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DO <br /> ORIGINAL STATE OF CALIFORNIA 2VR USE ONLY -- N <br /> . <br /> File with DWR WELL COMPLETION REPORT <br /> Refer to Instruction Pamphlet STATE WELL NOJSTATION NO <br /> Page,L oi'� e <br /> _ <br /> Owner's We11 No MW-12 No. ❑ ❑ <br /> 533681 <br /> Date Work Began_May 21.2007 , Ended May 21, 20gl LATITUDE LONEWF M <br /> LDCal Permit Agency San Joaquin County Public Health Services <br /> Permit No 26208 Permit Date May 18,2001 APNRRSK]THER__ <br /> GEOLOGIC LOG WELL OWNER <br /> ORIENTATION !vERT1CAL _HoA=NTAL _ANGLE _(SPECIFY) Name Unocal COTDOratlOn — <br /> MEILLING <br /> THOD FLUID Mailing Address-8788 Elk Grave Blvd.Blda.3.Suite 15 <br /> �SURRFTH ACE ~ DESCRIPTION Elk Grove CA 256z4— <br /> FL <br /> 5624 ,FL to FI Describe Atatenal grain size color etc CITY STATE ZIP <br /> WELL LOCATION <br /> 0 <br /> 25 I Clav brown to black Address -1665 PectficAvenue_ <br /> 2 5 I 175 , Clay dark brown City Stockton <br /> 175 22 7 Sand with Sit!,dark brown County San Joaquin <br /> 22 I 37 5 , Clay arav to brown APN Book 137 Page 20 Parcel 31 <br /> 375 57-7CIay with Sand grayish brown Township Range Section <br /> 57 I 62 I Clay,yellowish brown U tude I I NORTH LongitudeWEST <br /> 62 58 ' Sifty Sand,yeikwsq brown DEG. MIN SE °. "Aft <br /> sEa <br /> LOCATION SKETCH ACTIVITY (�) <br /> 68 77 5 , Clavey Sand brown N, OR _V NEW WELL <br /> 775 , 90 , Silly Sand,brown <br /> MODIFICATiONa\EPAIR <br /> onM+l80.eRy1 <br /> I , <br /> ' DESTROY(0ee0008 <br /> t Pr0*6dW r and Alakwab <br /> UoAer"GEOLOGIC LOG 7 <br /> ' ' J PLANNED USES <br /> x WATER SUPPLY <br /> r w�LN3uT r Damnft Put" <br /> U) ►- Irrigslfan IMwbW <br /> r , LUn <br /> ui MONITORING�, <br /> I , \ ui <br /> TEST WELL <br /> t.1 CATHODIC PROTECTION_ <br /> r , 6"IXF-I1 W HEAT EXGGNGE <br /> DIRECT PUSH <br /> ' ' 1 <br /> „.r <br /> INJECTION.�- <br /> ' ' VAPOR EXTRACTION <br /> r SPAROMKi._... <br /> SOUTH REMEDIATION <br /> 111rwrwir or Descnba Dwane of Well from Nandi Briddings <br /> Fences Rtesrs etc and tracha nuv�I}ps Ilse addrtranal r tj OTHER(SPECIFY) <br /> nr,xssarq PL LOSE BE ACCLIMATE 6 COMPLETE <br /> r WATER LEVEL @ YIELD OF COMPLETED WELL <br /> DEPTH TO FIRST WATER 30 (Ft)BELOW SURFACE <br /> DEPTH OF STATIC <br /> WATER LEVEL 2Q.28JFL)A DATE MEASURED MeV 2001 <br /> r r ah ESTIMATED YIELD (GPM)A TEST TYPE <br /> TOTAL DEPM OF BORING 1Feet} TEST LENGTH (Hrs)TOTAL DRAWDOWN—(FL) <br /> TOTAL DEPTH OF COMPLETED WELL15 iFeet} •May nat be repremnrative ofa weITY Ian -term yield <br /> DEPTHCASING (S) DEPTH ANNULAR MATERIAL <br /> FROM SURFACE HOLEETYPE FROM SURFACE TYPE <br /> DIA. !(' MATERIAL I RUERNAL i GAUGE SLOT SIZE CE GEN• <br /> � <br /> 1In) i 1 11 H — <br /> $ GfiADE OHIAAETER OR WALL IF ANY MFNT TON ITE FILL FILTER PACK <br /> FI to FI 1 {In" ) THXCKNESS Uwe) Ft 10 FL (TYPEIS1ZE) <br /> 0 65 6 ✓ PVC 2 Sch 40 0 80 ✓ <br /> 85 I 90 8 ✓ PVC 2 SCh 40 0 020 80 I 84 ✓ <br /> 84 I 90 #3 Sand <br /> , <br /> � 1 <br /> , r <br /> ATTACHMENTS j4) CERTIFICATION STATEMENT <br /> 1,the Undersigned,car*that this report is complete and accurate to the best of my knowledge and belief <br /> C,eab4k Log <br /> Wei Canstnctmn O� NAME Cascade Drilling <br /> CeaA{>���(s) (POW* 11R11.DN CORfORAT1011i (TYPED OR PRIMED} <br /> SCNMIW Chwnkxd Arm 3632 Dme ircle Rancho Cordova CA 95742 <br /> AMOM /! CITY STAT[ zr <br /> 22l Cwt cer 9�L1tQ,t June 14,2001 7170 <br /> ATTACH ADOMONAL WFMUTJCN 10 rr EXISTS ��WE ERlAIf1110RIIE ESE1[TATIVE DATE SIGNEDC S7 lICE1M 51NUMBER <br /> DUT 138 NEV 11 ri IF ADDITIONAL SPACE IS NEEDED, USE NEXT CONSECUTIVELY NUMBERED FORM <br />