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4UADRUPI_:-ArL ,rATF OFCAt.IFORNIA � �wR U9E ONLY — DO NOI- 1 <br /> For Loyal Roquimments KNELL COMPLETION REPORT <br /> Page—4—OI_� Nr/rr I^lrrl t.��recce I'J mf)hlrr STATE WELL NO STATM.*NO <br /> Owner's 1YDII No. _ No• <br /> 548954 ��7i�=1=1-j❑ <br /> Date Work B-gio, 11.2-9_-,)A-_ Iinlhvl—1?-''2 �' d LATGUDE LONGITUDE ___— <br /> SA _Tn �— <br /> . : � LIK•al Permit r\genL'y_ 1^ruin :^nnnt•� ---_ L-L� � I 1 .L.1_1_Ll_LL <br /> Permit No. A71;5 _ Penni! l).av 11-:1:-92 <br /> E:Ui.O t:1C L(1(. WF:1,1, 0WNEIt <br /> ORIENTATION (!) �Y,VERTICAL HORIZONTAL —ANGLE __.(APrrIFY) Na11N' .712AY i 1 T VII <br /> I)FI'Ttl 7(,FIRST\1WIH 1 111 1.R\ N W u f Stailin�Addr-• D-0- 1QX -21`DEPTH-c �//ffi/� 7Ca1 nnSU-ACF 1l f1�11 ' Gry rI-5�����aTATEFt. to1r1 —\V E:1.11. LOCATION <br /> 0: 2TL4Ll34�1—_� —_V' Addrv, ABs51 r, Selly Road <br /> 2: 4 y8ZS19nri (:u) lon <br /> X20 ;aAridY_ <br /> Clay�-- (rlHlnly_ San joa:juin <br /> 1Q-_3�3 slay rl/I( � — .1 PN li(Nlk Paye Parcel <br /> _-3 � <br /> .8 -¢--Cpnrue zanRFRAAnj Township __flange tirclic.: _ <br /> SI- Lalit0(I(• of.0—i- I NOr-T LonKihNlr I I WIST <br /> O MIN SIC. DEO IMI. SEC <br /> i 1 : 94 1"QL`�t�{1—A"Il'-vel LO(•.ATIO.A: SKETCH \CTIVITY (! <br /> 1. --__ __ NORTH X-PAW WELL <br /> 1120:I '40r �� ,_�) �l`J M(1(1 IICAT:ON REPAIR <br /> ENNN— <br /> .6 rQck'f. -jli ay —Oth.r(50-01) <br /> 63' 185 rCiray', <br /> '(O' 11 I OF STROYrate <br /> -- -- - - ( P ."M.'M.n <br /> JU (IAds"GEaoorC L00") <br /> � E <br /> . P1.A\VED USS) <br /> IN <br /> w w MONITORG <br /> WATER SUPPL' <br /> I <br /> ktlN rlr41 <br /> �"%•9 'TEST WELL" <br /> +' L 1/ (^ 4)/T {/ v CATHODIC PROTEC• <br /> s�U7roN <br /> TH <br /> } i flhrdre r n.V—Ilr,DNrnnrr of Welf from Landmarks _OTHER(So. ty) <br /> NwdT,Rr,dJLq.A-F­"..111—err. <br /> PLEASE RF ACCE'NATE L COMPLETE. <br /> w j --- DRILLING Rotary FLUID <br /> METHOD <br /> WATER LEVEL & YlFLD OF CoNlel.F.T::D WELL — <br /> _ t 7 DEPTH OF STATIC 72-6—(9A <br /> WATER LEVEL 9 (FL)6 DATE MEASURED <br /> — T J <br /> ESTIMATED YIELD'_ (GPM)b TEST TYPE._ <br /> 4 <br /> TOTAL DEPTH OF ROILING 1,85 _tFrv+I TEST LENGTH Mrs.)TOTAL DRAWDOWN (FL) <br /> ft' TOTAL D rrif OF COAfPLFT•F-D Ie F.I.I. (F-1) I "Sfay not be r.pretrntutn'e of u^:Yll i long-termYield <br /> t r i <br /> CAS IVC(S) DEPTH ANNULAR MATERIAL, <br /> F DEPTH BORE- —' FROM SURFACE TYPE <br /> A FROM SURFACE T5 PF I <br /> r '`(OLE I INTERNAL GAUGE SLOT SIZE <br /> DIA. z 4.x' VATERIAL/ DIAMETER OR WALL IF ANY CE- RFM FILTER PACK <br /> ( •L+ (—h..) r GPAOC MENT iONItE FILL <br /> Ft to Ft. (I^Ch..) THICKNESS (Inch..) Ft. W Ft. (�) (�) (�) (7VPErS12E) <br /> 1/8 109 100 x 11ray <br /> 1 55 f<S 7 1 x 1into 1 A J9 x <br /> ArT'ACHME/NTS (•') C.4:RTIFIC;\TION ST,\TEMP:\'T— <br /> _ I.;he undersiuead,certify that this report is cornp;ele and accurate to the Gest I my knowledge and baba). <br /> Cn+Nt01a Leg <br /> _ W.IICon.tru-t,-D1.O"em I NAME Martin PUS b gt1py, Inc. <br /> !PERSON,INW,OR CWUNAIION)o4FD(Ni PR 55) <br /> ._ G.OphYA1C.l L.c9(e) <br /> _— <br /> 8o4fW.IHChYm;CAIA-Iy- 5 Read Road oaklale,_CA 95361 <br /> STAR �— <br /> 12-16-94 3608SI <br /> Ary.ACN ADOrTKXJAL 1NFORMATADN.IF IT E.YIS T.Y Sw^•� <br /> Wtll IVtnl[R Aur RU(O f`Rl lr AIM RAI TV-- � <br /> DIVRIM"Rev.T•sU IF ADDITIONAL SPACE IS NEEDED, USE NEXT CONSECUTIVELY NUMBERED FORM <br /> s ! y <br /> ,''• t781ier3��": .-wr.►�,w"�,.rr�c�os.�il�:����rF��"\tir,`' a <br />