ARCHIVED REPORTS_2009_16 - Laserfiche WebLink

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*The free Adobe Reader may be used to view and complete this form. However,software must be purchased to complete,save,and reuse a saved form. File Original with DWR State of California DWR Use Ont -'Do Not Fill,In Well Completion Report Page 2 of 2 Refer to Instruction Pamphlet Owner's Well Number AMW-13B No. e0084070 State well Number/Site Number N W 49to Work Began 11/13/2008 Date Work Ended 11/17/2008 Latitude Longitude cal Permit Agency San Joaquin County Permit Number SR#0055548 Permit Date 10/22/08 APN/TRS/Other Geologic Log Weil Owner Orientation OVertical 0Horizontal OAngle Specify Name Forward Incorporated Drilling Method Mud Roary Drilling Fluid mud Depth from Surface Deecripfitiin Mailing Address 9999 S.Austin Road Feet ,. to Feet Describe material;grain size,color,etc City Manteca State CA Zi 95336 125.0 125.6 SAND, med-coarse griained, multi-colored, Well Location loose,wet Address 2500' E of newcastle Rd.alona NCYCC S. Perimeter Rd. 125.6 126.0 SAND, moist,stiff,fine-grained, 10 YR 5/4 City Stockton County San Joaquin 126.0 126.5 SAND, moist, multi-colored,fine-med.grained, Latitude 37 53 15.65 ,N Longitude c-121 11 34.41W poorly sorted Dea. Min. Sec. Deq. Min. Sec. 126.5 130.0 SAND Datum WGS84 Decimal Lat. 37.888 Decimal Long.-121.193 130.0 131.0 SAND, med.sands-fine gravels,well graded APN Book 181 Page 150 Parcel 08 131.0 131.3 SAND,wet, loose,fine grined, 5 YR 4/4 Township 1 North Ran e 7 East Section 34 131.3 131.5 SAND,wet, loose,fine-med.grained 10 YR 4/4 Location Sketch Activi Sketch must be draviof by:hand after form.is rinted. New Well 131.5 135.0 SAND North O 135.0 136.0 CLAY, hard, dry,some micas, rust banding O Modification/Repair O Deepen 10 YR 5/4 O Other 136.0 140.0 CLAY 0 Destroy Describe procedures and materials 140.0 141.0 CLAY under'GEOLOGIC LOG' PlArthed Uses O Water Supply ❑Domestic ❑Public UJ []Irrigation ❑Industrial 0 Cathodic Protection O Dewatering O Heat Exchange 0 Injection 0 Monitoring O Remediation O Sparging South O Test Well Illustrate or describe distance of well from roads,buildings,fences, O Vapor Extraction rivers,etc,and attach a map.Use additional paper if necessary. O Other Please be accurate and complete Water Level and Yield of Com le#ed Depth to first water N/A (Feet below surface) Depth to Static Water Level 65.88 (Feet) Date Measured 12/08/2008 Total Depth of Boring 140 Feet ""See Estimated Yield* N/A (GPM) Test Type N/A Note at Test Length N/A (Hours) Total Drawdown N/A (Feet) Total Depth of Completed Well 140 Feet Bottom *May not be representative of a well's longterm yield. Casin st.: AnnWiir Metairie Depth from Borehole T e Material wall Outside Screen Slot Size Depth from Surface Diameter yp Thickness Diameter Type if Any Surface Fill Description Feet to Feet Inches Inches Inches Inches Feet to Feet 0 119 8 Blank PvC Sch.80 0.218 2.375 N/A N/A 0 111.5 Cement Quickrete Concrete 119 139 8 Screen PVC Sch.80 0.218 2.375 PVC 0.010 111.5 115.87 Bentonite Pel-Plug Bentonite Pellets 119 139 SAND 2/12 Cemex Lapis Lustre Sand 7additional Attaclarnents CertificationStatamidct gic Log I,the undersigned,certify that this report is complete and accurate to the best of my knowledge and belief Construction Diagram Name Dave Vasbinder Herst&Associates Inc. h SICa)LO S Person,Firm or Corporation Y g( ) 4630 S. Hwy 94-North Outer Rd Saint Charles MO 63304 ater Chemical Analyses Address City State zip Signed / -- 2�_— –1 S–O 636387 Attacnformation if it exists. C-57 Licensed water Well Contractor Date Signed C-57 License Number ***Drilling depth scale begins at one foot above ground surface due to required drilling rig setup.