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' ORIGINAL STATE OF CALIFonNIA DIZU 113g 001 Y — NRT I <br /> File with DWR WELL COMPLE'T'ION REPORT <br /> Page—of Refer to Instruction Pamphlet STATE WELL NO/STATION NO <br /> ' Owners Well No No <br /> 58297% <br /> ❑ ❑ <br /> Date Work Began 6 19 9 4, Ended •7 �" LATmina LOxunuDs <br /> Local Permit Agency ';an 1 n a rt1i i n C_ni_- H e a l t,h D P pt_ <br /> PextTut Na 2 4 5 9 4 6 0Permit Date <br /> ' GEOLOGIC LOG —,,WELL OWNER <br /> ORIENTATION (✓} VERTICAL —HORIZONTAL —AWILE —(SPEc1FY) Name kaUal d- Link;_Estate of Irene Lur.l< <br /> DEPTH TO FIRST WATER_1.1 (FL)BELOW SURFACEI Hr[alling ddre�s '2 44 21, S.-. A I r p o rt _ a y <br /> DEPTH FROM' Sttu: <br /> ACE DESCRIPTION L <br /> Ft Ft Drimbe matenal yrmntt cola►,etc CITY �� ` �. 1 STATE ZIP <br /> t WELL,LOCATION <br /> ' _ `Address= 42� S-e ATRPORI WAY_ _ <br /> 1 3 ; Sandy Soil ` alty <br /> ' <br /> 1 L <br /> r , <br /> Countt <br /> Cy <br /> } �jay1PN Rook Page Parcel <br /> ' oTwnshu� Ran Section <br /> ti <br /> r - Latt[ude NORTH Longitude --- WEST <br /> OEM MIN— SEC DEO_ MIN SEC <br /> } < LOCATION SKETCH ACTIVITY (�} <br /> r J'�ORTH NEW VVELL <br /> 71 74 <br /> ' i r <br /> ELLABrRNDO <br /> MODIFICATON/RW <br /> AM <br /> -MNT r —Dpan <br /> ' ' � ypi W <br /> —Othw(Specily) <br /> 0-84I Benseal <br /> S 84 ' Depth of Well <br /> X DE9THO�(Da,ort0a <br /> ' N Im:°. cTFtuoreMrc'1Loo <br /> Diameter 611 PLANNED USES) <br /> r <br /> MONITORING <br /> 144 ' ' rjay WATER SUPPLY <br /> , /1 <br /> Oca,aalro <br /> ' , : Sand " tniQallOn <br /> Indaalrlal <br /> TEST WELL <br /> w CATHODIC PRWEG <br /> SOUTH TION <br /> Illustrate or Dtrdctibe Distance of Well fmrn LaOTHER(Spaclry) <br /> such as Randa,Building, Fens, Rim" etc <br /> PLEASE BE ACCURAPS is COMPLETE <br /> MDRILLINGMud Rotary FLUEDgentonite/Water <br /> ' r WATER LEVEL A YIELD OF COMPLETED WELL <br /> t , DEPTH OF STATIC <br /> WATER LEVEL (Ft) d DATE MEASURED <br /> 1 F <br /> ESTIMATED YIELD (GPM) d TEST TYPE <br /> TOTAL DEPTH OF BORING 190 (Feet) TEST LENGTH (Hie) TOTAL DRAWDOWN (Ft) <br /> TOTAL DEPTH OF COMPLETED WELL 17 0 (Feet) 'blay not be repraentatme of a well'r long-terns yield <br /> DEPTH OCASING(S) DEPTH ANNULAR MATERIAL <br /> ' FROM SURFACE BOR <br /> TYPE d FROM SURFACE TYPE <br /> (Inch,,) MGRADE ! DITERNALAMETER GAUGE SLOT SIZE CIE <br /> nPMAENTONE FILL`�iD)AMET>iR OR WALL 1F ANY FILTER RACK <br /> BF <br /> FL to FI pmahoe) THICKNESS Dnchaa) FI to Ft (TYPE/SIZE) <br /> ' 12 A Pvc fi11 0 :100 1 x <br /> 150 ' 170 12 Ix I I PVC 611 160sch Screen <br /> LEIr <br /> , <br /> ATTACHMENTS {✓} CERTIFICATION STATEMENT <br /> ' Gooi000 Log I,the underslgnod,certify that this report Is complete and accurate to the boat of my knowledge and belief- <br /> Wait Cominrolica Dlegram NA,W_ H£N N I N G S BROS. DRILLING CO. , INC . <br /> (PERSON. ARM OR CDRPCRATION) (TYPED OR PRINTED) •---•• <br /> Geophys"ILog(s) 3525 PELANDALE AVE. MODESTO CA 95356 <br /> •� 9oiI/Woler Chamkal Anayaea <br /> ' ADDRESS CITY STATE W <br /> _ omer <br /> ATTACH ADDITIONAL iNFORMATIOM IF er ExrsT& slgnad MAR.24.1994 2908 13 <br /> PIELL DRIL A D REPRESENTA ATE SIGNED C-57 LICE E NUMBER <br /> DWRlaaREV 700 IF ADDJTIONAL SPACE IS NEEDED USE NEXT CONSECUTIVELY NUMBERED FORM <br /> 1 t <br />