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TRIPLICATE STATE OF CALffORNIA MR USE ONLY — DO NOT RLL IN <br /> Owners Copy WELL COMPLETION REPORT 1 1 1 1 1 1 1 ( 1 , —LI <br /> Page I or I Rr(er to lrtarrvrtion Pompldrr STATE WELLHOJSTATION NO. <br /> Owner's Well No-1 _ No.753626 I I I 1 1 I❑1:11- -L EI <br /> Dale Work Began 0W-OW 1 , X08713101 LATITUDE LONGITUDE <br /> 1 A)cal Penni/ Agency SaD_JDaquin CG EHD I 1 <br /> Pennies No.26974 Permit Date 08702/01 <br /> APwntsroTI¢R <br /> GEOLOGIC LOG WELL OWNER <br /> ORIENTATION I-) VERTICAL _HORIZONTAL — ANGLE —(SPECIFY) Hanle H B Dat <br /> DEPTH FROM DWTHOD ROTARY FLUID MUROULING D Mailing Address 33233 S. Koster Rd. _ <br /> -SURFACE- DESCRIPTION Tracy CA 95376 <br /> Ft la R. D✓sc, wnlcriRi. gmlx. scs, color, elc. CITY 33233 S Koster Ro STATE DP <br /> 0,: - -22:aiY BELL LOCATION <br /> __ ��5� <br /> _22 _ _ 27:sand/gravel Cit,Tracy CA 95304 <br /> 27 38 day CotlntySAN JOAQUIN _---_ <br /> 38� _41 :sand/gravel APN Book 255 Page090 Parcel 41 <br /> 41 _-. 47 day TownsWP Range Section -- _---_ <br /> 47- 48 gravel latitude I I <br /> 48 52 day DEG. MIN SEC. DEG. MIN. —SEC. - <br /> ----- - -- LOCATION SKETCH ACTIVITY (✓ <br /> 52 68:gravellrocks -NORTH _- - ) <br /> _ - - _,C IJEV.I WELL <br /> 66:- -'78:clay <br /> 78 98el/ro;gravCks DeepaNOD FICAT ^PAIR <br /> 98 103:day -olne.(SPe Ify) <br /> 103. 112'graveUrocks - <br /> 112 117 day - DESTROY <br /> MOeYs(a8n MaceW.1 <br /> Ulwn-GEOLOGIC LOG' <br /> 117 137;gfaYBl/fOCkS PLANNED USES([) <br /> _ 137 152 day _ WATER SUPPLY <br /> -152 159_graveUrocksW r �/ OO t. - � <br /> 169-- 183:day --- 3 - a -" <br /> 183 188 gravel MONITORING <br /> TEST WELL- _ <br /> - 188 - -193•day - - THODICPROTECTION-_ <br /> 193 197 T gravel HEAT EXCHANGE-- <br /> -_197 223 day DRECTPUSH_ <br /> 223, 226--,gravel INJECTION -- <br /> VAPOR EXTRACTION <br /> 226 227:day -- SPARGING _ <br /> 227 23O gfevel SOUTH— REMEDIATION ._ <br /> RAvrrur rolbl+i6e Dir�rcalll'NJ Rmh.ALIMPogr. <br /> 230' 287 sticky day Fmm,Rivas elr.mtl WI%11 . Ivp. V.sdfli wl IeP++it OTHER(SPECIFYI_. <br /> --29-7 320:blue day - .marry•PIJ'aSE BE ACCURATE & COMPLEM <br /> WATER LEVEL&YIELD OF COMPLETED WELL <br /> —- DEPTH TO FIRST WATER 50 (Ft.)BELOW SURFACE 1 <br /> DEPTH OF STATJI�A <br /> WATER LEL "'* (FL)&DATE MEASURED._OS/13701 <br /> EV <br /> ESTIMATED YIELD' (GPM)& TEST TYPE <br /> TOTAL DEPTH OF BORINO 320 _(Feet) TEST - <br /> 7EST LENGTH (Hrs.)TOTAL DRAWDOWN ffLi <br /> TOTAL DEPTH OF L'OMPLErm WELL 235 (Fca) Mar Bol be rerenradw a a well's lon -rerm rield. <br /> DEPTH CASINGS) ANNULAR AWTRRLM. <br /> FROM SURFACE HOE TYPE f±] FROMDEPTHACE <br /> TYPE__ _ <br /> _— AM�gI x pi A. MATERIAL/ B7fERNAL GAUGE SLOT SIZE CE BEN. <br /> w j GRADE oR WALL IFANY MENTI TO! FILL FILTER PACK <br /> FI. to R. m R O LL- (Inc11®) THICKNESS PlclrosI a to FL (T EJSIZE) <br /> 0: 180 12 X 0 ' 100 <br /> - 180' _ 20_0 12 PLASTIC 1 100 236 8x16 <br /> 200 215 _- 12 PLASTIC _ 6 160 " — <br /> 215 235 12 PLASTIC 6 160 .052 <br /> ATTACUNIEN'Ts (y ) CERTIFICATION STATEMENT <br /> Gad091c Log I.IIIc ImEaslgneq teddy tllal Mk repM is conlplele aM alxuole to Ma bell of my km ,,,O am baliet. <br /> Well Cpnsauctwn Dragram NAME CALWATER DRILLING GO.. INC. - <br /> __. Gemhvy al Lo W (PERSON,FIRM.OR CORPORATION)(TYPED OR PRINTED) - <br /> - SoKlwaler Chelrawl Analyses 300 S.Kirov d. Turlock - CA _ 85380. - <br /> -- Olhtt ADDRESS CITY STATE aP <br /> ATTACH ADDITIONAL 4AFT1RLIAT)ON.IF ITE)pS73 08117/01 434218 SJgreC WE RIA ZED REPRESENTATIVE DATE SIGNED Cbl LICENSE NUM <br /> BER <br /> MR IBR REN'.11-W IF ADDITIONAL SPACE IS NEEDED,USE NEM CONSECUTIVELY NUMBERED FORM <br /> �- /C; u26 Z <br />