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QUADRUPLICATE STATE OF CALIFORNIA 0 U ONLY — N FILL IN <br /> For Local Requirements WELL COMPLETION REPORT <br /> Page I of I Refcr to IfLTIFU'f1011 Pangrldrr STATE WELL NOJ STATION NO. <br /> Owner's Well No._95337 No-e030427811 ,��❑F 1 ! Cj <br /> Date Work Began 3/17/2016 Ended:/21/2016 PLATITUDE _ LONomIDE <br /> Local Permit Agency Envimnmental Huh II I I I I <br /> Permit No. 74022 Permit Date 1/15/2016 <br /> APNrrRSlOTHER <br /> GEOLOGIC LOG N ELL 0%�nkat <br /> ORIENTATION VERTICAL - HORIZONTAL — ANGLE (SPECIFY) Name W 8,L Harris Ranches <br /> METHOD ROTARY FLUID Mud _ Mailing Address 5151 E.Alm ndwood Dr. <br /> DESURFACEPTH MOM --DF:ti(�RIrr10N Manteca_ CA 95337 <br /> Ft. to Ft. Oes,rihe rnalerial. grain, d$e, co/Or, etc. CITY L1 S'ATE <br /> 0 3 Top SOiI Address 2ons North Ripon KdAT10 <br /> 3 23 SandRi CA 95366 <br /> 23 45 Shale City_ n <br /> CountySan Joaquin <br /> 45 49'Sand and Gravel <br /> -- APN Book _Page - Parcel.-- -_ <br /> 49 90 Top Soil --- <br /> 90 103 Sand Township —Range___- Section - <br /> Latitude I __ _ _ <br /> 103 113 Clay DEG. MIN. SEC. DEG MIN SEC. <br /> 113 117 Sand - LOCATION SKETCH ACTIVITY (�) <br /> --- NORTH V" NEW WELL <br /> 117 190 Clams MODIFICATION/REPAIR <br /> 190 198 Sand and Gravel - - - Dirt <br /> 198 217 Clair__ outer(specify <br /> 217_ 219 SandDESTROY-- <br /> Desmbe <br /> 219 221 Clay -- -- Procedures end Materials <br /> 221: 227 Sand Under"GEOLOGIC LOG' <br /> -- PLANNED USES(v ) <br /> 227: 2.34 Clair WATER SUPPLY <br /> 234: 236 .Sand -- -- � � Domestic ____ Puolic <br /> Q __k/ Irngetm Indusinal <br /> 236 244 Clay <br /> 244 245 Gravel ltl MONITORING <br /> TEST WELL <br /> 245 260 Clay 'ATHODIC PROTECTION <br /> 260 263 Sand HEAT EXCHANGE <br /> 263 286 Clay DIRECT PUSH <br /> 286 288 Sand INJECTION_ <br /> VAPOR EXTRACTION <br /> 288 291 Clay SPARGING <br /> 291. 296 'Sand - SOUTH REMEDIATION <br /> 1//urrmfe nr De-wbe lhrr� of weflfnw Mor b. Biidd,riX,. <br /> 296: 325 Clay Feeces,Rivivs,etc and attach a map. Use additional paper it OTHER(SPECIFY) <br /> ttrasaan. PLEASE BE ACCURATE di COMPLETE. <br /> - - — -- - -- — WATER LEVEL&VIELD OF COMPLETED WELL. <br /> DEPTH TO FIRST WATER (Ft.)BELOW SURFACE <br /> DEPTH OF STATIC <br /> WATER LEVEL 48. 3/18/2016 <br /> (Ft)8 DATE MEASURED 3/18/2016 <br /> ESTIMATED YIELD (GPM)& TEST TYPE <br /> TOTAL DMIM OF BORING 325 (Feet) TEST LENGTH (Hrs.) TOTAL DRAWDOWN (Ft; <br /> lY I 1 AL DEPTH OF COMPLETED WEL.0 (Feet) Ala•nor be re 7reseniatrve o a well's lon -term yield. <br /> DEPTH DEPTH BORE- CASING(S) ANNULAR MATERIAL <br /> _ <br /> FROM SURFACE HOLE Tyn (V) FROM SURFACE <br /> DIA. Y w a MATERIAL/ INTERNAL GAUGE SLOT SIZE - _ — CE- BEN <br /> 0� ) m a GRADE DIAMETER OR WALL IF ANY FILL FILTER fir. <br /> r, to Ft m Uo LL (Inches) THICKNESS Put-) Ft to FL � � (TYPE/SIZE, <br /> - 0 - -1 _21 ✓ P 1 ✓ <br /> 180: 300 GRAVEL <br /> I <br /> ATTACHMENTS CERTIFICATION STATEMENT <br /> Geologic Log I,the undersigned,parody that this report Is Complete and acmirste to the nest of my Itrtt>wledge wild pellet <br /> -_ Well Construction Diagram NAME MASELLIS DRILLING INC_ _ <br /> - Geophysical Log(s) e(PERSON,FIRM,OR CORPORAT ) (TYPED R P NT`D) er�c� <br /> -— SodMater Chemical Analysis 1.1.9.,AlberS. "ONSEculrAivELY <br /> _Jit Qdi*tQ— <br /> Other ADDRESS CITY STATE ZIP <br /> ATTACH ADDITIONAL INFORMATION,IF fT IXISTS. Signed -- <br /> WELL:DFRkIILFORIZE DATE SIGNED G67 LICENSE NUMBER <br /> Iris K IRN REV.11-97 IF ADDITIONAL SPACE IS NEEDED.USE NEX NUMBERED FORM <br />