|
'The free Adobe Reader may be used to view and completleorm. However,software must be purchased to complete,sa reuse a saved form.
<br /> File Original with DWR State of Califomia "'DWRUse`Onl 'Doltldt FllrinA
<br /> Well Completion ReportF 7771
<br /> Page 2 of 2 I Refer to Instruction Pamphlet I I
<br /> State Well Number/Site Number
<br /> Owners Well Number MW_-13 _ No. e0219702 —1L- F T
<br /> Date Work Began 04/23/2014 Date Work Ended 4/25/2014 Latitude Longitude
<br /> Local Permit Agency San Joaauin County Environmental Health Department
<br /> Permit Number SR#0069441 Permit Date 4/14/14 APN/TRS/Other
<br /> Orientation 01Vertical O Hoilzuntal GAirgie Specny Name California Deuariment of TranSportadon
<br /> Drilling Method Sonic Drilling Fluid
<br /> Mailing Address 1976 Charter 1I4taV
<br /> =v c cs z a CY 1 _ � Stockton State CA�i� Cit 95205
<br /> 55 158 Sandy lean clay,very dark greenish,fine to med
<br /> sand, clay high plastici±y, ceft Address Charte,Way
<br /> 58 64 Lean clay, greenish gray,fine to med. sand, med. City Stockton County San,loaquin
<br /> _plasticity, hard Latitude _ _ N Lringitade _
<br /> 64 66 Poorly graded sand, dark greenish gray,wet, sinal; Oeri. Min. Sec. Dec Min. Ser,
<br /> gravel, medium to coarse sand Datum Decimal Lat. Decimal Long.
<br /> 66 69 Lean clay,dark greenish gray, dry, clay, medium APN Book Page Parcel
<br /> plasticity, hard Township Range Section
<br /> 69 71 Sandy lean clay,dark greenish gray, moist,fine to
<br /> medium sand, clay, high plasticity, soft North O New Well
<br /> Q Modification/Repair
<br /> 71 73 Lean clay-Im'sand, dark greenish gray, moist, 0 Deeper)
<br /> 73 76 Sandy lean clay,dark greenish gray, moist,fine to O Other--_
<br /> Q Destroy
<br /> medium sand, clay, low plasticity Descdbeprorxduresandmatedals
<br /> 76 38 Puody graded sand,very,Mari;greenivh gray,wet, under'�EOLOGIC 1013'
<br /> trace small aravel. coarse sand
<br /> 88_— J 90 -_ Well graded sand,fiery dark greenish gray,wets O Water Supply
<br /> ❑Domestic �!Fublic
<br /> fine io med sand, silt N
<br /> ❑IlTigaYon ❑Industial
<br /> 50 95 ;Poorly graded sand, very dark greenish gray,wet, W. Q Cstf.odic Pmtcct o:i
<br /> medium sand Q Dewatering
<br /> 95 98 Poorly graded sand,very drk greenish gray,wet, O Heat Exchange
<br /> small to med.gravel,coarse sand O Injection
<br /> 98 106 Poorly graded sand w!gravel,very dark greenish O Monitoring
<br /> gray,wet,fine to med. gravel, intermittent cobbles, O Remediation
<br /> coarse sand O Sparging
<br /> Soutl: O Test Well
<br /> 106— 1113 Sandy laan clay, dark greenish gray, moist,fine
<br /> Illus:ate or describe d:etancx„f well Yom cads,bulldirys,/en—, O Vapor Extracfior
<br /> sand, clay, medium plasticity, soft rivers,etc.and attach a map.Use additional papei if necessary. Q Other
<br /> 113 115 _ L
<br /> _ alean clay, dark greenish gray, dry,fine sand, clay, Please be accurate and complete.
<br /> — m_Eum plasticity,
<br /> ---- --------- --- Depth to first water 64 (Feet below surface)
<br /> I
<br /> Depth io Static
<br /> `_�--,�u---------- -----_— - Water Level 50 —_(Feet) Date Measured --�__---
<br /> Tcta Drupth of Borng 115 - Feet &tima-ed Yield" __ ;GPt,1) Tea type
<br /> Test Length ;Hours) Total Drawdown (Feet)
<br /> Total Depth of Completed Well 105 _ Feet IM-3y not be re ie3entative o`a vuell's long term Meld.
<br /> - ' - - a f
<br /> Via` _ F. T 71 ;T auk -t.� ec k' _-
<br /> Depth from BoreholeTMaterial Wall Outside Screen SlotsiZ6 Depth from
<br /> Type Surface Diameter Thickness Diameter Type if Any Surface Fill Description
<br /> Feet to Feet laches; (Inches) Inches, (Inches Feet t� Feet —_
<br /> —T--T-
<br /> # :S_�- _ - E..- t.�_ Y T;t Y�y `Q 7'77T MITT
<br /> ❑ Geologic Log I,the undersigned,cerh that this report is complete and accurate to the best of my knowledge and belief
<br /> C1 Well Constru nt;on Ciogram Name National EWP, Inc-Chris Tatum
<br /> Person,Firm or Corporation
<br /> ❑ l7ecphysi ai Log's) i961 rJEeker Avenue Richinon3 _ CA 94804 _
<br /> CJ iriilM/a:e Chemical/At?alyses ��'-lof° Citj i State tip
<br /> Signe-i "st _ X53046 _
<br /> Gj Other mite t�1au --•--� '-��� _ -_— _
<br /> A tach additional nfonnailon it r ex sts. c-:,!Icansed n'aler Jt e"Ccn,racior Date Si ned C-57 License number a`
<br /> DVNIR 188 PEV.li2006 IF ADDITIONAL SPACE IS NEEDED.USE NEXT CONSECUTIVELY NUMBERED°ORM
<br />
|