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QUADRUPLICATE STATE OF CALIFORNIA DWR USE ONLY — DO NOT FILL IN <br /> For Local Requirements WELL COMPLETION REPORT <br /> P:Ire I of 1 Refer to Inr/rucrion Pumpliier STATE WELLNO./STATION NO. <br /> Owner's Well No. 95366 _ No.774116 <br /> Date Work Began 1117/00 , Endedl l/10/00 LATITUDE LONGITUDE <br /> Local Permit Agency Public Health Services <br /> Permit No. 24485 Permit Date 11/6/00 APN/TRS/OTHER <br /> GEOLOGIC LOG WELL OWNER <br /> ORIENTATION(✓) V VERTICAL _HORIZONTAL .._._ ANGLE _(SPECIFY) Name Fredriks Nursery _ <br /> DRILLING --- - <br /> DEPTH FROM METHOD .ROTARY __ FLUID Mud Mailing Address 23223 S.Austin Rd. __ ____ _ <br /> S � <br /> RFA E DESCRIPTION On -CA—M-366 CA 9rJ366 <br /> Ft to FL Describe material, grain, size, color, etc. CITY RdEE LL LOCATI <br /> STATE ZIP <br /> 0 6,SO11 Address 23245 S.Austin O <br /> 6' _ 12;Sand <br /> - City Ripon CA <br /> 112' 401 Clay&Sand Streaks CountySan Joaquin <br /> 40' 46�Sand _ APN Book Page Parte( <br /> 46 _ 84 Clay Township . Section <br /> Range Sion <br /> 8 90�Sand _ ----_--- <br /> Latitude <br /> 90, 140,Clay DEG. MIN. SEC. DEG. MIN. SEC <br /> 140; 144;Sand -- - --- LOCATION SKETCH ACTIVITY ( i <br /> 144; 150,'Clay NORTH - _v/_ NEW WELL <br /> 150; 163:Coarse Sand MODIFICATIONIREPAIR <br /> Deepen <br /> 163, 190'Clay — __ Off (specify) <br /> 1901 196,Coarse Sand - - - <br /> 196, -- 235 Clay P°�aaurres(Describento nal N <br /> -- Under"GEOLOGIC LOG' w <br /> PLANNED USES(z) 1� <br /> WATER SUPPLY <br /> y %1� Domestic_ Public 'Q <br /> _ irrigation _ Industrial <br /> S LL1 <br /> MONITORING <br /> TEST WELL <br /> ATHODIC PROTECTION <br /> HEAT EXCHANGE , <br /> DIRECT PUSH <br /> INJECTION <br /> VAPOR EXTRACTION �1 <br /> SPARGING j <br /> SOUTH REMEDIATION l\ <br /> Uhertrufe ar Drvcribe Distance of Well frrHn R,-i,. /}wilding,, <br /> —_— Fences,Rivers,etc.and attach a map.Use additional papa if OTHER(SPECIFY) <br /> -- eecessary. PLEASE BE ACCURATE & COMPLETE. <br /> WATER LEVEL&YIELD OF COMPLETED WELL <br /> DEPTH TO FIRST WATER (Ft.)BELOW SURFACE <br /> T—T DEPTH OF STAT <br /> ---— WATER LEVEL 6 (Ft.)&DATE MEASURED 11/10/00 <br /> - — ESTIMATED YIELD ' (GPM)& TEST TYPE <br /> TOTAL DEPTH OF BORING 235 (Feet) TEST LENGTH— (Hrs.)TOTAL DRAWDOWN _ (Ft.) <br /> TOTAL DEPTH OF COMPLETED WELL.205 (Feet) May not be representative o a well's long-term yield. <br /> DEPTH CASING(S)BORE DEPTH ANNULAR MATERIAL <br /> - - — - - <br /> FROM SURFACE HOLE TYPE FROM SURFACE TYPE <br /> - DIA. y a 1,ia� a MATERIAL! INTERNAL GAUGE SLOT SIZE - - CE- BEN- <br /> (Inches) tu oR J GRADE DIAMETER OR WALL IF ANY MENT TONITE FILL FILTER PACK <br /> Ft. to FL m y v=o LL (Inches) THICKNESS (Inches) FL to Ft (✓) (,) (TYPE/SIZE) <br /> 0, 185 - 14 ✓--- PLASTIC 8 16 0 , 108 <br /> 185; 205 - ✓ 108 205 _ _ _GRAVEL <br /> .ATTACHMENTS CERTIFICATION STATEMENT <br /> Geologic Log 1,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 /> Soil/Water Chemical Analysis 119 Albers Rd. _ _ _ Modesto CA 95357 <br /> Other - ADDR- ESSr 11/15/00� ______ _ CITYSTATE ZIP <br /> ATTACH ADDITIONAL INFORMATION,IFITOOSTS. Signed -- 668622 __ <br /> L DRILLER/AUTH IZE REPRESENTATNE DATE SIGNED C-57 LICENSE NUMBER <br /> OWR 189 REV 11-97 IF ADDITIONAL SPACE IS NEEDED,USE NEXT CONSECUTIVELY NUMBERED FORM <br />