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ORIGINAL STATE OF CALIFORNIA wa s IN rIN <br /> File with DWR WELL COMPLETION REPORT <br /> page 1 of Refer to Iwurrletion Pamphlet STATE WELL NO r9TATION WX <br /> Owner's Well No. No 1 "i a `.j ❑ ❑ <br /> Date Work Began• , Ended 9-4-92 r 1 LATITME LONMTUOE" LDcal Permit Agency San Joaquin Co. D V, 5TV. Health <br /> Fertntt No,x;2954 _ T –Permit Date _ N& <br /> GEOLOGIC LOC `1 WELL OWNER <br /> ORIENTATION (f) _VEER,CAL NOAIZONTAL —ANGLE _-.(SPECIFY) Nanlo I` P.um_- '. <br /> DEPnI Fnolrl DEPTH TO FUM WATER {FL)BELOW SURFACE Mailing Address 'pa��� f1i�2- _ <br /> SIMPACE DESCRIPTION 9-52L <br /> 'FL toFt D exnbe material,Ewn sire color ua - . airy , t ; 1, eTATt= z1P <br /> L WELL AUCATIONI <br /> 1 Sanrj 4d4ress e <br /> 1 ' 15 'Cla �Y T o& <br /> 1 2 z- - .. <br /> 1 1 ]„a -- pN- O11— ` Page .�,�Parcel <br /> 1 , 1, <br /> Clay r Townslf(p55 Sq C]LU Rang�Stction <br /> LmtltTule NOiTTti Lartgttade. _ / wast <br /> 59 `� r . DEO MN aeo neo' "MIN "aw <br /> ' - ► _ LOCATION S%ETCH XACTIVITY_65 {�? <br /> 1 i f 1 ` i S NORTH <br /> _ �,NEW Mr6LL <br /> 1 1 1 f �1� <br /> + ; iIQOIRICATfON/RFP/UA <br /> 112 1201 ��Deepee <br /> iRancl <br /> 1Vla,vt \ <br /> 3-50 9' 51f " <br /> „ �Orhar(apaeil� <br /> 1 , y • t <br /> 1I^ <br /> r....DESMOY(Oaacffbe <br /> 170 "1 L174 „ , PeocedwerandAmetedute <br /> Wder'eFOtOfHCLOG I <br /> ' ”' w- PLANNED'USE(S) <br /> I 1 <br /> 1 � � —uoN Totlura <br /> WATER SUPPLY <br /> ' 210 Alack ftrw4 s=d wjLrq6M clay Str sX Drwlleelia <br /> 1 1-Clay Public <br /> 217 221 F1 ne brcwm sand 1 <br /> 1 1 Inlaalfoa <br /> 1 1BrMM clay <br /> hqualHal <br /> 1 1 �. 'TEST waw <br /> 1 ' Clay <br /> —248 956 <br /> 256% ' , BZX= sand Illamtrate or I)rrer(be nfrfanm of Well fram LetrdOTNER(Spedly) <br /> such as Rodd, Saild4nga Fences Rteeys,etc <br /> PLEASE HE ACCURATE 1r COMPLETE <br /> r DRILLING <br /> METHOD_ miu��t. ry FLUID eta <br /> WATER LEVEL b YIELD OF COMPLETED WELL <br /> DEPTH OF STATIC <br /> WAnF1 LEVEL 92 (Ft) a DATE MEASURED —4-92 <br /> 1 , <br /> ESTIMATED YIELD' (GPM) &TEST TYPE <br /> TOTAL DEPTH OF Bon%G 280 (Feet) TEST LENGTH ptre.)TOTAL DRAWnOWN (Ft) <br /> TOTAL DEPTH OF COMPLrfED WELL S r (Fent) •May not be reprerewatrue of a w lll tong-term ytdd <br /> DEPTHCA5INC{S) DEPTH ANNULAR MATERIAL <br /> FROM SURFACE HOLE TYPE L' FROM SURFACE TYPE <br /> DIA x to MATEFIlALI INTERNAL GAUGE BLOT SIZE <br /> DIAMETER OR WALL IF ANY CE- BEN FILTER PACK <br /> PiEar <br /> FI to Ft Urtatlaal f <br /> GRADE q�,") THICKNESS oncbee) Fi to Ft MENT iGN�TE FILL (7y I ZE) <br /> 255 12" Y, PVC 611 160 <br /> 255 ' 265 " k I T' if 11 .062 ' <br /> 1 1 — <br /> 12. qnnrl <br /> 1 , <br /> 1 <br /> 1 e <br /> 1 , <br /> ATTACHMENTS (4) CERTIFICATION STATEMENT <br /> Geolaalo Log I,the undersigned,certify that Ipke report Is complete and accurate to the beat of my knowledge and belief <br /> Well Construction OlaWam NAME LalWdter Drill2mg Cb., Inc. <br /> (PERSON CORPORA ()TIED D HIED <br /> Sall/waior Chemical Analysesi ~ jiareC Lem300 S. Kilroy Turlock, CA. 95380 <br /> AN–� utla <br /> CITY STATE RP <br /> ATTACH AMTIONAL tNFQRMATlt)N Ad m taUBM BTQn BkkPr. 9-8-92 321252 <br /> DgagghWTH RR RESENtATI DATE SIQFICENSE NUMBER <br /> awH 188 RPV Igo IF ADDITIONAL SPACE IS NEEDED, USE NEXT CONSECUTIVELY NUMBERED FORM <br />