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<br /> File Original with DWR State of California DWR1Jse'Ohlyr .Da Not Filt In
<br /> Well Completion Report
<br /> Page 2 of 3 I I I I I I 1 1
<br /> Refer to Instruction Pamphlet State Well Number/Site Number
<br /> Owner's Well Number MW-12 _ _ _ No. e0219699N
<br /> Date Work Began 04/26/2014 Date Work Ended 4!28/2014 Latitude 1 Longitude
<br /> Local Permit Agency San Joaauin County Environmental Health Department F— -i—7 1 1 1 1 1 1 1 1
<br /> Permit Number SR#0069442 Permit Date 4/16/14 APN/TRS/Other
<br /> Orientation OVeKical O Horzontal OAigle spec:ry Name City of Siockton
<br /> Drilling Method Sonic Drilling Fluid_ Mailing Address 425 EI Dorado Street
<br /> 3tocktor, i;A 95202
<br /> CityState_moi
<br /> 51 53 Silty sand, dark greenish gray, moist,fine sand,silt
<br /> 53 54 Lean clay w/sand, dark greenish grav, moist,fine Addres3 163:S S`cc mn Street
<br /> sand,clay, medium plasticity,firm City Stockton County San Joaquin
<br /> 54 58 Silty sand, dark greenish gray: moist,fine sand,silt Latitude _ _ N Longitude W
<br /> 58 61 I Poorly graded sand, dark greenish gray, moist, Deci Min. Sec. Den. Min. Sec.
<br /> medium sand Datum Decimal Lat. Decimal Long.
<br /> 61 65 Lean clay, greenish gray,dry,fine sand, medium APN Book Page Parcel
<br /> plasticity, hard I Township Range Section
<br /> 65 75 Lean clay,greenish gray, small gravel, fine sand, LZ
<br /> clay medium plasticity, hard Noi;h O New well
<br /> Q Modification/Repair
<br /> 73 74 Sandy lean clay, dark greenish gray, moist,trace O Deepen
<br /> small gravel and small cobbles, med. sand O Other-
<br /> 74 75 Lean clay, dark greenish gray, dry, trace small O Destroy
<br /> Descdbe pdures and materials
<br /> gravel,firre sand,clay r,ied. plasticity, hard under"GEGroceLGa C LJG"
<br /> 75 78 __ Well graded sand w_/silt, dark greenish gray,wet,
<br /> fine to medium sand, silt O Water Supply
<br /> —�--- --- ❑Domestic ❑Puf:lic
<br /> 78_— 80 Poorly graded sand, dark greenish, gray,wei,fine li I []irrigation ',Industrial
<br /> _ sand, med. plasticity, hard _ _ __ _ .�
<br /> 80 — 83 _ Lean clay,dark greenish gray,dry,fine sand clay, V Ce,hodiri Protection
<br /> O Dewatering
<br /> medium plasticity, hard - ! O Heat Exchange
<br /> 83 86 F=oony graded sand, dark greenish gray,wet,trace Q Injection
<br /> small gravel,fine to med sand, silt ® Monitoring
<br /> 86 87 Lean clay, drk greenish gray,dry, fine sand,clay, O Rernediation
<br /> medium plasticity, hard O Sparging
<br /> 87 88 Poorl;r graded said, drk SreEnish gray,.race small Snuth O Test Well
<br /> I &actibe U Vapor Extr3Ction
<br /> ravel, fine to medium sand, silt rivers,etc.
<br /> and
<br /> apvl r.._Ilfiom ral paperif nge sary s.
<br /> g rivers,etc.and attach a map Use additional paper if neo^ssary Q Other
<br /> 88 90 Lean clay w/sand, drk greenish gray,drv,fne sand, Please be accurate and corrlete.
<br /> _ -- jclay, med. plasticity, ha,d
<br /> 90 92 Bandy lean clay,drk greenish gray: moist; fine to Depth to first water 41 (Feet below surface) �
<br /> Depth to Static
<br /> med sand, clay, high plasticity, soft_— —_ Water Level 75 (Feet) Date Measured
<br /> ----L----i--------- -- -- -- ----
<br /> -otal Depth of Boring 95 _ F eet Estimaied Yle'.i* (GJM) Te--AType— —
<br /> Total Depth of Completed We!i 86 Feet Test I-ength (Hours,, ?ctal Drawdown (Feet)
<br /> 'May not be reor s<ntatit a of 3 wall's ion term yield.ld.
<br /> 31f RAW � y
<br /> Depth from Borehole wall Outside Screen Slot Size Depth from
<br /> Type Material
<br /> Suiface Diameter Thickness Diameter Type if Any surface Fill Description
<br /> Peet to Feet inches lnohe Ir..`es Inches Fsat ito Feet
<br /> r ---- , i 1--�--
<br /> ---� -- - - -- �- ------ - -----r== ----- -- �_- __ -__ -- -------=----r
<br /> Geologic Log I,the underigned,certify that this report is complete and accurate to The best of my knowledge and belief
<br /> ❑
<br /> Well Censtructicr.Diagram Name National EWP Inc-Chris Tatum
<br /> Person.Firm or Corporatiun
<br /> ❑ Oeuphynial'-og' ) 1961 Meeker A�renua Richmond _ CA 94804
<br /> u SuiIfVVaief Ciiem-,Gal Anri'.yies A,Jr3ss
<br /> -- i s I - v
<br /> ❑Other sitz hiaN ---- jigped _/_� y..l 953340 —-
<br /> Atiaci additional informailon Kit exists. 611 Licensed vimer PIe1'Ccntrattri Date Signed C-517 License Number
<br /> Dv,R 188 REV.112006 IF ADDITIONAL SPACE IS NEFDED,USF NEXT CONSECUTIVELY NUMBERED FORM
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