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ORIGINAL <br /> File with DDRtiT1IF of u,,LIC'()ttNtj, Dwa USE ONLY — DO NOT 'ILL IN <br /> "ELL COMPLETION REPOR` I I I I I I I <br /> h,ju to IirtiN rr�rn�++ "onif+lrlef STATE KNELL NO'STATION NO <br /> Cynaaea 111,11 til) LAN/ filo [ �7 <br /> 1I I I I I <br /> {77 11 , 17eti ita 5--3 — Cll(lf'Cl — — LATITUDE LONCrITUOE <br /> 1(1� if LSC![lilt �'tiLIaL� San <br /> (:('! <br /> ­t \,) 002623 <br /> 6 Pel hilt Late _ APN17RSICTHER <br /> CL'OLOCIC LOC WELL ONVNER <br /> PxXnnM <br /> ORlENTaT10 l �_�VERTIC.L _HORIZONTAL —ANGLE <br /> DRILLING `(SPECIFY} V idle <br /> DEPT,T PROM METHOD FLUID \[,Utin�cT �cicll ess 2300 Cla ton Rd. s to 1 250 <br /> SURFACE DESCRIPTION Concord, CA 94520 <br /> Ft o FI De se+Ilfr +rr,11L real ,r arrr stz,. Lulol Ltc. o T'l STATE ZIP <br /> -�cicliess <br /> S. El Dorado E SCt{reet <br /> ! <br /> Cm Stockton <br /> Count\ San Joa uin <br /> -�P v Book ` +'�Pa-e —_ - .Paicel <br /> Towiuship Rancre SectlCn <br /> Latitude— ! 1 NORTH Long tTJcle I I 'NEST <br /> ' 1 DEG MIN SEC DEG MIN SEC <br /> LOCATION SKETCH XCTIYITY {.�L} <br /> NORTH _ NEw WELL <br /> See attached Site plan. MODIFICATION/REPAIR <br /> Ocher(Speedy) <br /> i X DESTROY fosscribe <br /> Procedures and Materfals <br /> ! Under SEOLOGIC LOG J <br /> PUNNED USES (, ) <br /> WATER SUPPLY <br /> DemesUc — public <br /> i N F — Irrigation — Inaustrlal <br /> u1 N <br /> I < MONITORWG_ <br /> w <br /> ! TEST WELL <br /> CATHODIC PROTECTION <br /> HEAT EXCHANGE <br /> DIRECT PUSH _ <br /> ' INJECTION_ <br /> i I VAPOR EXTRACTION <br /> ' SOUTH r SPARGING <br /> V" E <br /> DCS- II" t)%'urcC ry i1,11)7Y1f1+Rrx[rIs brrtfrrur� REMEDIATION _ <br /> ' i c �tC u+l,l rrttnelr rI+[rrr11t Llst rufrrtttuivtl ff7npu rf OTHER(SPECIFY) _ <br /> LE-ISE RE 1CCU1RATE COILPLZ;T <br /> IV ITER LEVEL & YIELD OF COMPLETED WELL <br /> r r FIRST WATER (FI) BELOW SURFACE <br /> STATICVEL (Ft)&DATE MEASURED <br /> ESTIMATED YIELD (GAM) & TEST TYPE <br /> 1011L tori of 30tjt,,,C <br /> TEST LENGTH (Hrs) TOTAL DRAWDOWN (Ft) <br /> IOT1t I)CPTt[ t]{ ( f71fPf.CTE1] 11 ELL _ (FNe{) llrt} Tat Ge ,ep¢uentrttr2r of ra _rll', lorry-tea�rt IuLc! <br /> DEPTH BORE Gk5[�tG t5) DEPTH I\tVUL,R \1,TERI\L <br /> FRdNISURFACE HOLE TYPE( ) <br /> DIA w FROM SURFACE TYPE <br /> n a MATERIAL! FROM <br /> GAUGE SLOT SIZE <br /> Ft to <br /> (inches) ¢ w z 8 a CE BEIM <br /> rt �oU GRADE DIAMETER OR WALL IF ANY ME[NT TONITE FILL <br /> L'q 1lnches] THICKNESS (Inches) Ft to Ft FILTER PARI( <br /> } (TYPEJS1ZE) <br /> c: x <br /> 1 I <br /> I <br /> ' I <br /> �L ITT 1( 1I11EV CS <br /> CEHTTI<1C\CION ST4,CC11L'\T <br /> ueodoglc Log ! the underslgnEtd rt m <br /> certify that this repoIs complete and accurate to the best oT myin <br /> ' owEedge and belieT <br /> I + <br /> ` f <br /> _ <br /> ! 1. <br /> Well COnstruua lOn Diagram NAME <br /> GeOPhvsical LOg(s} {PERSON rlRh) ,7R i QRPORATION} (iYPEQ 4R PRlMEQI <br /> SoillWater C temical Analyses <br /> Other 1`� n06RE5S !! f LITY , t-TATE _fP <br /> II aT—dc.-r 40DITiONAL INFCRAWTION 'F,T EVISTS b,jgned •. v��. ` —� ""l <br /> tF'A1JTh(}RiZE PEP <br /> OAT dCNEQ b7 ILGVSE (UMBER <br /> IF ADDITIONAL SPACE IS NEEDED USE NEv-r CONSECUTIVEL" NUMBERED FORM <br />