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ORIGINAL ' � �r STATE OF CALIFORNIA ry.i ti�j�iw Sgt ~I <br /> FII th DWR WELL COMPLETION REPORT .I ' <br /> r t: <br /> ge 1 Of 1 Refer(o Instructi <br /> on Pampb/et STATE WE44 No.ISTA."NO -,. <br /> Owner's Well No. No. �t J 51 O <br /> Date Work Began Enc Led 7/93 LATrruDq+� +moi LONaTUDE <br /> Local Permit <br /> Inc San Joaquin Co.Diiv. or v. Health <br /> Permit No. �3-1 Permit Date <br /> GEOLOGIC LOC ELL+OWHI+R • a , }.,, <br /> F <br /> ORIENTATION (!) --X VERTICAL —HORIZONTAL —ANGLE _(SPECIFY) Name l\`Geo e <br /> DEPTH FROM DEPTH TO FIRST WATER (Ft.) BELOW SURFACE Mailing Address 33�, •`' <br /> SURFACE DESCRIPTION MG 95 <br /> 356 <br /> CITY - STATE ZIP <br /> Ft. to Ft. Defcaibe material,grain fiu,color,eic. W E L L(,tiQ C AT I 0 N <br /> 0 27 Hard shale & sand streaks Address' Q=a A Esg4lon Bell <br /> 27 35 Clay C;ly, <br /> 35 40 Sand <br /> 40 65 ClayAPNrBook_,_`Page Parcel <br /> 65 80 Rock Townor,ship., Range' Section ` <br /> 80 170 Clay Latitude NORTH'- Longitude <br /> 170 180 ; Black sand w/clay Streaks DEO. MIN. SEC. DEG, MIN. SEC. <br /> LOCATION SKETCH ACTIVITY (_ <br /> 180 185 Black sand NORTH NEW WELL <br /> 185 200 Cla <br /> 200 25 Black sand "1+7 Mowr►ct►nowtREP7uR <br /> 37 Clay225 <br /> --t> <br /> Black sand w small gravel <br /> Other(ep. <br /> 1 � � <br /> 245 255 <br /> ightTgravel <br /> DESTROY(Deacra <br /> la <br /> I I ..... �.�,�:Prooeduraa and M, <br /> L*Ow"GEOLOGIC <br /> 280 303 Black sand w small gravel PLANNED USI <br /> W303 306 Clay Lu <br /> MONITORING <br /> 1 1 Y <br /> _310Black sand <br /> ClayI I <br /> streaks <br /> }, r r� <br /> Public <br /> Aft 370 80 Clay - y <br /> 380 400 Sand streaks ° ^ <br /> � � Industri• <br /> L;• " ,+,.."MOT WELL,. <br /> r. 6 CATHODIC PR- <br /> SOUTI r e TION <br /> Illustrate or Describe Distance of Wall from-4ndmrb ` " ' QTHER(8pecu <br /> such as Roach,Buildings,Fences,R1oan,atc, r'' . ., 1?:. <br /> PLEASE BE ACCURATE& COMPLETE'.::; .>,;,. <br /> � I <br /> DRILLING <br /> METHOD Mud rotary FLUID Water <br /> WATER LEVEL 6 YI:ELD:OF COMPLETEX),;)VELL — <br /> DEPTH OF STATIC <br /> WATER LEVEL (Ft.)'& DATE MEASURED <br /> ESTIMATED YIELD' (QPM)'& TEST TYPE. <br /> TOTAL DEPTH OF BORING 400 (Feet) TEST'LENGTH' (Hrs.) TOTAL'DRAWDOWN i' 4Fi) ( <br /> TOTAL DEPTH OF COMPLETED WELL 31 3 (Feet) 'May not be representative of a well's long-term yield . tir.`.t <br /> DEPTH CASINGS) DEPTH •_`,1kNNUVAR'`MATERIAI <br /> FROM SURFACE BORE- TYPE i FROM'SURFACE TYPE <br /> HOLE — INTERNAL GAUGE SLOT SIZE <br /> DIA. c W MATERIAL/ CE_' BEN,` <br /> DIAMETER OR WALL IF ANY �FILTER PAI <br /> (inches) GRADE MENT TQNITE FI(L• <br /> Ft. to Ft. (Incnaa) THICKNESS (inches) Ft to Ft (TYPE/SIZ <br /> 0 229 22" Steel0 100 `:7 y: <br /> 229 261 " " .070 100 .313 sa <br /> 1 n <br /> s' =r•' <br /> I <br /> " x .070 <br /> creen-, Doerr netal in <br /> ATTACHMENTS (!) CERTIFICATION STATEMENT <br /> I,the undersigned,certify that this report Is complete and aCCyryts to the bvr Of hnowlgdye and bel <br /> Geologic Lop a F <br /> Well Construction Diagram NAME <br /> Calwater Drilling Co., Inc. <br /> (PERSON, FIRM, OR CORPORATION) (TYPED OR PRINTED) 4 <br /> Geophysical Log(a) <br /> _ Solt/Wates Chemical Analyse& 300 S. Kilroy. Turlock, CA. 95380 <br /> ADDRESS CITY $TATE,,. ZIP <br /> Other <br /> Signed 8-19-93 434218 <br /> ATTACH ADDITIONAL INFORMATION. IF R EXISTS. p •WELL DRILLER AUTHORIZED REPRESENTATIVE I DATE SIGNED `)C-57 LICENSE NUN <br />