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i <br /> ORIGINAL STATE OF CALIFORNIA own USE ONLY - 120 ' <br /> File with OWR WELL COMPLETION REPORT <br /> Refer to Instruction Pamphlet STATE WELL NO-STATIONNO <br /> Page..Lof -._ ❑ <br /> Owners Wel!rqo. - No. 533680 <br /> Date Work Began May 21-2001 ,Ended May 21,2001 LATTn10E L0111161rum <br /> L ocai Permit Agency San Joa Utn County Public Health SennceS APNRgsJOTHER <br /> Permit No 2= Permit Date May 18,2001 <br /> GEOLOGIC LOG WELL OWNER <br /> ORIENTATION (4) ✓ vEpnCAL _HDRaowAL —Am LE —(SPECIFY) (Name UnocatCOrooration <br /> ORILIJNQ <br /> DEPT SrK" METHOD FLUID Mailing Address 8788 Elk Grove Bhrd.,Blda,3.Suite 15 <br /> SURFACE DESCRIPTION Elk Grove gA <br /> CITY SPATE ZlP <br /> FL to Fl Describe material grain size color etc WELL LOCATION <br /> 1 . Well not logged Installed 5 feet NE of well MW-12 Address 1665 Parifir-Aventie _ <br /> ' + C1tV Stockton <br /> r County ,San Jonninn _ <br /> i APN Book 137 Page 20 Parcel 'Al - <br /> ' Township Range Section <br /> ' Latitude t HW"" Longitude <br /> { + OEM MIN. SEC, DEG. MML SEG <br /> LOCATION SKETCH ACTIVITY (:) <br /> N ✓ NEW WELL <br /> 1 <br /> ""ODii'ICAriaWREPAIR <br /> r Deepen <br /> Other(Spoedy) <br /> � r <br /> 1 1 <br /> DESTROY(Describe <br /> Proe"dw"Lad Aealenars <br /> 1 <br /> �J Unalar-GEOLOG+C LOG) <br /> ' 1 PLANNED USES () <br /> 1 W PiV LL ` (� WATER SISPLV <br /> Deh"ape P014" <br /> t"Wirow Indd"tew <br /> . ' I # 1 �' W IeoltrTogea� <br /> 1 ► 1�ON TEST V L_ <br /> r 1 plkl-11 AV CATHOOIC PROTECTION_ <br /> HEAT FRCHANIM <br /> DIRECT PUSH <br /> � + IN.IEGTION�. <br /> + VAPOR EXTRACTION <br /> SPAAGNNO <br /> REMEDIATION <br /> t ' 111a+twe or Drscribe Distance of Welt Tann Roads Buildings oT11Eq ISPECIFYT <br /> t 1 Fenca Rsters erc and anach n Use additional��n�er If <br /> nrcaaan� PLEASE BE ACCURAATE 6 COMPIBTE. <br /> 1 i <br /> t 1 <br /> WATER LEVEL & YIELD OF COMPLETED WELL <br /> 1 DEPTH TO FIRST WATER (FI)BELOW SURFACE <br /> t 1 DEPTH OF STATIC <br /> WATER LEVEL 22.44 (FL)6 DATE MEASURED May 23,2001 <br /> I 1 <br /> ESTIMATED YIELD' (GPM)8 TEST TYPE <br /> TOTAL DE"H OF BORING 60 (Feat) TEST LENGTH per)TOTAL DRAWDOWN-_(FL) <br /> TOTAL DEFPH OF COMPLETED WELL asb rFeet) •May not be represmuum of a weUt lou -term yield. <br /> DEPTHCASING (S) DEPTH ANNULAR MATERIAL <br /> FROM SURFACE HOLE TYPE(4) FROM SURFACE TYPE <br /> DIA, Lu MATERtALI "MP AL GAUGE SLOT SIZE CE BET. <br /> (Hdhq I S GRADE DIAMETER OR WALL IF ANYFL to FL MM <br /> ONME FILL FILTEgYPER PACK <br /> FI to Fl 9 pnrlh"I THICKNESS (Inch") M (—') ('�} <br /> 0 50 8 ✓ PVC 2 Sch 40 0 t 45 ✓ <br /> 50 i 60 8 ✓ PVC 2 SCh 40 0 020 45 a 48 ✓ <br /> 48 r 60 43 Sand <br /> 1 <br /> � 1 <br /> 1 + <br /> ATTACHMENTS CERTIFICATION STATEMENT <br /> — I the undersigned certify that this report is complete and accurate to the best of my knowledge and belief <br /> Geologic Lep <br /> _ wee Consducuon DWWam NAME Cascade Drilling <br /> IPERSBN,FIRM,9R R CDRCOR <br /> PDRATWID (TYPED OR PRIMED) <br /> GeoptWzicel Log(6) <br /> T SoAiWater Cheisdcal Ana"00 3632 Omec Circle Rancho Cordova CA 95742 <br /> I'LOther ADDRESSf1Y SEA11 III,AT TACH AODATRV"L ANFO UTION A IT EXISTS SO-d � June 14 2001 7175111 0 <br /> WELL DRILLERMUTHORI2ED ATIYE DATE SIGNED C-57 LICENSE MLIMBER <br /> D%%It 188 REV 11 Dr IF ADDITIONAL SPACE IS NEEDED USE NEXT CONSECUTIVELY NUMBERED FORM <br />