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wa L � �y v o YFs I IK <br /> ORIGINAL si•nTE ov c�LrFOR`r,� C' <br /> File with SWR ",VEI.LL COMPLETION REPOT , I <br /> t <br /> 1?a bC of Re/rr to lnrlrueriorl Pdmpl;tet SATE Pe E'i.L R0.19TATI0k E7C, <br /> Qwncr's Well No. No. r 7 I I I ) I I I <br /> DFte Work Sega^_ _ 3198 Ended V2_5/98 .7 U j L^ —- Lcvci;;l� <br /> Local Permit agency 5an ' <br /> A"'T7.r 0�L.ta <br /> Permit No. _,52016479. Permit Date <br /> CEOLOCIC LOC W=LL 0WtiER- <br /> DR3E,T ATICN X VERTICAL � Hc;ra0MYAL ANC;LE _(SPEciFY) Dame l?V i1 ti`u r F-' 1 j c <br /> D£PTN To FiRss W.kTER (FLI BELOW SuRF{CE Mailing Address 1°•1 W. �- = +, #107 <br /> • I:�r:Tri�cst <br /> I SUFAFA!-2 D E S C R I P T I ON arr rte` 1Q srA-: '70G_?c I <br /> Ft. to Ft. D=rribe mat:rias.)rroin Iris,color,erc. WELL LOCATION <br /> ZIP I <br /> 0 -sarxdv Add:ers 212 Ind115 trial Dri7 q- <br /> v lCity sto ktcnr CA <br /> to 1 d • ` c v l a vC❑unty San Jca <br /> l d tv =v APN $nnk ?Page P=rcel <br /> ' Totivnship� _F,ange� :._Section 7d <br /> I r d <br /> Latitude .37 _ 23 -uc�ra Longitude 12 I 1 14 ti: , <br /> _ C£0, tttn. 9EC. MU, �. SEC. <br /> LOCACIOY 5kETC? ------rAC7IYITY 1%} <br /> i NORTH 1' NEW WELL <br /> i <br /> McoIFIC•—"Ck IAEP111A <br /> I r <br /> I <br /> Ce.,ROY fA.ea,ib. <br /> r „+ Fr- ,ewbe anc xlua, <br /> r• Itrrdar-pcCLCGC L <br /> PLANNED USE(: <br /> 1 1 � ' �` � LfCNrCRING <br /> r U=•,},f v .r 0 a2Y"nrA rinT'cF�FFLY <br /> i <br /> PWIC <br /> 1 L <br /> ' � � IrriQ+Iran <br /> I <br /> 7 IgCu.ln�l <br /> ' ' t (a "TEST Wr3Lt•' <br /> 1 - <br /> CATtIOCIC PFG <br /> scum,H ~ TIL" <br /> ' 711wirvir or Cescrtbe Crooner of'rVeiE Jmn LaAdr aAj OT1• }T(Saec.lyi <br /> i t11ch a.1 Aoadt.6:+ifdingt.Fcncst,%lira,�::. <br /> ?LEASE 8E ACCUR.i?E L- Camp—— <br /> r i GRILLING Hallow Ct�.'m7'nC_pr _ FLUID <br /> ' <br /> METHOD iT4C0 - <br /> i WATER LEYLL & YIELD OF COMPLETED WELL — <br /> j r DEPTH OF STATIC <br /> WATcR LEVEL_ - ?- (Ft,) 8 DATE MEASUR90 — <br /> I <br /> ESTIMATED YIELD (GFu) & TEST TYPE <br /> TOTAL DEFTH OF 80RINC 50 (Feet) TEST LENc3TH (Hra.) TOTAL pRAWpOWN iFt.} <br /> TOTAL DEPTH CF COMPLETED WELL .50 (Frei) '1ka7 not be r:prcrent.7tire n/a uvll'i icng-term yield. <br />_ DEPS CASING{5} DEPTH ANNULAR MATERIAL <br /> FROM 9URFACS BORE TYPE , I "CM SURFACE TyP6 � <br /> MOLE <br /> INTERNAL GAUGE SLOT SiZE <br /> Oln- G r Iy !+{ATERIA DIAMETER OR WALL IF ANY CE' B FILTER PAC <br /> FS. to Ft. (InC)1Q]) 5 J _GpAC'c MExtT TONr'TE FILL <br /> rtncllas) THIGKNBSS pnahocf Ft. to it. (7YPEI:ri=`- <br /> 0 30 1 9 IX VC 40 <br /> 2 <br /> 20 50 9 I XI PVC/Sc~i aq I z I I 7.= i <br /> I I I I I I I 2S 50 i X I =3 Sime <br /> I i I I I 3 I <br /> I I E I I i <br /> ATTACHMENTS (!) CERTIFICATION STATEMENT <br /> Gealc ci=Lag I,-the.indersigned,cenlfy that this rapert In cemplele and accursie tc the best of mY knowledge and Ceii <br /> Well C-1rvclion Claprem NAME= k r AO <br /> VE9S0h. FIRM. OA GCRPtRATION) (TYPE➢ ON MINTED) <br /> 5 w D'r t>P <br /> Sade War rr G1emk:al Ana tyoca STA <br /> TE <br /> xOGN(SS ••,• <br /> A TTd GI .0 7iRCN�L 1NF�j Fi A+s^CN. 1F 17 Exr579. Siprtcd c Girt SlriNft) CSr tICErvSE nUv <br /> WELL WI R AUT,111Zft) REPR E_E."ITATIYE <br /> own im.nE, -.w IF ACGITICNAL SPACE IS NEEDED, U5E NEXT CCNSECLFrIVELy Num !E`nc7 FcF.tiS <br />