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QUADRUPLICATE STATE OF CALIFORNIA DWR USE ONLY — DO NOT FILL IN <br /> For Local Requirements WELL COMPLETION REPORT <br /> Page I of I Refer to Instruction Pamphlet STATE WELLNOJSTATION NO. <br /> Owner's Well No. 95252 No.774075 <br /> Date Work Began 9/5/00 Ended9/8/00 LATITUDE LONGITUDE <br /> Local Permit Agency Public Health Services <br /> Permit No. 23909 Permit Date 8/21/00 APN/TRS/OTHER <br /> GEOLOGIC LOG WELL OWNER <br /> ORIENTATION +L VERTICAL ---_--HORIZONTAL — ANGLE _(SPECIFY) Name John Ruesche _ <br /> DRILLING ROTARY <br /> DEPTH FROM METHOD - FLUID Mud gn Address <br /> 8175 Siegal St. - <br /> SURFACE <br /> DESCRIPTION V__alleY__S-_ p_ 9 CA 95252 <br /> Ft. to Ft. Describe material, grain, size, color, etc. CITY STATE ZIP <br /> 0 5;SDII 7�c LL LOCATIO <br /> 5 50 Clay r Z Address 4445 Quashnick cf. <br /> —._ -__-_—��__.-- City Stockton CA <br /> 50 60 Sand CountySan Joaquin _ <br /> 60 65 Clay 5 5 APN Book_ Page____ _ Parcel <br /> 65 132 Clay Township Range— Section _ <br /> 1132 135 Sand Latitude <br /> 135175 Clay DEG. MIN. SEC. DEG. MIN SEC. <br /> -- - --- - - LOCATION SKETCH ACTI Vrrti <br /> 175 176,Sand --- ----- NORTH ✓' NEW WELL ( J <br /> 176 235'Clay <br /> 235 245'Sand MODIFICATION/REPAIR <br /> _ _ --Deepen <br /> 245 270 I Clay Other(Specify) <br /> 270- 276,Sand — <br /> _ DESTROY(Describe <br /> 276 I 282 Clay Procedures and Materials <br /> Under"GEOLOGIC LOG" <br /> PLANNED USES(r) <br /> —. WATER SUPPLY <br /> NDomestic Public <br /> Q Irrigation _ Industrial <br /> UJ MONITORING___. <br /> TEST WELL — <br /> ATHODIC PROTECTION__ <br /> HEAT EXCHANGE— <br /> DIRECT PUSH_— <br /> INJECTION_ <br /> t <br /> VAPOR EXTRACTION <br /> SPARGING_ <br /> SOUTH <br /> lllvslrafe w Describe Diumice of lVell frmn Roads, Building.,, REMEDIATION <br /> Fences,Rivers,etc. and attach a map. Use additional paper if OTHER(SPECIFY) <br /> necessary. PLEASE BE ACCURATE & CONIPI.ETE. <br /> WATER LEVEL&YIELD OF COMPLETED WELL <br /> DEPTH TO FIRST WATER (Ft)BELOW SURFACE <br /> ----------- <br /> DEPTH OF STAT <br /> — — WATER LEVEL 12 (Ft)8 DATE MEASURED 9/8/00 <br /> ------ - -_-- ESTIMATED YIELD (GPM)E TEST TYPE <br /> TOTAL DEPTH OF BORING 282 (Feet) TEST LENGTH (Hrs) 10TAL DRAWDOWN (Ft) <br /> TOTAL DEPTH OF COMPLETED WELL282 (Feet) ,ttav not he representative o1 a h'ell's long-teen field <br /> DEPTH CASING(S) ANNULAR MATERIAL <br /> FROM SURFACE BORE DEPTHHOLE TYPE FROM SURFACE TYPE <br /> DIA. Y w MATERIAL/ INTERNAL I GAUGE SLOT SIZE CE- <br /> W O a GRADE DIAMETER OR WALL IF ANY MENT�TBEN- <br /> ON FILL FILTER PACK <br /> Ft. to Ft h v (IrtCtlee) THICKNESS (kl&-) Ft to FL (�) i✓) (TYPE/SIZE) <br /> 0; 262 12 v PLASTIC 61 —_1 0 200 <br /> 262; 282 ___. 200 ' 282 GRAVEL <br /> I <br /> CERTIFICATION STATEMENT <br /> Geologic Log I,the undersigned,certify that this report is complete and accurate to the best of my knowledge and belief <br /> Well Construction Diagram NAME MASELLIS DRILLING,INC. — <br /> Geophysical Log(s) (PERSON,FIRM,OR CORPORATION) (TYPED OR PRINTED) <br /> SotiWater Chemical Analysis 119Albers_R _ .. Modesto_ - _ CA____...._ 95357 <br /> Other ADDRESS //{//J, CITY STATE ZIP <br /> ATTACH ADDITIONAL INFORMAT10A1,IF IT EXISTS. Signed -- —�-L - -- -- 09/13/00 668622 <br /> WELL RILLER/AUTHORIZED REPRESENTATIVE DATE SIGNED C-57 LICENSE NUMBER <br /> DWR 189 REV.11.97 IF ADDITIONAL SPACE IS NEEDED,USE NEXT CONSECUTIVELY NUMBERED FORM <br />