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 Only 75 Not Fill In Page 4 of 4 Well Completion Report Refer to Instruction Pamphlet State Well Number/Site Number Owner's Well Number AMW-21 No. e0084068 I I I N I I I I I I I10w to Work Began 11/04/2008 Date Work Ended 11/12/2008 Latitude Longitude cal Permit Agency_San Joaauin County Permit Number Permit Date 10/22/08 APN/TRS/Other Geo,112911c L29 Well owner . Orientation O Vertical O Horizontal OAngle specify Name Forward Incorporated Drilling Method Mud Rotag Drilling Fluid Mud Mailing Address 9999 S.Austin Road Depth from Surface Description Manteca CA 95336 Feet to Feet Describe material,' rain size,color,etc Cit State_2i 150.0 150.6 CLAY Will Location 150.6 151.5 Silty CLAY,very stiff,dry,barite lenses, 5 YR 4/4 Address 650'of Newcastle Rd alona NCYCC S. Perimeter Road 151.5 155.0 Silty CLAY City Stockton County 155.0 155.2 GRAVEL,dry,fine-coarse gravel,angular, Latitude 37 53 15.64 N Longitude -121 11 59.11w mudstone Dea. Min. Sec.' Deo. Min. Sec. 155.2 160.0 GRAVEL Datum WGS84 Decimal Lat. 37.888 Decimal Long. -121.200 160.0 160.7 GRAVEL APN Book 181 Page 150 Parcel 08 160.7 165.0 GRAVEL Township 1 North Range 7 East Section 34 165.0 165.8 Silty CLAY,very stiff,dry, 10 YR 6/2 Location ketch, Activit 165.8 170.0 Silty CLAY sketehmu'staedrawni rti afterform.is rinted. j) New Well 170.0 171.3 Silty CLAY,hard, dry,abundant micas 10 YRS 5/4 O Modification/Repair O Deepen 171.0 175.0 Silty CLAY O Other 175.0 176.4 Silty CLAY O Destroy o edu ea and materials under`GEOLOGIC LOG" . isl�rirted t18es O Water Supply ®Domestic ❑Public tm ❑Irrigation ❑Industrial O Cathodic Protection O Dewatering O Heat Exchange O Injection 0 Monitoring ORemediation 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 com late, stir Level and,Yield of Corn feted Well;. Depth to first water N/A (Feet below surface) Depth to Static Water Level 62.43 (Feet) Date Measured 12/08/2008 Total Depth of Boring 176 Feet ***See Estimated Yield* N/A (GPM) Test Type N/A Total Depth of Completed Well 143 Feet Note at Test Length N/A (Hours) Total Drawdown N/A (Feet) Bottom *May not be representative of a well's long term yield. Casin s Annular Material Depth from Borehole Type Material Wall Outside Screen Slot Size Depth from Surface Diameter Thickness Diameter Type if Any Surface Fill Description Feet to Feet Inches Inches Inches Inches Feet to Feet 0 122 8 Blank PVC Sch.80 0.218 2.375 N/A N/A 0 114 Cement Quickrete Concrete 122 142 8 Screen " PVC Sch.80 0.218 2.375 PVC 0.010 114 118 Bentonite Pei Plug Bentonite Pellets 122 142 Sand 2112 Cemex Lapis Lustre Sand Attachments ."; CorEification Statement ❑� Geologic Log I,the undersigned,certify that this report is complete and accurate to the best of my knowledge and belief ❑� Well Construction Diagram Name Dave Vasbinder Herst&Associates Inc. ❑ Geophysical LO S Person,Firm or Corporation g( ) 4630 S. Hwy 94-N.Outer Rd Saint Charles MO 63304 ❑� SoilNVater Chemical Analyses dres city State zip ❑ Other Signed �� f--/$--ic( 636387 Attach additional information 'rf 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.