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i <br /> 'TM mea AdaM RnPtlar Cony ba a9W[o view end w(L V)'his ICM However,x�ara M11 be pun.Mhatnd le wMplaW,s�e�d PANIC a sayad rum. <br />( .Fne original YAM DWR <br /> Stale of California DydR use on -po Not F&In ' <br /> Page 1 o 1 Well Completion Report <br /> Ovmer'a Well Number MWO-3 Pain-Ae010 uaP,mpnmr sMOo wen NumMNsav Number <br /> tn2al07560 <br /> work �u1 w <br /> Date rk Began 02116!2010 bale Work Ended 2/19/Z�� <br /> Local permit Agency$ n�QUW.'�Dunty Envirlmmen}n�,(-jr+l H� h U,Nude Dept, -, � 1 <br /> i Pcrmll Ntmlber°-R6g336 Pemdl Dato 2112J10 <br /> . ..Gaol ir:L <br /> Well Owner <br /> to <br /> f OrlaMatron OVettico bHorizonfci OAngle Sl ;ry Name balwinclar Ohoet <br /> 22111c;Malhod Dnlleg Fluid - - -— <br /> Oapth from StMaoa Deswipnon MaBltrg Addmso,1.$.600 South WarJan Rollo'. Feet to Feet :Davcdba m*ftdol,u wPas."V.etc C&. Lathrop 91ata CA 95330 <br /> `. . . - Well Location <br /> Pressure grout with neat cement Addmsa Sq, W Rad <br /> Remove vault box <br /> Remove upper 3 feet of well materials county San Joaquin <br /> Latitude N LorVil lee .-. <br /> Patch Around surface baa. Ails sea DPa o <br /> Dahan Decimal Let. Decimal Long, <br /> APN Book 196 Page 190. Pared 81 <br /> Tmvnshi Rama Section <br /> Location Sketch Aetivity <br /> Nandi mumlro eNwn hxrN raerlmm¢ nmm4 Nrav Well <br /> Noun O Modifimlloneepalr <br /> J O Deepen <br /> O Other- <br /> 0 Destroy <br /> -. T em.lm.omaremo aW lnevae, ` <br /> nrmomerac <br /> l ..,,. _ d Liam <br /> Su <br /> O Wator Supply <br /> ❑Domestic ❑Pump <br /> ❑ rrigation ❑Industdal <br /> O Cathodk Protection <br /> O Dewatering <br /> O Heat Exchange <br /> O InOction <br /> O Monitoring <br /> O Remedlallon <br /> O Spatging <br /> _-� south O Test Nen <br /> Im�m.vare..aar al.rm,e.er.neeernnwN.enna�gn,Come., O Vapor Fximevem <br /> mem^ale.aN nnunaime.u..eellrmreirmm�umm..ey. O Other <br /> '-'"- — Water Level and Yield of Completed Well <br /> i. Depth to Brat water (Feer txdrnv surface) <br /> -- - Depth to Static <br /> Watat Level (Feet) Date Measured <br /> Total Depth of Bodnp _ Feet Estimated Yield- (GPM) Test Type <br /> Total Depth of Completed well 20 - Peet Test Longth (Haura)Total Dmwdown_(Feet) <br /> -MAY not lm MPMMten lathe of a well's to (ann <br /> Usu�cd <br /> terl0i <br /> oepN Tmm 6arenera �,� Matarval wan Owiea semen sudace, ntmmmar ThlalinAaa (Almmoner Yype eaaerlpson <br /> Fset m Feat CMP Inenaa Itrchaa <br /> 1 <br /> Attachments; . . Certification Statement <br /> O Geologic Log t the undersiggned,carafy that trite report is Complete and Accurate to the beat of my knovAedge and befcat <br /> ©mil Conatruollgn Diagram NRme RS1 inlno-Cgmoany <br /> ❑Gacphysical Logs) PPnm.Fath mcbryereebn <br /> N t Pt �g(oodland. PA_ 96776 � <br /> ❑SaiNNa(er ChMrtlp,l Analytes <br /> M other Site Plan _ Scarred� _� ah 70"8 03334 ZIP <br /> ate Cd7 than vmn C�mnn:lxn Date Signed C-57 Ulmnse,Number <br /> COR rft AEN,irMB IFADDRIONAL SPACE IS NEEDED,L)V NEW CONSECUTIVELY NUMSEW-0 FORM <br /> I' <br /> I <br />