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•iThe free Adobe Reader may be wed to Now,and If 11 {Me term, Hawewr,neRwarp moat qe purcnnGad ro aarlplale� - and reins a saved farm. <br /> Ir.eOriginnl Witt DWR - state of California DvuN Dm Only-oe Nm ern m_ . <br /> t arge 1 of 1 Well Completion Report <br /> Rrrfbrb InsmMbn tprrpnlM ra@e frurMror <br /> j rs Well Number MWS No. @0107501 --rte I61e Vtbll Numgm <br /> I 'Dale Work Began 02/16/2010 Date Work Ended 2 191201 D r - -�- �--�-u� r t r.I Ii I � <br /> -- ----�� Leututle <br /> Local Permit A9al>cY Sen Joa¢ufn Countv�J(y((onmamel W�(h('(gpt r' , i I <br /> Permit Number SR§2a34 Permit Dale 2/12/10 NrrRsrOo+nrl r r t <br /> Geologic L ' ,.. =DelwindorDhoat <br /> Owner <br /> Otlematlon Overfidal O Horizontal OAngle Specify Drilling Method Ding RIMDepth from unrhtce . . .Doortpeon rlanRoadFeet to Feet Describe MMAOI ins cofor cic Stat@CA 95330 <br /> , - W911 Location <br /> Pressure rout with neat cement A¢Mass 15550 SouttH„adan Road <br /> Remove vault box �t _ sen Jogquln <br /> Remove u coy Lathrop <br /> Upper 3 feet of well materiels Cay Wa N LongitudePatch round surface Taw. mm. s ain sem. 9nW <br /> `�- Datum Decimal LaL' Decimal Long, <br /> ^T APN Bbdk 198 . Page 190 PC" 81 <br /> Town,sN R Section <br /> Lo¢ationSk@1ch Activit <br /> ' sxelen�aurttseaaan 'hand anmrtmmb nine. 0New vden <br /> . . <br /> 9. Noah O MediflCanon/Repab <br /> ✓ J t t O Deepen <br /> O Other <br /> O Destroy <br /> ---•--•.• aw.s.P�.,..mrmmmm. <br /> OIC1Aa• <br /> Planned Uses <br /> O Water Supply <br /> ❑Domestic OPLUic <br /> Olnigellon Olndusaial <br /> O Cathodic Protection <br /> P1W O Dewntering <br /> O Heat Exchange <br /> -- O lryemon <br /> O Nmrdloring <br /> O Remedlotlon <br /> O sparging <br /> South O Tam Well <br /> mi.n.M..M...vn.aum,ner..mimm raw�rvlmin.rmcu. O Vapor Extraction <br /> OOther <br /> .mor <br /> aoar.Level and Yield of Com ted Wall <br /> VaMh to first water (Foot balow Wrfaee) <br /> Depth to Static <br /> Water I•evel (Feet) Dale Measured <br /> Total Depth of Boring Feet Estimated Ylelof _ ;(Gp" Test Type <br /> 'Total Depth ofComplefed Well 39 Feet Test Length (Hours)Total Drawdown_(Faat) <br /> *M4 not We rMWOresentative of a wen's two term vieln. <br /> Casings - Annular Material <br /> ooRem mom eoragola 'rypa Ingtadal Well outside sarcan slot Bim Oapth from <br /> surfaeq Diameter Thkknew olnmemr Typo RArry S-MM Fm Deecripeen <br /> FMI to Fut Inehea Inches) nehes Inchon Fent to Feet <br /> Attachments CerCdication Statemem <br /> Ct Geoiogk:Log 1,the undersigned,terrify that this report in complete and accurate to the best of my knowledge and belief <br /> O Wag Conduction Diagram Name' J. D III <br /> O Geophysical Log(s) 2ZON peon,Fen cots pe assn <br /> t Easl Stma -Woodland � �,,a776_. <br /> ❑ <br /> Soil/water Chemical Analyses arae. Cj, „slut, ZIP <br /> ❑+ other Sinplan signed 802334 <br /> f <br /> AN. Date n@d 0.57 License Number <br /> (MFt <br /> 108 REV,t/aeen IF AbbmpNa,SPACE IS NEMM,Los NERC crMecurIVELY NURFFriFn FnaP <br />