HomeMy WebLinkAbout021-020-031 EHWL22-0022 WELL LOG FROM DWR SITEState of California
Well Completion Report
Form DWR 188 Complete 12/14/2022
WCR2022-013283
Owner's Well Number Date Work Began 3 09/28/2022 Date Work Ended 11/05/2022
Local Permit Agency Butte County Public Health
Secondary Permit Agency Permit Number EHWL22-0022 Permit Date 09/27/2022
Well Location
636 cherokee canal RD Address
gridley City 95948Zip ButteCounty
39 Latitude 20 29.3675
Deg.Min.Sec.
N -121Longitude 52 54.4512
Deg.Min.Sec.
W
Dec. Lat. 39.341491 Dec. Long. -121.881792
Vertical Datum Horizontal Datum WGS84
Location Accuracy Location Determination
Method
021-020-031APN
17 NTownship
01 ERange
08Section
Mount DiabloBaseline Meridian
Ground Surface Elevation
Elevation Accuracy
Elevation Determination Method
Geologic Log - Free Form
Depth from
Surface
Feet to Feet
Description
0 35 brown clay
35 55 gravel
55 74 gravel
74 98 hard pan
98 180 blue clay
180 259 brown sand
259 265 blue clay
265 314 hard pan
314 390 compacted gravel
390 400 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 Stock or Animal
Watering
New Well
Borehole Information
Drilling Method
Orientation
Total Depth of Boring 400
Cable Tool
Vertical
400 Total Depth of Completed Well
Drilling Fluid Water
Feet
Feet
Specify
Water Level and Yield of Completed Well
22Depth to first water
Depth to Static
8Water Level
2500Estimated Yield*
Test Length
*May not be representative of a well's long term yield.
(Feet below surface)
(Feet)
(GPM)
(Hours)
Date Measured 11/03/2022
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
11/10/2022
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)
0 400 18
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 0 120 Blank Low Carbon
Steel
Grade: ASTM A53 0.25 1.5
1 120 220 Blank Low Carbon
Steel
Grade: ASTM A53 0.25 1.33
1 220 260 Other:
perforated
Low Carbon
Steel
Grade: ASTM A53 0.25 1.33 Torched
Slots
0.25
1 260 400 No Casing
Installed
Other N/A none
Annular Material
Depth from
Surface
Feet to Feet
Fill Fill Type Details Filter Pack Size Description
0 20 Cement Portland Cement/Neat Cement
20 400 Other Fill See description.none
Page 2 of 2 Form DWR 188 rev. 12/19/2017