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i <br /> rr N <br /> ORIGINAL STATE OF CALIFORNIA <br /> File with DWR WELL COMPLETION REPORT <br /> Page 1 ,f 1 Refer to Instruction Pampbler EnTSTMATME WMNWO tS ION NO <br /> Owner' <br /> Date WOrk Began 9/30 96 , Ended 9/30/96 C ��] ��J' LATITUDE 11LONOTU13E <br /> Local Permit A11 San San Jas n Co. Div. of Env. Health <br /> Permit Na Permit Date 9/30/96 r t I <br /> GEOLOGIC LOC WELL OWNER <br /> ORIENTATION (4) JL VERTICAL _HORIZONTAL _ANGLE _ (SPECIFY) Name StOCkton Blqhop Stare House <br /> ��SLUIH'1"�FAC5 <br /> DEPTH TO FIRST WITERi (Ft) BELOW SLBFACF- iviading Address 3112 LOCunis Rd. <br /> DEbCRIPTION Stockton, CA. 95205 <br /> Destnbe marginal grain rtze,calm etc CITY STATE—ZIP <br /> 0 4 Clay WELL LOCATION <br /> 4 d Sand Address Same <br /> 8 17 Clay c1ty <br /> 17 19 Sid lq,kPN <br /> ounty Sall Jca n <br /> 19 34 Clay Book Page Parcel3438 Sand awns[�ip Rang Section38 iatitude NORTH Longitude WES <br /> C7 6O i clay DEG MIN SEC DEG MIN SEC <br /> 60 69 Blue clay - LOCATION SKETCH ACTIVITY <br /> NORTH X- NEW WELL <br /> 69 - 88 Sand/ avel <br /> 88 96 Clay MODIFICATION i REPAIR <br /> 96 1 98 Sand /. —Deepen <br /> 98 101 ay <br /> L?G?n AIF 01 —Other(Spec4) <br /> 101 119 Coarse sand E` <br /> 119 ; 132 ; Cla y IV Ir -DESTROY <br /> and Materia! <br /> 132 ' 134 ' Coarse Sand under GEOLOeICLOG <br /> 134 136 Cla ¢ PLANNED}IFSE(S) <br /> 136 r 175 Coarse sand � m - MONITORING <br /> 175 ' 197 Shale/blue clay WATER SUPPLY <br /> . 197203 1 Coarse blue sand X- Domestic <br /> 203 208 Shale blue c La — P" <br /> 208 r 218 r Shale Irrigation <br /> 218 222 Blue industrial <br /> 222 ' 250 ' Blue shale Laca� _ — TEST WELL <br /> 250 253 Blue sand SOUTH ` CATHCOIC PROTEC <br /> TION <br /> Illustrate or Desenbe Distance of Well from Landmarks — OTHER(Speerty) <br /> such as Roads Buildings Fences finers etc <br /> PLEASE BE ACCURATE d: COMPLETE <br /> DRILLING <br /> METHOD Mud rotary <br /> water <br /> FLUID <br /> WATER LEVEL & YIELD OF COMPLETED WELL <br /> DEPTH OF STATIC <br /> WATER LEVEL 74 (Ft) 8 DATE MEASURED 10 2 96 <br /> ESTIMATED YIELD' (GPM) b TEST TYPE <br /> TOTAL DEPTH OF BORING 253 (Feet) TEST LENGTH (Hrs) TOTAL DRAWDOWN (Ft) <br /> TOTAL DEPTH OF COMPLETED WELL _Ja90_ (Feet} `Afav not be representatme of a well's long-terms yield <br /> DEPTH BORE CASING(S) ANNULAR 'MATERIAL <br /> FROM SURFACE DEPTH <br /> HOLE TYPE FROM SURFACE TYPE <br /> DIA e W tt MATERIAL! INTERNAL GAUGE SLOT SIZE <br /> Ft to Ft (inches) c� d GRADE DIAMETER OR WALL IF ANY OE SEN <br /> m _ <br /> (Inches) THICKNESS (Inches) f t to r t MENT TONITE FILL FILTER PACK <br /> ( ! ) {� ) (�} (TYPE/StZE:) <br /> 0 160 11 X PVC 6 160 0 " 100 X <br /> 160 1 <br /> .062 100 180 6X12 sand <br /> ATTACHMENTS (.!L) <br /> CERTIFICATION STATEMENT <br /> — Geologic Log I the undersigned certify that this report is complete and accurate to the best of my knowledge and belief <br /> Well Construction Diagram NRME Calwater Drillzn co. Inc. 1 <br /> i <br /> Geophysical Log(s) (PERSON. FIRM OR CDRPGRATIDN) (TYPED OA i7RIWED) <br /> j 300 S. Kilroy Turlock, CA. 95380 <br /> Soiliwater Chemical Analyses ADDRESS <br /> Other CITY STATE 42LI�P <br /> ATTACH ADDITIONAL 1NFOI7MATION IF Ir EXISTS Srgn0d WELL DRILLER AitTtIQRtZED REPRESENTAYEn3 2L76 <br /> • DATE SIGNED C 57 LICENSE NUMBER <br /> DWR)RSRE� 7 go IF ADDITIONAL SPACE IS NEEDED USE NEXT CONSECUTIVELY NUMBERED FORM <br />