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Uta –1 I <br />' ORIGINAL STATE. OF CkLrFOHr11 `"a a — fl *r 0• v r t M — <br /> File with ❑v+rR WELL COMPLETION ]REPORT , , ' I <br /> Page_L o{-1_ Refer to 1"itrucrtort Pampbler STATE WELL NOISTAR4N NO <br />' Owner S Well No _ ?!W 3_ No r <br /> 1 <br /> Date Wart. Began 9 23 98 Ended U 1 b �•-DoE L4NG,ruce <br /> Local Permit Agency ---San <br /> Permit No 0 L <br />' Permit Date <br /> CEOLOCIC LOC WELL 01VNER <br /> OAIE:NTATICN {!) VERTIcAL — )-I0=014YAI, —AHGLi <br /> r_ (SPECIFY) Nart7e �_ <br /> 1 <br /> iP'rH Ffaek <br /> DEFM TO FIRST %V kTEft (FL) BELOW 5IJRFACE Mailing 4ddrem 191 W. 5naw, *107 <br /> SFresno <br /> 11RPA4' DESCRIPTION CA 53704_28� <br /> Ft to Ft D=crtbc matmal gratpr strE mlcr err GTT 6TA79 yp <br /> WELL LOCATION <br /> Address 21.2 Ind ria Drive <br /> ' Stockton, CA <br /> CttV <br /> County Sall Joe <br /> [1 APN $ons 'Of"7rPage P,rcel <br /> or <br />' Township_1_Range F'�' Section 2A <br /> Latitude 37 1 54 - 23 -52-1 Long,tude 121 + E�,, �l9 w= <br /> CECT MI„ SEC DEC, ADN SEC <br /> LOCATION SKETCH ACTIVITY (!) <br /> tyoATFt M NEW wrtt. <br /> 1 I <br /> I I <br /> MGa1FICa"CMfg6P+Uq <br /> r <br /> —oE�-aoY{naeulh. <br /> r i H e Plv Av va Ertl Alarar <br /> r ,� •I Linda,-GEOLO=L: <br /> YLA\QED USE( <br /> kCNri4RING <br /> WATEFS.FFLY <br /> I C <br /> Public <br /> SSS IrrlpAllrn <br /> 1 I -j` to Cu.ln al <br /> t 'TEV WELL <br /> ..� C+aTNaaIG PFC i <br /> SC UTH TION <br /> ffluarrate or Dearribc DUtaner of Stier!fmm Landntariat _ GTF£q(So.rfy) <br /> r aueh its Roads 8utrdmg; Fence-Ir Ftfora c44 <br /> r PLEASE BE ACCURATC Lr COWE'LETE <br />' ILLING <br /> MpETNOD Hallow Stem ALg= FLUID %V:4 <br /> { WATER LEVEL a YIELD OF COMPLETED WELL — <br /> I DEPTH OF STATIC <br /> WATER LEVEE- '37 _n9 (Ft) S DATE MEASURED n O <br />' 1 ESTIMATED YIELD' (GP%{) A TEST TYPE <br /> TOTAL DEPTH OF SORINC 50 (Fest) TEST LENGTH (Wz) TOTAL DRAWDOWN {FT) <br /> TOTAL DEPTH OF CONiPLETED WELL 50 {Frit) '/Way not be repmehiati%r of a vxll'T lowg-rernr yield <br />' DEPTH BORE CA51NC(S) DEPTH ANNULAR MATERIAL <br /> FROM SURFACE HOLE TYPE ✓ FROM SURFACE TYPE <br /> DfRW w MATEAlAL1 INTERNAL GAUGE SLOT SIZE <br /> {lnchasT x l� ERIA DTAMETQR OR WALL IF ANY CIE BEN <br /> ENT TAN E FILL FfLTEq PAC <br /> Ft to Fl m Pa {InrllYff THICKNESSEncheeY Fi to rt (�) (ZL) (.:�) 01yPE/SITE <br /> 0 30 9 x V a G I <br /> 30 5o 9 1 x Vc Sc:!h a 2 175 <br /> I I 23 So I X 4.3 Sar- <br /> ' I I I I <br /> ' I <br /> I ATTACH4IENTS (41 CERTIFICATION STATEMENT <br /> agialep,e Lag I,the-undersignedceenify That this report Is complete and accurate to the t3ast of my k7owled9e and tel <br /> Well Conslrvcllop Dlagram NAME k %tt ZdNt (ig„—'S <br /> (FtR9H FIRM 04 CORMGAMINTOED�)"Lf <br /> [ieaphrsrc�!La4(e) <br /> 5w � n s 3c <br /> soar Wars cnertlla,l Anafy9ca tTY 5TA 28 <br /> ApoltEss <br /> CA <br /> SOther : <br /> L r� g� g <br /> A7;a0,' aapf77cx1L lYJFgAt+A;7CN IF I7 EXISTS Sr9ncd CII LICENSE NUv <br /> WELL DR R AtITWORIIEC REFREStN7AHVE DATE SIC++ED <br /> own I'A REV -90 IF ADDITIONAL SPACE IS NEEDED USE NEXT CONSECUTIVELY NUMBERED FCRM <br />