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<br /> File Original with DVUR State of Calitornia DwR Lisa(3niy :rho Nat Fllftn':
<br /> Well Completion Report
<br /> Page 1 Of 1 Refer tolnsrrodionPamphlef 5195£JIV@IiNtti}4ift15rteEJlllribefi
<br /> Owners Wefl Number MW-4No. 00107044 If^f
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<br /> Date Work Began 02124!201 D Date Work Ended.2!24!2014 tvtnuda L Haas
<br /> Local Permit Agency,-Un- n-Jnauuin,CO..EHfl
<br /> Permit Number SR#E00593a9 Permit Date 2112!10 - APftlFR5191 er _-
<br /> 1 -
<br /> ` Orientation OVertical 0Horkoniat OAn le Specify' - 'Name Continental Grain Co. .
<br /> ..Drilling Meted __ _Drnmg Fluia Mailing Address Aon Center 200 E.Randolph Suite 400
<br /> - st; -'=-
<br /> -tlo.pfh;tro"ritSuHael`�'—"-- -- -- Darfptioli- .
<br /> Ih 606Q1'
<br /> {, Feet to Feet Describe material rain size,color,elc -_ I Cl Cliicadt)- 518te�Zi
<br /> 6verdrill Abandonment Procedure: __
<br /> Overdrill to .
<br /> com fete depth with 4.25 ID HSA Address 1805 Harbor Street(City,ROWalongN.Side of St
<br /> U oricomYletewelldeuction, w
<br /> .loertremie i Oityr+StCHton' ._ �___ G4tydn<ioadu'irs �I
<br /> -- str _
<br /> ,.
<br /> p ii Latitude N Longitude.
<br /> pi-�`_tfl bottom of borehole and.p.um _neat cemenF -
<br /> t _grouk(infix ebgi 5-6 pal water194kL of Type!V 080, min,; sec. oa4,z Min.. sec,"
<br /> Datum NAD53 Decimal Lat. 37.9487803 Decimal Long.-121.
<br /> Portland) Pump_sealant_to sutface,,recover3t48i''
<br /> � _ ..c3ispiacetl ground+rvaier tar-;dts asal;,Rempvo.entire: � APN Book -Page - Parcel 14542005 I
<br /> cemented well'6ox excavate'and;cut off 2".PWC iw Tawnshl` ,1 h!ia e:s t=est - Sechori -
<br /> beldw grade..itip-ofi sealent lo.create.mushroom _ Locattott Sketch A�tivl _
<br /> -- - - -—_ - n b hen
<br /> . -_ _ r 5Ke.eh'mustbedr`aw 'datfefforms' tBd -
<br /> -ca" above sealed borehole and'restore round Ord Wall
<br /> p g Q I tionlRepair i
<br /> surfacts`to surrouncJlrtg;sgtl oondttforts{t#rpavecj; O Deepen
<br /> I Q Oth&Z",_v
<br /> Qaestroy
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<br /> Sealant used '1-1 47#bags using:2 5 3 gallons Nksalbapru adv es and e�a
<br /> t water/47#bag,total vol.of water=30 gallop`s -
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<br /> � z �W 1[�r,� Planiie�i.Uaes':` I:
<br /> 466gbri6g Well MW-4 Installed_O6l0512004 ^.
<br /> IQ Water Supply
<br /> �ndbl
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<br /> �Irri Irrigation Iuskris1,.AW
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<br /> ti_ �• -. O Cathodic Prolection 3
<br /> ^�Dewatering
<br /> Heal
<br /> I tJ l l
<br /> i Q nject on.
<br /> 9
<br /> Monitoring
<br /> ane
<br /> `Q Remediation
<br /> Os -
<br /> pargingTest
<br /> i1 Sautft
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<br /> .. >. ... .- .._._-,--, -. .... _.. ."........... ... :<: alueuaroteraorc a d, -m?q;�rtm•.�uravrxneco-s�r'
<br /> Well
<br /> iaVaporExtraction jQOtherabandone
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<br /> St#ftevel and Yield of Completed Well
<br /> Depth to first water;i - {Fee[belaWsurfB'ce)'
<br /> Depth to Static -
<br /> _ Water Level 13 (Feet) Date Measured.-1211012008_
<br /> Total Depth of Baring 26.5 - _--_ Feet Estimated Yield" (GPM) Test Type i
<br /> Total Depth of Completed Well, 6 _Fest !T-M La'n'd'h (Hours)Total Drawdown—(Feet)
<br /> _ --- - - not:fie•re f,w`Lalli
<br /> -
<br /> Deptri irbm 136rehole` Type
<br /> Material wall' 40tit'slde '15crecn $lot$lzo? bhoh'•ftriij
<br /> Surface Dlamater yp Thickness Diameter TWO if Any 4SuHae rFlll Oestri on
<br /> .'Fent' to'.Feet. .. Iriotie's- . ._ . ._
<br /> —. ;lricties' .° tithes _, f(tKhes'_ ,Feet ato'?:F.eeetb
<br /> ,0 _ s' 8�: . . s�n<., _ 054, 2` '.? ' -cnm-efi
<br /> t cerneit over be-rti . .
<br /> 5: 25 8:3 Screen`: pVC SGii dt7' Q€:164,'i 2;0 Milled tots, 0r020 .; `5; 27' FtEt'er:PeCl[ ; SRI Suprema No B.'
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<br /> Atta'chriier5is <,'Cei#i4ication St a Hent•;
<br /> Geologic Log t:.th0 ilr dersfgned.Gerttfiy(hat this i 6port is complete and acctuate to the Crest of my knowledge and tlehef E
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<br /> ©Well Construction Diagram �!SrnE:Widen N4l7Ven r .t25id8Eit,
<br /> Person,Firm or corporation
<br /> ©Geophysical Log(s) 1238,Alice St.Suite.A _. __ ,Woodland. CA ..95.7-76 _
<br /> ©Soil/Water Chemical AnalysesAsa city State,. Zip
<br />! M Other Sc9.. ...' 3 Ia ::9061393 _
<br /> niraci:annm` ii ar .aic.aiai a; 57ticen3a a weticoStr clOr :C-57.License.,Number
<br /> 'OWA 188 REV,1/2elxf �IF ADDITIONAL SPAC S N deo,E15E NEkT CONSEGUT3VELYt�UMBERED FORM
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