): License No. -76602,_._._.._...._ ciassiftcation.r C 5..,,......, <br /> New well 9 Reconditioning of well ❑ <br /> Dared- 1.2.11„711-r.1.2 <br /> Deepening existing well ❑ —'.."--_._......._.,-......_.,.r, 19.«...__ <br /> 463701.6130ta Qu1N 0 spa <br />
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