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ORIGINAL SrATIr Or CALIFORNIA o o t <br /> File with DWR WELL COMPLETION REPORT <br /> Page-L of 1 Rcfer to Inrtruction Pampblet STATE WELL No.ISTATtON NO. <br /> Owner's Well No. No. 43 3 8 T <br /> Date Work Began Ended 10-8-91 tATrTUDE LONOIT110E <br /> Local Permit Agency.San Joaquin Co.� Div. ofEnv. Health � __ <br /> Permit No. 91-2553 —_ Permit Date- N to <br /> GEOLOGIC LOG WELL OWNER <br /> ORIENTATION (✓} X VERTICAL —HORIZONTAL —ANGLE —__.(SPECIFY) Naroe"' - <br /> DEPTH TO FIRST WATER—(FL)BELOW SURFACE . . Maiistig-Xddxe, i ,-646�1_orn;a St . <br /> l <br /> DEPTH FgOM <br /> eUREACE DESCRIPTION r <br /> Ft. to Ft. Dn.ibe material ain size color,etc..- Y-+ 4 YY r" % <br /> • �+ � WELL <br /> . LOCATION $TATE ZIP <br /> ' Address+ `g . '1308-T Vera St <br /> . -71 12 Rrr f-1 ay _ cEty ". S + ct'on <br /> ," y Cvun�q S Jos i <br /> ' I APN Book Pag Parcel d <br /> 7 , 1 ., s or. h <br /> g <br /> TIp Range Section <br /> rig + , ^. +.-: :t-• '+.. '� .ati llle ,, 1 NRTH OLOngiYlICie_ _WEST <br /> -� OEM MIN. BEC. DEO' FAIN. SEC- <br /> 6 11A (11 <br /> LOCATION S$ETCII ACTIVITY 14)- <br /> -1 <br /> NORTH .X NMW W9LL <br /> �. ` _ ^'`�+ `�' '\ MOWFICAT[ONrREPAIR <br /> 185 194 <br /> Deepen <br /> 1CIA 148 <br /> Other(Spectty) <br /> I PR <br /> 7 ' I ' 4 <br /> DESTROYManerlbe <br /> Frodedwaaaftalklatellafft <br /> I)ry <br /> PLANNED USES) <br /> 1 �+ Lu MONITORING <br /> + ' WATER SUPPLY <br /> r <br /> 1 <br /> Daaeelic <br /> Public <br /> frrlpalfon <br /> i r <br /> _. <br /> Industrial <br /> + <br /> 1 "TEST WELV' <br /> 1 SOUTH iO�DIC pROTEO- <br /> ' ' Illustrate or Describe Distance of Well from Laodmarks OTHER(Specify) <br /> c. <br /> PLEASE BE AC(CUMi& COeam M"aR. <br /> I DRILLING <br /> METHOD FLUID Wat'ar <br /> WATER LEVEL h YIELD OF COMPLETED WELL <br /> r r DEPTH OF STAT[C <br /> I WATER LE 66 (Ft.) & DATE MEASURED fl-9-91 <br /> ESTIMATED YIELD' (GPM) d TEST TYPE <br /> TOTAL DEPTH OF BORING 242 (Feet) TEST LENGTH Rfia)TOTAL DRAWDOWN (Ft.) <br /> TOTAL DEPTH OF COMPLETED WELL 190 (Feet) I 'May not be represenw ve of o well's long-term yield <br /> DEPTH CASINGS) DEPTH ANNULAR MATERIAL <br /> FROM SURFACE HSE TYPE FROM SURFACE TYPE <br /> DUL INTERNAL GAUGE SLOT 512E CE- REW <br /> Ft. to Fl. 0chas) MGRAbE t DIAMETER OR WALL IF ANY MEN7 TQN[Tb FILL :FILTER PACK <br /> pnchea) THlCKNES$ (Inches) Ft. t0 Ft. (✓) 0: ) (�} YPE/SIZE) <br /> 70 2" PVC 611 1.60 ; <br /> 170 + 190 X , 1 0 62 Saud <br /> + <br /> IL <br /> � F <br /> 1 , <br /> + 1 <br /> ' 'ATTACHMENTS (!} CERTIFICATION STATEMENT <br /> ^�. Qea(ogfc Log 1,the undersigned,certify that IN report is complete and accurate to the!Jest of my knowledge and betiet. <br /> + .—. Well Conslr=tlan Diagram NAME <br /> (PFR59,Y, FIRM,DR fARPRRATfDN)(TVP RR PRI ED) <br /> _ [ieophyalcalLog(s) ' <br /> _ Sall/Water Chamleal Analyses 300 S. Kilroy Turlock, Ca. 95380 <br /> ADU CITY STATL - 21P <br /> Other <br /> signed Bkkp�. 10-9-91 321252 <br /> ATTACH ADDITIONAL INFORMATION.IF IT 6X137$,, WELL DRILLER AUI[WHIZED PRESENTATIVE a SIGNED <br /> C-57 UCENS[; NUMBER <br /> DWRI89AF.V.7-80 IF ADDITIONAL SPACE IS NEEDED, USE NEXT CONSECUTIVELY NUMBERED FORM <br />