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ORIGINAL STATE OF CALIFORNIA D Y �Q..NQJ— <br /> File with DWR WELL COMPLETION REPORT <br /> Page—of Refer to Instruction Pamphlet STATH WELL Ffo.iSlATION NO. <br /> Owner's Well No. No. ry( �](� <br /> Date Work Began_- 5/18/93— Ended 5 19 93 V J J V LAMUDE LONamrol: <br /> Local Permit Agent <br /> 9�3-0884 <br /> Permit No. Permit Date s <br /> GEOLOGIC LOG ,WELL OWNER <br /> ORIENTATION (4) VERTICAL —HORIZONTAL _ANGLE _(SPECIFY) Name��',, ,�Mt70xIYtan!`S..Wat=er Systems <br /> DEPTH TO FIRST WATER (Ft.)BELOW SURFACE Maiimg",Xddvess ;212.0 '•Wilcox Rd. <br /> DEPTHFROMDESCRIPTION t`. '' St:oek4kanR�; E'A. 9.5215 <br /> Ft. to Ft. Describe materia cin size,calor,efc_- `t �`. CITY ;� i STATE zip <br /> 0 ; 3 ; ma Soy wELI,r,QCATION <br /> Top �Adclress' ` 5 0 ,:Andre a - <br /> 3 1 17 Clay ;• city- Stdgkt on�f: , <br /> 17 95 Sand r COnnty Sap j, uin <br /> 45 ; 80 C 1 a `' APN Book Page arcel 17 <br /> 80 85 Sand 1 s ti at•. T� - <br /> �I 9 ��`� �` _ Township,, 2 Range ection <br /> 85 ' 110 CIa- ti�'� ,,'�- t•. �' �•�' .`]:atitude ' NORTH Longitude , WEST <br /> 110 ; 115 B iZ� C1a ' = DEG. MIN. s1HC. DEG. MIN. SEC. <br /> LOCATION SKETCH _3i ACTIVITY (✓) <br /> 115 222 <br /> -'; .y•, Sand ° . l NORTH <br /> .�..N£W weLL <br /> 122 ' 128 `y` C14 � `� ' <br /> MODIFiCATt <br /> 128 136 , .S and Da rRErtuR <br /> 135 : 175.. : r C •a %� Other <br /> �lie — s <br /> F• .`oma.(apeeRy) <br /> 175 ' 206 Sand <br /> 206 1209 <br /> 225 <br /> ! DESTROYWesertOs <br /> 209 i 2 2 5 •i Sand'-', <br /> ,� PracsduresandMatetkrla <br /> (!oder"GE'Cl.00lC10r1'9 <br /> 225 235"' '6rdw 1 PLANNED USE(g)- <br /> Lu (—) <br /> MONIYORM <br /> WATER SUPPLY <br /> r 1 <br /> 1 1 X pareestlo <br /> _ Public <br /> lydgatian <br /> industrial . <br /> �.-. "TEST WELL" <br /> e , <br /> SOUTH �. TIONODIC PROTEC <br /> Illustrate or Dawribe Plstance of well from Landmarks (specify) <br /> such as Roads,Buddinga,Fences,Rfwm.ete. <br /> ALEASE BE ACCURATE it COMPLETE. <br /> r e <br /> DRILLING <br /> METHOD Rotax17 - FLUID <br /> WATER LEVEL h YIELD OF COMPLETED WELL <br /> r DEPTH OF STATIC <br /> WATER LEVEL J�6 (FL) & DATE MEASURED <br /> ESTIMATED YIELD' (GPM) &TEST TYPE <br /> TOTAL DMIJ OF BORING 235 (Fee() TEST LENGTH (Hrs.) TOTAL DRAWDOWN _ (FI_) <br /> TOTAL DEPTH OF COMPLETED WELL 2 2 7 (Feet) 'May not be repramwtive of a well's long-term yield. <br /> DEPTH CASING(S) DEPTH ANNULAR MATERIAL <br /> FROM SURFACE: HOLE TYPE r FROM SURFACE TYPE <br /> Dlp INTERNAL GAUGE SLOT SIZE <br /> MATERIAL! OIAMETE:R OR WALL IF ANY CE- BEN• <br /> (Inches) a GRADE (Inches) THICKNESS (laches) Ft. MENT TONITE FILL FILTER pE/8(TYPE/SIZE) <br /> Ft <br /> Ft. to Ft. y to . (� (�) (11! <br /> 0 212 12 X PVC 6 160 0 T 15 T X <br /> 2121 227 .045 _-1-5-11 227 X Gravel <br /> ATTACHMENTS (f) CERTIFICATION STATEMENT <br /> Geologic Log I,the undersigned,certify that this report Is complete and accurate to the best of my knowledge and belie}. <br /> MASELLIS DRILLING INC. ' <br /> Well CoaslNclba Diagram NAME.(PERSON, FIRM,OR CORPORATION)(TYPED 08 PRINTED) <br />+ Geophysical Log(a) <br /> Sop/(Yater Chemkal Aaaiysea 119 AL RS RD. MODES TO CA 95357 <br /> Other <br /> ADDRESS CITY STATE zW <br /> ,^. ,. � <br /> A)7ACFl AODl7iONAt lNFdRMA7lON. IF!T eX1575. Waned 5/25/93 668622 <br /> IL R AUTHOR OED LRESENTATIVE DATE SIGNED C-SI LICENSE NUMBER <br /> Dw[i188REV.7-00 IF ADDITIONAL SPACE IS NEEDED, USE NEXT CONSECUTIVELY NUMBERED FORM <br /> 9 <br />