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ORIGINAL STATE OF CALIFORNIAW R — "I" I N — <br /> File with DWR WELL COMPLETION REPORT l I l I l l l I l l <br /> Page of 2 Refer to rnanartlon Pompb/e, STATE WELL 140./5TATION NO. <br /> OwrlWell No. No. 488233 =_=11 L <br /> Date Work Began Seot.4 , 1991, Ended "TILDE LoNG4TUDE <br /> Local Permit Agency San JOaQUln CO. Health Dent_ I I I I I I I I I <br /> Permit No. 91 -2128 Permit Date P / / <br /> OTHER <br /> GEOLOGIC LOG WELL OWNER <br /> ORIENTATION (L) VERTICAL _HORIZONTAL —ANGLE _(SPECRY) Name B o b B y i n o t o n <br /> DEPTH TO I** WATER 11 n(FL)BELOW SURFACE Mailing Address -5780 A c h I Py <br /> DEPTDESCRIPTION Stockton C..a 45?15 <br /> SURFFACEACE <br /> Ft. 10 Ft. Dnmbe mall, ala rize,color,eta OTT' WELL LOCATION STATE ER <br /> �{ � 2, - Address 5780 Ashley <br /> I 1 15 Clay With Hard Pan Stripakir City Storkton <br /> 15 16 F np SandI County San Joaquin <br /> "�— APN Book Page Parcel <br /> Township Range Section <br /> 28 40 CI avor <br /> Latitude Na+TM Longitude wasr <br /> IN. <br /> DEG. M ' � I SEC. DEG. MIN SEC <br /> LOCATION SKETCHACTIVITY ('—)— <br /> NORTH )L— NEW WELL <br /> MOOIFICATIONIREPAR <br /> Da". <br /> Other(Specify) <br /> Ro DO DESTROY(Wacnoe <br /> Praeea«aaaMMiIMPI <br /> - go q A C 1Urbar"OEOIOOtClOG' <br /> r PLANNED USE(S) <br /> 3 w MOnRORWO <br /> WATER SUPPLY <br /> 104 110 CI ay with Sand Streaks Domsauc <br /> Public <br /> 129 139 Fine Sand Irriaalan <br /> 119 143 : Clay with Sand StreAkS Nauatall <br /> 141 147 ' Sand — "TEST WELL' <br /> 147 160 :Clay with Sand Stripak, —CATHCOIC PROTEC <br /> SOUTH TION <br /> llllutmte or Deac dir Ot iance of well from Landmarks — OrHER(Soer,N) <br /> such as Acads.Buddings.Fences,Atcen,etc. <br /> PLEASE BE ACCURATE& COMPLETE. <br /> DRILLING Rotary FLUID Bentonite <br /> 20n 204 :Sand METHOD <br /> 204 207 Clay WATER LEVEL & YIELD OF COMPLETED WELL — <br /> DEPTH OF STATIC <br /> 207 215 Sand WATER LEVEL (Ft.) 6 DATE MEASURED <br /> 215 230 ;Clay & Shalip ESTIMATED YIELD' (GPM) & TEST TYPE <br /> TOTAL DEPTH OF BORING 265_(Feel) TEST LENGTH_ Mrs.) TOTAL DRAWDOWN (Ft.) <br /> TOTAL DEPTH OF COMPLETED WELL_2L_0__(Feet) 'May nut be reprerrnmtive of a will's long-teem yield. <br /> DEPTH <br /> CASING(S) DEPTH ANNULAR MATERIAL <br /> BORE FROM SURFACE TYPE <br /> FROM SURFACE HOLE TYPE <br /> DIA. W X MATERIAL/ INTERNAL GAUGE SLOT ANY <br /> CMX <br /> (Monaal GRADE DMMETER OR WALL IF ANY METER PACK <br /> Ft. to FL THICKNESS Dnceea) Ft. to Ft. YPE/SIZE) <br /> 10 200 14 X P 0 1114 260d Gravt <br /> ATTACHMENTS (4) CERTIFICATION STATEMENT <br /> I,the undersigned,Certify that this report is complete and accurate to the best of my knowledge and belief. <br /> — GaolaaoLoo HENNINGS BROS. DRILLING CO. , INC . <br /> — Well Construction Diagram NAME(PERM" FIRM. OR CORP)RATION) (In ED OR PRINTED) <br /> GeophyaKal LWKS) 3525 PELANDALE AVE. MODESTO , . CA 95356 <br /> Soil/Wath Chemical Mtlyaes AWRESS ON SLATE OF <br /> — O1M1ef signed OCT.21 1 1991 290813 <br /> '�`~ <br /> ATTACH ADDITIONAL INFORMATION. IF IT EXISTS- <br /> DWS <br /> ORELER WfX0R12E0 REPRESEN7ATIYE DAiE SIGNED G57 LICENSE NUMBER <br /> DWR IM REV T-Sa IF ADDITIONAL SPACE IS NEEDED, USE NEXT CONSECUTIVELY NUMBERED FORM <br />