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' ORIGINAL STA OF CALIFORNIA e N Y F t f <br /> T� <br /> FRO With DWR WELL COMPLETION REPORT <br />' <br /> Ile/K to fwttructrav Pawp6dez STATE WCL-t.NaMATION NO Page of 1 <br /> owner-s Wen iVe:_MWl throuLrh N1w7Na. �,���,�-� <br /> El ❑ <br /> • . Date Work Began 114/95 .Ended 1111195 1AWME LONGITUDE <br /> Lear)Permit Agency .SEM. .sfflagIIIn Local Health District <br /> Permit N, nl permit Date 11/10/94 <br /> GEOLOGIC LOC ` l ,w,$LL 0 NER <br /> ORIFNTATtohl (✓) vERrr.AL .—._GommwrAL -Aim —(spaciFY) Nanta Corn riltion <br /> I DEPTH TO W S'T WAT1M______._(R)BELOW StIRMACE MailweAd"PI O -BWE 5155 <br /> PrH � - <br /> OEmom 'CSA_34583 <br /> SURFAM DESCRIPTION ` '' S�YI limon ' <br /> Ft to Ft Ihsr+rbe++mtetsel,gfadr mlar ew. ,. t. e ! STATE ZIP <br /> aTM #�95a •, '-WELL Locnrorl <br /> r � �rlc�ress'� '2$35•�Tav� ���e _ -- — — <br /> ' ;• Stockton 0A'--L____-- - - — — <br /> ' .Joaar>�iTl Count <br /> .cogity. . <br /> AM Book 1-45-_ Page 030 .Parcel 09 <br /> or <br /> 'rRV51gFtir<______Runge Section <br /> f r '11 ,99 e <br /> • Lait;Tucle. � uarrrll Lolrgrtlsr3ewAM <br /> ` t walls " eEVL rw aEa DWI MUC am <br /> LOCATION SKETCH ACTIVITY (!) <br /> ! estr a NOFtTI t NEW WELL <br />' ' '1 OU �$4+� MOOWfiATTON1tt>:T'AR <br /> 1` ' si an SEE ATTACKED SITE PLAN �D"Pw <br /> d t The AND LOCATION MAP. _now(apdaw) <br /> ' ed <br /> With rr ; C <br /> w waplaced fIr the bottom !Qf nEsmoYfnwcn4ha <br /> e=h <br /> pieaedeuireapdAtalrrRsfe <br /> Uader'T+El7LDl7C Wa') <br /> 0 PLANNED USES) <br /> ! f nJ r.WNROR1Nq <br />' WATER SUPPLY <br /> f r <br /> r � <br /> nasnn!o <br /> ' ' pu6Qa <br />' r � �.�..1rrlgarroil <br /> 'TEST WELL' <br /> ' ' ^CA'*=10 PROTEC <br /> r . SptlTy TJgk <br /> Iff ntrate or Deser&fr DLsfance of Well from LoadmarfFs _ _an-MR fapoclm <br /> s s aaah as Reade.Bult�[ngs,Panner.Atom eta <br /> PLEASE BE ACCt�ATE&GOAMETE <br /> r f <br />' °R11" Hdllovv-stem >3n er Fi IIIn n/a <br /> WATER LEVEL & YIELD OF COMPLETED WELL <br /> DEPTH OF STATIC <br /> wATM LEVEL (Fta &DATE MEASURED <br /> r s EA'Trua o YIELD' (GPM) a T6ST TYPE <br />' 'TOTAL UErm OF'SOWNG ( ) TEST LENGTH (Hra)TOTAL DRAWAOWN (F?) <br /> TOTAL DEATH OF Comity Ir m WELL (Peet) bfay Trot he Yk7yere"wa re of a:nail}long-term geld <br />' oEP7H CASING(S) CEPH ANNBLAR 74fAT8RIAL <br /> FROiA SURFACE HO TYPE .� FROM SURFACE Type <br /> INTERNAL GAUGE SLOT SIZE <br /> DIA, DIAMETER OR WALL IF ANYMENT T4H17T FILL FILTER PACK <br /> FL to Ft 's &A@4THICKNESS CnelsO Ft. to ft. ME <br /> ? i`�1 (!) CTYPEfsRq <br /> f <br /> A <br /> !N/A <br /> f <br /> r f <br /> f , <br /> r <br /> f <br /> — ATTACHMENTS (4) CERTIFICATION STATEMENT <br />' Geak4to LAO i,the underalgned,oertity that this Iepod Is complete and:accurate to the beat of my knowledge and belief <br /> Well cansfroaBanDfaw" NAArg_w_Si9dward Dr1�lin�' Ca. <br /> (PFnSON FOlY.ON CDePDAIUtlIN)(r OR PmMiEJ» <br /> �.._, Oeophyeiea!Loate) <br />' 8W]Walor Cheasierl As►Mlla+a <br /> CITY STs1IE P <br /> _2L Oth SAP PJAI) ADDRESS <br /> AYTAM AAMMMfAL LMRaM47XW IPei�Ext9Ts 9brled <br /> Dlet m Er AIYE am C57 IILFRSE NWIWFB <br />' DWI%ISSIMY 790 IF A00171014Al. SPACE is N Nano, U XT CONSECUTIVELY NUMBERED MRM �ff <br />