HomeMy WebLinkAbout021-020-027 EHWL21-0029 WELL LOG FROM DWR SITEState of California
Well Completion Report
Form DWR 188 Complete 10/6/2022
WCR2022-010071
Owner's Well Number Date Work Began 1 07/07/2022 Date Work Ended 08/30/2022
Local Permit Agency Butte County Public Health
Secondary Permit Agency Permit Number EHWL21-0029 Permit Date 09/28/2021
Well Location
4393 Colusa HWY Address
Gridley City 95948Zip ButteCounty
39 Latitude 21 25.7832
Deg.Min.Sec.
N -121Longitude 53 29.6843
Deg.Min.Sec.
W
Dec. Lat. 39.357162 Dec. Long. -121.891579
Vertical Datum Horizontal Datum WGS84
Location Accuracy Location Determination
Method
021-020-027APN
17 NTownship
01 ERange
05Section
Mount DiabloBaseline Meridian
Ground Surface Elevation
Elevation Accuracy
Elevation Determination Method
Geologic Log - Free Form
Depth from
Surface
Feet to Feet
Description
0 25 brown clay
25 54 sand & gray gravel
54 64 brown clay
64 118 compacted clay/gravel
118 128 brown clay
128 146 river gravel
146 187 blue clay
187 210 compacted sand
210 260 blue clay
260 290 sand & gravel
Well Owner (must remain confidential pursuant to Water Code 13752)
XXXXXXXXXXXXXXXXXXXX Name
Mailing Address XXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXX City XXState XXXXXZip
Planned Use and Activity
Planned Use
Activity
Water Supply Irrigation -
Agriculture
New Well
Borehole Information
Drilling Method
Orientation
Total Depth of Boring 290
Cable Tool
Vertical
290 Total Depth of Completed Well
Drilling Fluid Water
Feet
Feet
Specify
Water Level and Yield of Completed Well
20Depth to first water
Depth to Static
16Water Level
950Estimated Yield*
Test Length
*May not be representative of a well's long term yield.
(Feet below surface)
(Feet)
(GPM)
(Hours)
Date Measured 08/18/2022
BailingTest Type
Total Drawdown (feet)
Page 1 of 2 Form DWR 188 rev. 12/19/2017
Other Observations:
Certification Statement
I, the undersigned, certify that this report is complete and accurate to the best of my knowledge and belief
Name MID STATE PUMP AND DRILLING
Person, Firm or Corporation
25095 TEHAMA VINA ROAD #33 LOS MOLINOS 96055CA
Address City State Zip
Signed electronic signature received
C-57 Licensed Water Well Contractor
08/30/2022
Date Signed
937025
C-57 License Number
DWR Use Only
CSG #State Well Number Site Code Local Well Number
N
Latitude Deg/Min/Sec Longitude Deg/Min/Sec
TRS:
APN:
W
Borehole Specifications
Depth from
Surface
Feet to Feet
Borehole Diameter (inches)
0 290 16
Casings
Casing
#
Depth from Surface
Feet to Feet Casing Type Material Casings Specificatons
Wall
Thickness
(inches)
Outside
Diameter
(inches)
Screen
Type
Slot Size
if any
(inches)
Description
1 0 150 Blank Low Carbon
Steel
Grade: ASTM A53 0.25 1.33
2 150 230 Blank Low Carbon
Steel
Grade: ASTM A53 0.25 1.15
2 230 290 Other:
perforated
Low Carbon
Steel
Grade: ASTM A53 0.25 1.15 Torched
Slots
0.25
Annular Material
Depth from
Surface
Feet to Feet
Fill Fill Type Details Filter Pack Size Description
0 20 Cement Portland Cement/Neat Cement
20 290 Other Fill See description.none
Page 2 of 2 Form DWR 188 rev. 12/19/2017