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{ f <br /> ORIGINAL STATE OF CALIFORNIA ��� W U / — T FILL IN <br /> File with DWR WELL COMPLETION REPORT z O <br /> Page—of Refer to Instruction Pampblet STATE WELL N0.19TATION o. <br /> Owner's Well No. No. <br /> 422633 <br /> Date Work Began 1/14/9 2 , E,,ded 1/15/92 LATITUDE toNOmmE <br /> Local Permit Agency <br /> 92--0054 I , <br /> Permit No. Permit Date � � <br /> OTHER <br /> GEOLOGIC LOG ,W,ELL OWNER I <br /> ORIENTATION (✓) —VERncAL HURIZOMAL —ANGLE ^(sPEmyF Namp' '•� 071 Christian School i <br /> DEPTH TO FIRST WATER (FL}BELOW SURFACE Nailing Cf S5Mote <br /> 0EPTH SURFACEM DESCRIPTION 'Rlj?o `,CA 1 9536.6 <br /> Ft. to Ft. Describe 9'nalertal grant im,color,ete. �' �``� CITY ` ,� !i STATE 21P <br /> WELL,�.'QCATION <br /> 0 4 To Soil \' .� �t� r dam `ds abaV6. - <br /> 4 17 Sandy Clay & Shalb; • r. r <br /> 17 22 Sand , :County <br /> � y ` Sa Jba uin <br /> - <br /> 22 i 25 i Clay <br /> » t ' APN Boo Page Parcel 0 <br /> 25 ' 27 ' Sand �' '; y` �-" .4 FQ�V4rfship 11DT1gCO Section <br /> 27 65 ' Clay .a -; g,. ; + I;fftituiie'. ' L.,,,,",_NORTH Longitude L wesT <br /> 65 68 a Sand 5'' .r' =r ` .. r =4'. `;r DEG. MIN. SEC. DEO. MIN. SEC. <br /> f' LOCATION SKETCH ACTIVITY (!) <br /> 68 85 .� �•C�a a: .."t NORTH X HEW WILL <br /> 85 93 Coarse Sarl(tz '� = .' <br /> - MODIFTCATTCtJIREPAIR i <br /> 93 : 100 Ct . �• & fslia14 ' ;4 ^aaap�a <br /> 100 '1 105 •`S and other tspaolrrl <br /> X1105 ` 10.8'-.•'' `C1a <br /> 10 8 ' 11 ••S`tnd _DESTROY(Descrfha <br /> 110 t 126.4" Cla '`; \'. Uaee Lt7GlCLOt) <br /> 126 ' 128 '' Salic PLANNED USE(S) <br /> 128 ' 153 ifflay' & Shale to a (4) <br /> MONITORING <br /> 153 154 1 Sand WATER SUPPLY <br /> 154 156 Clay Domestic <br /> IR15 158 ! Sand _ Public <br /> 6 i <br /> 58 6 la X_ inioation <br /> 1 , <br /> ' ' t 4ldesMai <br /> .� ,•TEST WELL' <br /> ' SOUTH — <br /> ntDICPROTEC- <br /> ' ' lfltutrkte or Describe Dostawe of Well from Landmarks OTHER Opacity) <br /> PLE_cAASE BE ACCURABuildinTE 6,Fences, <br /> OMPLETE . ' <br /> DRILLING RotaryFLUID <br /> i <br /> METHOT) <br /> WATER LEVEL & YIELD.OF COMPLETED WELL <br /> DEPTH OF STATIC <br /> WATER LEVEL 27 (FLI a DATE MEASURED <br /> ESTIMATED YIELD* (GPM) &TEST TYPE <br /> TOTAL DEPTH OF BORING 6 (Feet) <br /> TEST LENGTH (His.)TOTAL DRAWDOWN (Ft.) <br /> 1 <br /> TOTAL DEPTH OF COMPLETED WELL 5 (Fee1) May not be rCP7ffe t dUe of a Wela long-term yieU <br /> DEPTH CASING(S) DEPTH ANNULAR MATERIAL <br /> FROM SURFACE GORE- <br /> HOLE ME- <br /> FROM SURFACE TYPE <br /> DIA, MATERIAL/ INTERNAL GAUGE SLOT SIZECE- HEN-(inches) GRADE DIAMETER OR WALL IF ANY a FILTER PACK <br /> F.t. to Ft. Vachon) THICKNESS MEW T(iNITF FILL <br /> (Inches) FI, to F#• (TYPE/Slzq <br /> 0 ; 135 20 X PVC 10 160 .045 50- X135 X <br /> , , f <br /> it <br /> i <br /> ' � I <br /> ATTACHMENTS (!) CERTIFICATION STATEMENT <br /> I,the undersigned,ceftlfy that this report Is complete and accurate to the beat of my knowledge and belief, <br /> — Geologic Log r <br /> Walt Construction Clagram NAME MASELLIS. DRILLING INC. <br /> (ffJWK FIB% OR CORPORATION)(TYPED OR PRINTED) <br /> Geophysloal Loy(s) <br /> ■�4 ;1 <br /> _ 8of1/Weis[Chemical Anaiysea <br /> 119 ALS RS RD. MODESTO CA 95351 <br /> ADDRESS ` CITY STATE ZIP <br /> Other <br /> ATTACH A001770MAL 1NFORMA770rc IF rr EMSTB. Signed ti_ R L lAUTlI )ZED RTSFIiTATNE DATE SIGN/9 29 2 G5575551 <br /> 5LICENSE NDMBER <br /> DWR183REV.7-90 IF ADDITIONAL SPACE IS NEEDED, USE NEXT CONSECUTIVELY NUMBERED FORM <br /> i <br />