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DEC 2017 'The Ines Adobe Paeder may be used to view and compbta Oft ram. Horwver,softwre must be purchased b eompNb,save,end reuse a raved form. ! -Ni/iRnAr File Original with DWR State of Catlfomla DWR Use Cn:r-Do Not FYI In PFS .." TAL HEALTH P 1 0 of 1 Well Completion Report __- CF_c Adrrb State Wei NuinberAoft Number Owner's Well Number MW-1 R NO- 00359W I I N w Date work Began 11/27/2017 Date work Ended-11/27/2017 Latiude Longitude Local Permit Agency San Joaauin County Permit Number WP0037364 Permit Data 9/28/17 APN/TRS"her GeNogic Log Well Owner Orl rotation O Vertical O Horizontal OArngle Specify Name Delicato Familv Vinevards DftV Method Holbw SIM'nu," -dwv Fkld Mailing Address 12001 S. Hwy 99 Depth from Surface In rdptlon Feet to Feer Desc(Oe material rain size,color.etc GO Manteca State CA ' ; 95336 0 7 �- Silty sand to poorly,graded sand dark Well Location — yellowish brown Address 12001 S.Hwy 99 7 10 sift cemented.very stiff city Manteca County San Joaquin 10 14 vM pale brown poorly graded sand,dry Latitude N Longitude _yV 14 15 Silty sand brown overall,fine grained sand Dom MM s.4 000 M" sec 15 18 sandy sift,pale brown,fine grained sant,sift soft Datum �l n u Dec.Let. Dec.Long. no plasticU�d,y __ APN Book_ Page d S Parcel 050 18 22 white mofttlin ,fine grained sar d,stiff Townsnl _Range -ZE Section 17 22 25 sandy sift to sift with clay. yellowish brown,fine Location Sketch Activity _ grained sand,stiff plasticity Varies low to none,m® North 5+e"n m,u be a,r,M ane rx =;r. (� New Well Q ModlficationXtepair 25 27 Silty sand,yellowish brown,fine grained sand,sift, O Deepen 10m,moist O Other - O Destroy 27 30 color includes white motilin pftmMrA�.r.� 30 32 Possible groundwater contact °i `0"'��"" 32 38 Silty sand,dark yellowish brown,fine grained Planned Uses —— --- — -- sand,silt kme,moist-wet water supply 38 43 Ilaoor) raded sand,dark yellowish brown,mod ; p Irrlgatbn ❑Industrial graded sand,fine grained sand,dense wet 3 w O Cathodic Protectllxt 43 44 Sift to sandy sift,dark yolliowish brown, O Dewaterkg fine grained sand,sift,soft,no plasticity,moist O Heat Exchange 44 45 Poorly coded sand,dark yellowlsh brown O Injection _ med grained sand,fine grained sand,dense,wet O Monitoring 45 46 silty sand,dark yellowish brown,fine grained sand O Remedlatlon hose,wet O Sparging South O Test Well Errs r d"066 errw-W-a r..N-K ra+q.,k— Q Vapor Extraction - - --- - rr.r b.ser s■ r.r. u»sod""�.a nwwr r O Other PM— — -- Water Level and Yield of Cempleted W II - Depth to first water F eel below surface) _- -- -- Depth to Static Water Level (Feel) Date Measured Total Depth of Boring 46 Feet Estimated Yield• (GPM) Test Type Total Depth of Completed Wei 44.5 Feet Test Length (Hour,) Total Drawdown__(Foot) *May not be representative of a well's iarx term io!(1 Casings Annular Material Depth from Borehole Type raterial wall Outside screen slot size Depth from sud"e Dlamster Thlckn Diameter Type H Any surface Fal Doeulpllon Feet to Fest Inches rnchon Inched inches Fest w Feet _ 1 22 18 clank PVC Sch.40 ach 40 2 1 0 20 Cal W- Neat Cement 22 46 8 Screen 1 PVC Sch.40 SCh 40 2 MYMd slots 0.010 20 23 Benlonre 23 45 Filter Pm* sand C - Attachments CertMcation Statement ❑Geologic Log I,the undersigned,eenify that this report Is complete and accurate to the beet of my knowledge and behet 11 Weill Constriction Diagram Name YY ward Dnlli Co-Inc. Person,Firm or corpmemon ❑Geophysk•,al Log(s) 550 River Road Rio Vista SCA 94571 ❑Soil/Water Chemical Analyses CON sur Zip 0 Other Boring dr well Construct on BXL Signed 12/15/17 710079 Ar ,h601:... ..•r m u- it n C-67 OC&TYWider WN Date Signed C-57 License Number DWR In FEY.IRM IF ADDITIONAL SPACE IS NEEDED,USE NEXT CONSECUTIVELY NUMBERED FORM