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ORIGINAL STATE OF CALIFORNIA W R U S E 0 N L Y — 0 0 N OT F 1 L L I N — <br /> File with DWR WELL COMPLETION REPORT 1111fI1111111 <br /> Page of Refer to Intrruction Pamphlet STATE WELL NO./STATION NO <br /> Owners Well No. No. 465236 C <br /> Date Work Began 7/26/93 Ended 7/28/93 LATITUDE LONGITUDE <br /> Local Permit Agency _L__I I I I I I I I I I I I <br /> Permit No. 93-1405 Permit Date APNYTRSio R <br /> GEOLOGIC LOG WELL 0WNER <br /> ORIENTATION ( :L VERTICAL _HORIZONTAL _ANGLE _(SPECIFY) Name Eric Palmer <br /> DEPTH TO FIRST WATER (FL) BELOW SURFACE Mailing Address 4819 Ouashniek <br /> DEPTH FROM Stockton CA 95212 <br /> SURFACE DESCRIPTION <br /> Ft. to Ft anmbe material,p ':e,col etc. CITY WELL LOCATION STATE ZIP <br /> 0 3 Soil Address same as above <br /> 3 8 Clay — Cite <br /> _8-_ Sand County San Joaquin <br /> 14 37 Clay 17, APN Book Page Parcel <br /> 37 43 Sand- Township flange Section <br /> 43 50 C l a J27 Latitude NORTH Longitude WES <br /> 50 58 , CO L.— _ DEG. MIN. SEC DEG MIN. ' SEC. <br /> 120 Cla LOCATION SKETCH ACTIVITY (IL)- <br /> NORTH <br /> !) <br /> (�. ---�^^�- NORTH NEW WELL <br /> 120 1261 <br /> -San MOOIFICAT10N/REPAIR <br /> 126 160 Clay y 011A Deepen <br /> 160 1 —other(Specify) <br /> 163 IIH179 Clay <br /> 179 183 Sand —DESTROY(Descrrb <br /> Procedures and Metenii <br /> 18-1 205 Clay Under"GEOLOGICLOC <br /> 205 214 Sand PLANNED USE(S <br /> ' Clay MONITORING <br /> WATER SUPPLY <br /> 250 278 Clay Domeshc <br /> 278 286 Sand _ P„nl,c <br /> 286 2 9 0 Clay <br /> rriQabon <br /> _ Ind wlnal <br /> ..TEST WELL” <br /> ' CATHODIC PROTEI <br /> SOUTH TION <br /> 11il"trate or I)esenbe Distance of Well from Landmarkz OTHER(Specify) <br /> such as Radds,Butldmgs,Fencer,Rtcers,etc <br /> PLEASE BE ACCURATE t COMPLETE. <br /> DRILLING <br /> METHOD Rotary FLUID <br /> WATER LEA'EL h YIELD OF COMPLETED WELL — <br /> DEPTH OF STATIC <br /> WATER LEVEL 9 0 (Ft.) b DATE MEASURED <br /> ESTIMATED YIELD (GPM) b TEST TYPE <br /> TOTAL DEPTH OF BORING 290 Feet) TEST LENGTH (Hrs.) TOTAL DRAWDOWN (FtJ <br /> TOTAL DEPTH OF COMPLETED WELL 2 5 5 Feet; '.Itav not be represerztatizx of a .'ell's long-term yield. <br /> DEPTH CASINGS) DEPTH ANNULAR MATERIAL <br /> FROM SURFACE BORE TTYPE FROM SURFACE TYPE <br /> HOLE — INTERNAL GAUGE SLOT SIZE <br /> DIA. MATERIAL; CE- BEN- <br /> (Incnes> — GRADE DIAMETER OR WALL IF ANY FILTER PACK <br /> MENT TONITE FILLFt. to Ft. �� (Inches) THICKNESS (Inches) FtOL I <br /> to Ft. (TYPE SIZE) <br /> 0 235 12 X1 I I It PVC 6XB 160 0 :110 X <br /> 235 255 I I . 045 110 '255 X Gravel <br /> 77I <br /> ATTA CH%1ENTS (L CERTIFICATION STATEMENT <br /> I,the undersigned,certify that this report is complete and accurate to the best of my knowledge and belief <br /> Geologic Log <br /> Wen Construction Diagram NAM, MASELLIS DRILLING, INC. _ <br /> (PERSON, FIRM. OR CORPORATION) ,TYPED OR PRINTED) <br /> Geophysical Log(s) <br /> Soil:Water Chemical Analyses 119 ALBERS RD. MODESTO, CA 95357 <br /> ADDRESS CITY STATE ZIP <br /> — other 8/4/93 668622 <br /> ATTACH ADDITIONAL INFORMATION. IF IT EXISTS. Signed <br /> WELL DRILLER/AUTIiORIZED REPRESENTATIVE DATE SIGNED Cbl LICENSE NUMBER <br /> D«R I`➢SRE% 7-90 IF ADDITIONAL SPACE IS NEEDED, USE NEXT CONSECUTIVELY NUMBERED FORM l C3 `0 <br />