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UQ „ -Q-_U�j --:r3 r . UL15 <br />' 1111161 (AL 57-,TZ OF CALIFORv(� wR w Y <br /> File with bµra <br /> WELL COMPLETION REPORT 4 Q , <br /> RejrT ra frrrrrurl,orr Pa wrpll'er STATE WELL 1STAT,CrrV 7f0 <br /> Owner's W.11 No _ No 5 6 3 l <br /> Date Work Began 23 8 , Ended LATITImE ' LQNc�Reba: <br /> Local Permit Agerlty San joaalli n CZHD <br /> ._� 1 <br /> _ 1 I I I I ! I I I [ e <br /> Pertnrt No SEQ14479 Permit Date—_ F/151g$_ <br />' <br /> ORIENTATION � X CEOLOCIC LOC WELL OWNER <br /> f—) VERTICAL _, HCRtxpNTAL ,ANGLE __ CSPECIFY) Name Wilbur Ellis <br /> oEPTI �o� DEPTH TO FIRST W{TER {Ft) aELOW SURFACE Mailing Address 191 W. Shaw, #,x107 <br />' BURPACE D E S C R 1 P T 1 O N c�- <br /> Ft to F{ DcnrrBc Tnater:al nen tt:e ea lar ac OTS 11'L L L L 0 C ATI ON SATE LIP <br /> Addressri-jalY . <br /> dF City C <br /> County San Juacu <br /> A)?N Book=Page ParrPl <br /> ar <br /> Township_ IU Range _ER Section a <br /> ar <br /> Latitude U•I4 123 11- Longitude �i _ Q w, <br /> UG am LOCA'T'ION SKETCH ACTIVITY f- <br /> iNORM-1 -NEW wstt <br /> I <br />' i ; ' MODIFICA�70N/RE7=ARi <br /> �.Daapan <br /> omar(sp.elh <br /> DESTROY tC.rgrfb. <br /> ' Praa.aorsr end llrrr <br /> 1 <br /> r � nd.r`GEQI.oG1C L I <br /> y PLANNED c(SEt <br /> LU <br /> 1 , <br /> ' water GQ C' F e 7ice, � � ��1 2 WA--cA SUPPLY <br />' ' Pahllc <br /> , <br /> 4, _._. lrrtarl len <br /> trltluelrial <br /> ' _ TEST WELL <br /> SOUTH — CANONC PRO <br /> TION <br /> 111useraec or Describe DW4rrce of W0 from Landrrsarlo _ OTHER(spacily <br /> such u Aoads 8u(ldings Freces FI)neTs etc <br /> PLEASE BE ACCURATE Lr COMPLETE <br /> DRILLING <br />' <br /> METxa rFLUID <br /> ' WATER LEVEL & XIELD OF COMPLETE❑ WELL -- <br /> ' ' 13EPTH OF STATIC <br /> WATER LEVEL (Ft) A DATE MEASURED . 1G/2/98 <br />' ESTIMATED rIE2 D' (GPM) & TEST TYPE <br /> TOTAL DEPTH OF HORINC 52 (>set} TEST LENGTH (Hr5) TOTAL DRAWDOWN (Fl) <br /> TOTAL DEPTH OF COMPLETED WELL 5Z (Feel) `tiftry xat br rcprLU7uatrte of a well's lana-error lreld <br /> DEPTH SORE CASINr-(S) oSPTH At04ULAR MATERIAL <br /> FROM SURFACE POLE TYPE FROM SURFACE TYPE <br /> DIA 1 INTERNAL GAUGE SLOT S(ZE cE- eEN <br /> _ MATERIAL/ FILTER PAC <br /> Ft to F Rnahaa) tP Gp DE DIAMETER OR WALL IF ANY <br /> m h _ (laths) THICKNESS Clrch.s] Ft [o FC HENT TON I-E FILL (TYPE/SIZE <br /> G 4 , <br /> d , <br /> ATTACHNIENTSI 1 <br />' d-1 CERTIFICATION STATEMENT <br /> __ G.aloplc La« I,the underaigned cartity that thea report Is complete and accurate to the best o1 my knowledge and belt <br /> ,- wail Cnatn.cl.en 0L.prem NAME < <br /> a) <br /> Geophysi"I Log(3) IAERS*M FIM OR CDAPORATiOM) 77(TY b a p1014 <br /> 30111 Westar Ch erhlc.1 Analyses JAJ C, `! 3 f!aI7 <br /> Omar ADO—Mm CM SFATE ZIP <br /> ArrACN A00177CWAL I&FORAoFATPON IF rr EJr1SrS Srpned09 <br /> IL WELL 04L /AIfT?tORfIE!) ltErgESENrAT 041 S (0 C S LI6EKSE rl[rM <br /> OWR IM REV 7 Ro IF ADDITIONAL SPACE IS NEEDED USE NEXT CONSECUTIVELY NUMBERED FOAM AA 16 <br />