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<br /> File Original with DWR State of California DVVR;Usa;Orf1 =�J ;Nb.Flit.h .
<br /> Page 1 of 2 Well Completion Report
<br /> Refer to Instruction.Pamphlet State Well Number/Site Number
<br /> Owner's Well Number MW-13 _ _ _ No. 02119702 r- , TTJn j-- –r te
<br /> uy:
<br /> Date Work Began 04/23/2014 Date Work Ended 4/25/2014 Latitude Longitude
<br /> Local Permit Agency San Joaquin County Environmental Health Department
<br /> Permit Number SR#0069441 Permit Date 4/14/14 APN/TRS/Other
<br /> Orientation O'Ve,-tical O Horizonta: OAngle Specify Name California Department of T ransportation
<br /> Drilling Method Sonic Drilling Fluid
<br /> Mailing Address 1976 Charter Way
<br /> Cit Stockton State GA Zi 95205
<br /> 0 15 Air Knife-no recovery
<br /> 5 9 Lean clay.very dark gray,trace fne send,clay, Address Charter Way
<br /> high plasticity, soft ___ _ City Stockton County San Joaquin
<br /> 9 13 Lean clay, dark grayish brown, dry,fine sand, clay, Latitude N Longitudin w
<br /> r eturn plasticity,firm,white precipitate Dec. Min. Snc. Deq Min. Sec.
<br /> 13 15 Lean clay, brown,dry, clay, med plasticity, hard Datum Decimal Lat. Decimal Long.
<br /> 15 18 Lean clay,yellowish brown, dry,trace fine sand, APN Book Page Parcel
<br /> low plasticity,firm Township Range Section
<br /> 18 19 Lean clay w/sand,yellowish drown, dry,fine to med
<br /> sand, clay, low plasticity, softNorth O New well 19 23 Sandy lean clad, ye!!owish brown, dry,fine to med - �Modification/Repair
<br /> O Deepen
<br /> sand,clay, high plasticity, soft O Other
<br /> 23 28 Lean clay, dark:yellowish brown, dry, fine to med. O Destroy
<br /> y y" Describe procedures and materials
<br /> clay, high plasfcity, firm cnoerY EOL)C'c 1.013'
<br /> 28 _ 30 Sandy lean clay,vellowish brown,dry,fine to med _
<br /> sand,'clay, medium plasticity,firm O Water Supply
<br /> []Domestic ❑Pubr;c
<br /> 30 _ 132 Lean clay w/sand, olive brown, moist, fine sand, Vfo ❑Irrigation ❑Industrial
<br /> clay_high plasticity,firm ___ ' W G Cathodic Frote„tior,
<br /> 32-- 1 37 _ Lean clay w/sand,olive brown, moist fine sand, O Dewatering
<br /> clay, high plasticity, firm O Fleat Exchange
<br /> 3i 38 Sandy lean clay, dark grayisn brown, moist,fine to O Injection
<br /> med sand, clay, high plasticity, soft O Monitoring
<br /> 38 43 Lean clay, dark greenish gray, dry,trace fine sand Cl Remediation
<br /> clay,medium plasticity, hard O Sparging
<br /> 43 45 Candy!ear.clay, eery dark greenish gray, moist, couth O Test Well
<br /> lilustraieorcascribedistanceofwellr3mroaC&,bwlcngs,fences,
<br /> O Va
<br /> fie sand, Clay, iowplastieity,soft por Extraction
<br /> rivers,atc.and attach a map.Use additional paper if necessary. O Other
<br /> 45 150 Lean clay, dark greenish gray, dry,fine sand, clay, Piease6eaccurateandcom lata.
<br /> ----- —J__ — --_�__�—_ -m _y, Hata �. _
<br /> Iinediu :astici - 74
<br /> 3=:
<br /> p' Depth o first water 64 (Feet below surface)
<br /> 50 !55 I Well graded ur/clay, dark greenish gray,wet,fire to Depth io Static
<br /> med sand day, low plasticity,soft_ Water Level 50 (Feet) Date Measured•.__---
<br /> T Aal DepVi of Bod ig I.15_ _ r eet E:tin 3ied Yie:•J' ('3PM) r st Type
<br /> Total Depth of Com leted Well 105 R Feet T= t Lergth (Hours) Total Drawdow!f (Feet)
<br /> p p be representative of a erell's long term yield.
<br /> -
<br /> Depth,from Borehole Wall Outside 3cruen Slot Size Depth from
<br /> Surface Diameter Type Materia! Thickness Diameter Type if Any Surface Fill Description
<br /> Feet :c Feet :nchas) incises inches r:cLes` Feet .o Feet ,
<br /> 0 — 85_ 7
<br /> Blank soh.80 2.5 0_—i8`' — ce:.,eIt -- -- — ---
<br /> I— — -- —J—_ —�
<br /> 85 i 105 7 Screen PVC Sch.80 2.5 slotted 0.01 G 85 j 87 i 3entonite
<br /> – — –1
<br /> 87 1107 Filter Pack 2/12
<br /> ---}------ ---- -------r---------- --- ----- ------- ----- i07 �115 5entor..t3
<br /> L1 Geologic Log I,the undersigned,certify that this report is complete and accurate to the best of my knowledge and belief
<br /> ❑Well Construction DiagrPm Name National EWP Inc-Chris Tatum_ +_
<br /> Person,Firm or Corporation
<br /> C Cr-OdhySic31 Log(s) 1961 Meeker Avenue Richmond GA 94804
<br /> e �Soi•nJaiar t;heica_l�Ana—lyse_s S
<br /> � r �e.q ? _ stale _Zip
<br /> IS ned 60
<br /> Other GK6 viat �u 9j364
<br /> Attach additional information,it it exists. sensed Water�'ceil C onlrac!or Date Si ned C-57 License Number
<br /> DWR 188 REV 112005 IF ADDITIONAL SPACE IS NEEDED,USE NF X F CUNSECUriVELY NUMBERED FORM
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