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QUADRUPLICATE STATE OF CALIFORNIA <br />For Local Requirements WELL COMPLETION REPORT <br />Pette I Of 1 Refer ro Insrnrcnnn Pn)nrhlcr <br />Owner's Well No. N. AIRPORT No. E0363573 <br />Date Work Began 3/12/2018 Ended <br />Local Permit Agency SAN aAnL11N C`O FHD <br />Permit No. WP0038033 Permit Date 3/9/2018 <br />GEOLOGIC LOG WELL OWNER — <br />Name CENTER POINT PROPERTIES <br />Mailing Address 1808 SWIFT DRIVE <br />OAKBROOK <br />CITY <br />I—STATE WELL NO / STATION NO. <br />LATITUDE LONGITUDE <br />I <br />APNITRSLOTHE P. <br />ORIENTATION (✓) -✓- VERTICAL _ HORIZONTAL —_ ANGLE __(SPECIFY) <br />DRILLING ROTARY <br />DEPTH FROM METHOD FLUID MUD <br />--_SURFACE--DESCRIPTION <br />Ft_ to Ft Describe material, grain, size. color. (.,lc <br />0 20 BROWN CLAY -- <br />20 <br />27 <br />SAND <br />27 <br />38 <br />BROWN CLAY <br />38 <br />57 <br />CLAY, SHALE <br />57 <br />75 <br />BROWN CLAY <br />75 <br />87 <br />COARSE SAND <br />87 <br />92 <br />BROWN CLAY <br />92 <br />95 <br />SAND <br />95 <br />99 <br />BROWN CLAY <br />99 <br />109 <br />SAND <br />109 <br />112 <br />CLAY <br />112 <br />121 <br />SAND <br />121 <br />130 <br />CLAY <br />130 <br />140 <br />SAND <br />140 <br />150 <br />CLAY <br />150 <br />153 <br />SAND <br />153 <br />158 <br />CLAY <br />158 <br />163 <br />SAND <br />163 <br />170 <br />BROWN CLAY <br />170 <br />185 <br />BLUE CLAY <br />185 <br />200 <br />BROWN COARS <br />200 <br />225 <br />BLUE CLAY <br />225 <br />235 <br />COARSE SAND <br />235 <br />255 <br />ROCK <br />TOTAL DEPTH OF BORING 260 (Feet) <br />TOTAL DEPTH OF COMPLETED WELL255 (Feet) <br />IL 60523 <br />w��� STATE ZIP <br />Address 3625..N. AIRPOK I TCATIO� <br />City MANTECA CA 95336 <br />County SAN JOAQUIN <br />APN Book 198 Page 200 Parcel 18 <br />Township Range Section <br />Latitude <br />DEG MIN. SEC. <br />DEG MIN SEC <br />LOCATION SKETCH <br />ACTIVITY (✓) — <br />NORTH <br />V" NEW WELL <br />TYPE <br />MODIFICATIONIREPAIR <br />MATERIAL / INTERNAL GAUGE SLOT SIZE <br />— Deepen <br />`- <br />— Other (Specity, <br />— DESTROY (Describe <br />MENT TONIT <br />FILL FILTER PACK <br />Procedures and Metenal: <br />(Inches) THICKNESS (Inches) <br />Under "GEOLOGIC LOG <br />(TYPE/SIZE) <br />PLANNED tISES(,i(_) <br />f— <br />WATER SUPPLY <br />y <br />Domestic -.. Public <br />LL! <br />Irrigation _ Industrial <br />= <br />MONITORING — <br />12" SDR21 <br />TEST WELL _ <br />6X12 <br />ATHODIC PROTECTION_ <br />HEAT EXCHANGE _ <br />WHITE ROUN <br />DIRECT PUSH— <br />INJECTION — <br />WASHED <br />VAPOR EXTRACTION — <br />SPARGING — <br />REMEDIATION — <br />SOUTH <br />1/lusrmrr ur lkarnAr Ora�rrrcr •?1 ntn� nm RouJ.., Hu!ldmg.�, <br />Rivers. <br />Fences. Ris. etc and attach a map. Use additional paper if <br />OTHER (SPECIFY)— <br />necessary. PLEASE BE ACCURATE & COMPLETE. <br />CERTIFICATION STATEMENT <br />WATER LEVEL & YIELD OF COMPLETED WELL <br />DEPTH TO FIRST WATER- (Ft.) BELOW SURFACE <br />DEPTH OF STATIC <br />WATER LEVEL IN) & DATE MEASURED <br />ESTIMATED YIELD ' (GPM) & TEST TYPE <br />TEST LENGTH (Hrs ) TOTAL DRAWDOWN (Ft.) <br />DEPTHBORE - <br />__ CASING (S) _ <br />DEPTH ANNULAR MATERIALFROM <br />SURFACE HOLE TYPE ✓ ) <br />FROM SURFACE <br />TYPE <br />DIA. Y w i <br />Lu a <br />MATERIAL / INTERNAL GAUGE SLOT SIZE <br />CE- SEN. <br />`- <br />Ft to Ft (inches) g O <br />O <br />GRADE DIAMETER OR WALL IF ANY <br />MENT TONIT <br />FILL FILTER PACK <br />m LL <br />(Inches) THICKNESS (Inches) <br />Ft to Ft <br />(TYPE/SIZE) <br />✓ (2L) <br />C. -I) <br />0 235 20" v PLASTIC <br />12"1 <br />235 255 20" PLASTIC <br />12" SDR21 <br />50 255 <br />6X12 <br />WHITE ROUN <br />WASHED <br />AF1ACIutENTS r ) <br />CERTIFICATION STATEMENT <br />.-_ Geologic Log <br />I the undersigned, certify that this report is complete and accurate to the best of my knaMedge and belief <br />Well Construction Diagram <br />NAME CALWATER DRILLING CO.. INC. <br />Geophyscal Log($) <br />(PERSON, FIRM. OR CORPORATION) (TYPED OR TED) <br />- Soil/Water Chemical Analysis <br />300 S. KilroyTurlock <br />— Omer _ <br />ADDRESSCITY <br />STATE ZIP <br />47TACH ADDITIONAL INFORMATION. IF !T IXISTS. <br />SIGNED <br />E <br />WELL DRILLER/AUTHOR D REP ENTATIVE DATE <br />C•5772LII <br />NSE NUMBER <br />U -K tai rmv 11-91 IF ADDITIONAL SPACE IS NEEDED, USE NEXT rECUTiVELY NUMBERED FORM <br />