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QUADRUPLICATE STATE OF CALIFORNIA R USE QNLY — DO NOT FILL IN <br /> For Local Requirements WELL COMPLETION REPORT l I I I I L i L_I <br /> I <br /> Page- of I Refer to Instruction Pamphlet STATE WELL NO.15TATION NO. <br /> ❑ ❑ <br /> Owner's Well No. —2 Q No. 1d 4 <br /> 1 1 <br /> Date Work Began 11/16/26 _T Ended 8 6 ✓6 LATITUDE LONGITUDE <br /> Local Permit Agene Sgn Joaquin Coufty Environmental Health <br /> Permit No. 6 Permit Date ._.. <br /> 6/14/96 APNITRSIOTHE8 <br /> GEOLOGIC LOG WELL OWNER <br /> ORIENTATION (✓) -I%- VERTICAL I <br /> VERTICAL _ HORIZONTAL ANGLE _ (SPECIFY) Na <br /> eFrontier Transportation, nc• <br /> DEPTH TO FIRST WATER (Ft.) BELOW SURFACE M 'ling Address 3577 a Ave.hia <br /> DEff; .i�:Asphaltic <br /> Nino <br /> DESCRIPTION <br /> CA 9171CF <br /> Ft. Describe material, ain size,color,etc. CITY STATE ZIP <br /> g' W LL 4OCATION <br /> conCrotQ IllCvement Address arc 08 A <br /> C Y, man o ver darkgray city racy <br /> a g t y act c, very County an Jooquin <br /> �fine to fine #en s slight APN Book 2 p,g,200 Parcel 08 <br /> mo $ or <br /> 10 <br /> Township 2S' Range 5E Section <br /> s Clayey; gray, very ne LatittideDENORTH Longitude, WEST <br /> � � G. MIN. SEG. DEG. MIN. SEC. <br /> oto f ne rained foorl LOCATION SKETCH ACTIVITY (✓) <br /> + va.dsfl gub*ngular, NORTH X NEW WELL <br /> 'elightly plLoatic fines, ver <br /> g <br /> MODIFICATION!REPAIR <br /> ttoV,*t. —Deepen <br /> ,i <br /> 13 :18 :CLAY,,"" sandy;r gray ilk brown,t1 30X very- fine t0 �_Other(Specify) <br /> p <br /> ' na sand wet send content <br /> :Lfacreaxes with depth. —DESTROY and <br /> Procedures arta Materials <br /> Under"GEOLOGIC LOG") <br /> 18 '20.5 'SAND clayey; ra h brown, � � PLANNED USES) <br /> :vtty fine to fine grained, Lu X (-tL) <br /> � w MONITORING <br /> i li oobrl radiad subangular, WATER SUPPLY <br /> 0% slightly lactic finer Domestic <br /> ,very wet. <br /> Public <br /> 20-5 :23 ;CLAY loan ; grayish brown — <br /> Errigatlon <br /> r lastic 25-35X very fine to �C► � Industrial <br /> ne sand, veryy wet . <br /> 23 ` • ` t clayey; r&y rovn, I — "TEST WELL•. <br /> CATHODIC PROTEC- <br /> ;verfine to-fine grained, SOUTH TION <br /> Illustrate or Describe Distance of Well from Landmarks — OTHER(Specify) <br /> t1j ra c y nes o such as Roads,Buildings,Fences,Rivers,etc. <br /> ver " PLEASE BE ACCURATE & COMPLETE. <br /> r t , sandy; gray-brown, DRILLING_ N/A <br /> UID <br /> pl ast C, very fine sandMETHODWATER LEVEL & YIELD OF COMPLETED WELL <br /> very wet . DEPTH WATEROLEVEL STATIC 1ar2 (Ft.) & DATE MEASURED 8/30/95 <br /> ESTIMATED YIELD* (GPM) & TEST TYPE <br /> TOTAL DEPTH OF BORING • (Feel) TEST LENGTH (Hrs.) TOTAL DRAWDOWN (Ft.) <br /> TOTAL DEPTH OF COMPLETED WELL 26 (Peet) *May not be representative of a well's long-term yield. <br /> DEPTH CASING(S) DEPTH ANNULAR MATERIAL <br /> FROM SURFACE HOLE TYPE ✓ FROM SURFACE TYPE <br /> INTERNAL GAUGE SLOT SIZE <br /> BEN- <br /> (inches) ¢ W o� MGRADELI DIAMETER OR WALL IF ANY MENTTONITE FILL FILTER PACK <br /> Ft. to Ft. c» (Inches) THICKNESS (Inches) Ft. to Ft. (TYPE/SIZE) <br /> r„ oLL fes) fes! fes) <br /> C <br /> • PVC 2 ;ch.401 2 .5 :4.0x <br /> 4 .0 :26.5 x 02/12 Sand <br /> ATTACHMENTS (.!L) CERTIFICATION STATEMENT <br /> Geologic Log <br /> I,the undersigned,certify that this report is complete and accurate to the best of my knowledge and belief. <br /> ,., ,,., <br /> well Construction Diagram NAME ThTwining* ining Laboratori s, Inc <br /> (PERSON, FIRM, OR CORPORATION) (TYPED OR PRINTED) <br /> — Soil/WGeophyater <br /> terCal emit 2527 Fresno Street Fresno CA 93721 <br /> — Scil!Water Chemical Analyses <br /> ADDRESS CITY STATE ZIP <br /> s Other a q <br /> 59 l; ,' !' { <br /> ATTAATTACHADDITIONAL INFORMATION. IF IT EXISTS. Signed r >' 5061 <br /> WELL DRILLER AUTHORIZED REPWENTATIVE DATE SIGNED C-57LICENSE NUMBER <br /> DWEI 188 BBV,7-90 IF ADDITIONAL SPACE IS NEEDED, USE NEXT CONSECUTIVELY NUMBERED FORM <br />