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i ( � <br /> *The/lea Adobe Reader cosy be used to view and completOlNs form. However,software must be purchased to complete,s,,,­"d reuse a Saved form. <br /> 1 File Original with DWR V 1 State of California <br /> Page of Well Completion Report <br /> Owner's Well Number MW-8 Refer to/nstmwon pamphlet <br /> No. e0156697 State Well Numlber�/She NuTmber-r—� <br /> Date Work Began 07/12/2012 Date Work Ended 7/12/2012 �L�N] I—L]W <br /> Local Permit Agency San Joaquin County Environmental Health Latitatle Lon nvde <br /> Permit Number0126.51006.91 Fes__ Permit Date6/11/12 APNrtRs/Other <br /> ..: �U2.._a A •Y'F �. Ilj'(2 41$l <br /> orientation (D Vertical O Horizontal OAngle Specify Name ATC Associates <br /> 7rLatitude <br /> orDrilling Fluid , <br /> Mailing Address 6602 Owens Drive#100 <br /> ci Pleasanton StateCAZi 94588 <br /> 2"30 wellAddress West Hammer Lane `moiCity Stocktonc. ty San Joaquin <br /> '' duds. <br /> :'1' Dep. Min. Sec .eG. MM"n. <br /> III. Datum Decimal L = Deciin Long.leatP. O '{{ <br /> APN Book. PaeParce1 V <br /> Tovmshi <br /> r!D Well _ <br /> both <br /> r catioNRepair <br /> E <br /> epen r <br /> her <br /> ` oy i <br /> il. , DeaMM Procemve¢ dmelennl. <br /> uod 'GEOLOGIC LOG' i <br /> s .._. e1t1e�d`�ae3 <br /> - O Water Supply <br /> []Domestic ❑Public C <br /> ❑Inigahon ❑Industrial <br /> �•- sag s" `' O Cathodic Protection <br /> h O Dewatering <br /> O Heat Exchange <br /> ,r <br /> _ . 0 Injection <br /> Ip O Monitoring <br /> O Remediation <br /> ^ may "t9P a A ,� O Sparging <br /> south O Test Well <br /> . - ':.-. iGenero or sesame mamnee Nxeii xem fwd,ewimnw.rm�ee, O Vapor Extraction <br /> Men ne.nam a,.m.P.us..emumv paP it necn. OOther <br /> , �. ,�; n Pkue be aaprm.aam Iete. <br /> WRM <br /> "1 T-M 11CetediRre <br /> Depth to first water (Feet below surface) <br /> x s Depth to Static <br /> ;,r Water Level (Feet) Date Measured <br /> Total Depth of Bq, hg - ,rL'".a r Feet Estimated Yield• (GPM) Test Type <br /> Total Depth o 3Completed Well �-� ^°ry`" - Feet Test Length - (Hours) Total Drawdown (Feet) <br /> �* + n <br /> *Manot be reresentative of a well's long term yield. 'I <br /> FDepUi from hole `f"k'�,� `r wall Outside Screen Slot Size .Dep <br /> Ype ^T➢- Material pth from I <br /> face a ebB,� ?:.. .k;,ry Thickness Diameter Type If Any Surface Fill Description <br /> to Feet Inches ' .P Inches Inches Inches Feet to Feet <br /> nx <br /> ❑ Geologic';Log I,the undersigned,carfify that this report is complete and accurate to the best of my knowledge and belief <br /> 13Well Construction Diagram Name Casoade Drilling,L.P. <br /> Person,FIM or corporehon <br /> ❑Geophysical Log(s) 3632 Ome Circle Rancho Cordova CA 95742 <br /> 11SoillWater Chemical Analyses A s city state Zip <br /> ❑+ Other Site Mao Signed ��;� 07/17/2012 938110 <br /> Attach addiilmal lnrorrlation ff it exists. C-57 Licensed Water WelrConf.o, ` Date Sl ned C-57 License Number <br /> DWR 198 REV.1/2008 IF ADDITIONAL SPACE IS NEEDED.USE NEXT CONSECUTIVELY NUMBERED FORM - I` <br />