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i 'The rine Moat Reader may oq UAee le vigor Ima o e fhts rem(, Hewercr.MO!"o meet Eo purcheeae w wmplem,� � IM mews n oo't4 fwm <br /> File Original with OWR Slate of California DWR Use OM —ud Mat In <br /> Page 1 of 1 Well Completion Report <br /> r Re 0mo bwq PampMm sets well NumberfSas Number <br /> Owners Wen Number MWO.1 No. a0107558 <br /> ate Work Began 07J10/2010 Dale Wdrk Ended 211912()10. CdMrtla N I �__ , <br /> �ocal Permit Agency j5gnjtgQaujn County Environmentol Health Debt i <br /> Permit Number SR59334 Permit Date 7J12/10 APnlriRs/Ouo+r <br /> . :.'..Geolo is Lo ." .:`.: Well lhvrtsr <br /> orientation ,OVerScal 0Horizontal OAngle Specxy Name DeNvindcr DhWt ' <br /> Willnil Metnad Ofillmo FIUN <br /> . <br /> Depth from SurfaceDOACAptipn . . ., MoilingAddress 15600 South Harian Road <br /> Foot lo fuer� oomi �Imutl; min aloe,ester.Me pity Lathrop SlateQ95330 <br /> Wait Location <br /> Pressure grout with neat cemant Address 155Harlan <br /> Remove vault box City 191hroD County San Joaquin <br /> Remove tipper 3 feet of well materials Latitude - N Longitude______W <br /> ho <br /> Patel round sura ea Mm. SW an Mln Sm. <br /> Datum Dadmal Lal. _ Decimal long. <br /> APN Seek 196 Page 190 Parcel 131 <br /> Township--kange, Section <br /> . : Location'Sketch <br /> - I<mn muelroermun hmrnaMrrmmen mm. O New well <br /> north O ModificalionlRepair <br /> J O DaePan <br />{1 O Other <br /> - <br /> a Destroy <br /> bmmmmrreArn mdm„,M <br /> unm vernae c <br /> Planned Uses <br /> O Walm 9uppfy <br /> ^. []ODmesto OPubnc <br /> r w Olfligation DIndustdal . <br /> a� O Cathodic Pmteegon <br /> S O Dewatering <br /> ^'rx O Heat <br /> all: <br /> O Inledlon <br /> O Monitoring <br /> O Rernedlauon <br /> O Sparging <br /> l Seem O Test Wen <br /> Oi V eAracew <br /> L/- _...._ IlmNmr>dNmlAa tFlnn[nmxellh IA„14lulNbya,arta.. r� Mar <br /> nm,,rn....,a..nAePln uA rename eanumwm�n- Da1Cr <br /> Water Larval and Yield of Completed Wen <br /> Depth to first water (Fast below aurfece) <br /> Depth W Static <br /> Water Legal (Feat) Dale Measured <br /> ,Total Depth of Boring Feet Estimated Yield (GPM) Test Type <br /> Tolef Dclith of Completed v&# 20 Feet Teel Length (Hours)Total Drawdown (Feet) <br /> t <br /> I'May not be mipresernsun of a wen's leterm W. <br /> i EN AnrwlarMaterlal <br /> Opper from Bofofmla wall Oaeidcsemen smtsimS,w1hne Dpmoror Typp MntnHpr TNlekanaP Demmer Type I/Any FIR Description <br /> m Get she Inch nehes ru:hea <br /> 1 <br />�i Attachmanrs .Cerdflcauon8tatemam <br /> ❑Geologic Log I,the undersigned,Certify that this report is complete and accurate to mD beat of my knonladge arm belief <br /> ❑wbx Canstrudlen Diagram Name .R;Q1 DrillinD Company _ <br /> [7 Ge lral Login) PAreen,Flrtnwempemegn <br /> El <br /> REV 00 ®l ) �Aoon et , an „ 2 95779.... <br /> O SolhWaler Chemical Analyses ee""6^ CAY ams zM <br /> ., C7 Other ins Plan 9 u+�.�.. � 802334 <br /> nnwnnede r inn ttl cel GAucmiwrownmr uteri ital Grnlmrmr Dates nee C-G7 License Number <br /> ZONAL SPACE IS N4aDSD,USE NEXT CONSF.CUTIVF,LT NUMOSM FORM <br /> i.: <br /> I <br />