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ORIGINAL STATE OF CALIFORNIA _ nQ NOT iLL N I <br /> • File with DWR WELL COMPLETION REPORT STATE WELL NOJSTATIOM No <br /> Page 1 of 1 Refer to Instruction Pamphlet <br /> owner's Well No MW-18 No 533fi87 <br /> Date Work Began May 22.2001 , Ended May 22.200 LATITUDE iOlrvzirl� <br /> Local Permit Agency San Joaquin County Public Health Services _ <br /> APNFTRMTHER <br /> Permit No 26209 Permit Date May 18,2001 <br /> GEOLOGIC LOG WELL OWNER <br /> oRtENTAT)oN (z) ✓vEwnc;AL ,kioquZONrAL —ANGLE —tsPEcinn Narn <br /> DRILLINGMETHODFLUIDMWmg Address 878$Elk Grove Blvd._Bldg_3.Suite 15 <br /> DEPTH FRpM <br /> SURFACE DESCRIPTION Elk Grove <br /> 95624 <br /> Ft. to FI Describe inaterial grain size color etc CITY STATE ZIP <br /> WELL LOCATION <br /> 0 1 033 I Asphalt Address 1913SPanificAvenLIP. <br /> 033 , 28 + Silt,dark yellowish brown to olive brown City Stnrictan <br /> 28 1 33 Poorly Graded Sand with Silt dark veliowish brown County San loan,on <br /> 33 1 43 1 Silt olive brown APN Book 117 Page 2n Parcel 31 <br /> 43 + 48 , Silly Sand olive brown Township Range Section <br /> 48 1 53 t Clay,otrva brown Latitude I I NORTH Longitude I _ I wear <br /> MIN. SEC. Ma53 + 575 I Silt olive brown DE�LOCATIONICS ETCH ACTIVITY 0L) <br /> 575 1 63 , Sandy Silt,cilrve brawn NORTH <br /> ✓NEW WELL <br /> F._7 6$ , Clay,light olive brown MODIFICATIONIREPAIR <br /> 68 , 78 , Silty Sand olive brown -- D• <br /> 78 , 807 , SIR,light olive brown other ISPecNy) j <br /> 807 , 9075 1 Clay,light olive brown with saturated silt lenses ,d DESTROY(Descr" <br /> v oodui w and AURpneis <br /> Untiv'GEOLOGIC Loo <br /> + + :D PLANNED USES t } <br /> i WATER SUPPLY <br /> 1 + U Dim+seNs Public <br /> I VJ _ IrNsom _ tnauumi <br /> � r <br /> 1 r TEST WELL_ <br /> 1 W p1 I,N�I CATHDDIC PRbrECTION <br /> 1 1 NEAT EXCHANGE <br /> 1 DWLUr PUSH . <br /> INUECTION <br /> 1 1 VAPOR EXTRACTION <br /> + SPARIIM <br /> 1 SOUTH REMEDIATION <br /> ]Uud Me or Describe Distance of Well tont R.& Boidtap <br /> 1 { ponces Rnen etc and owarle a nater UUse addMronal r V OTHER Is"CIFYI <br /> necrsaril PLEASE BE ACCURATE b COMPLET <br /> , 1 <br /> WATER LEVEL & YIELD OF COMPLETED WELL <br /> 1 1 DEPTH TO FIRST WATER (Ft)BELOW SURFACE <br /> t , DEPTH OF STATIC <br /> WATER LEVEL 19.79 (FL)a DATE MEASURED May 23,2001 <br /> 1ESTIMATED YIELD' (GPM)A TEST TYPe _ <br /> TOTAL DEFM OF BORING 90.7 ___(Feet) TEST LENGTH (Hes t TOTAL DRAWDOWN-(FL) <br /> TOTAL DEPTH OF COMPLETED WELL 90 IFeet) 'May not be rrpresenzi r of a wed's lm -term yield <br /> DEPTH CASING (5) DEPTH ANNULAR MATERIAL <br /> FROM SURFACE BHOLE <br /> OTYPE FROM SURFACE TYPE <br /> DIA. MATERIALI INTERNAL GAUGE SLOT SIZE CE BEN• <br /> (Ytchn) GRADE DIAMETER OR WALL 1F ANY mew (or FILL FILTER PACK <br /> Ft to A (Wahal THW 04M al+d+�eI, Ft to FL (�} (—) ('} (TYPEISM <br /> 0 1 85 8 vI I I I PVC 2 Sch 40 0 + 80 ✓ <br /> 85 , 90 8 ✓ PVC 2 SCh 40 0 020 80 + 84 ✓ <br /> 64 9075 #3 Sand <br /> � r i <br /> ATTACHMENTS (.:C) CERTIFICATION STATEMENT <br /> • 1,the undersigned Certify that this report is complete and accurate to the best of my knowledge and belief <br /> Gado9ic Lop � <br /> wee Cansu,UCUM 01hoinitivi AIAME Cascade Drilling <br /> Geophys"iAg(s) (PERSON.FIRML OR CDRPORATIDIO (TYPED OR PRINTED) <br /> _ StiIISHatar cnalniMi Anayses 3632 Oinec Circle Rancho Cordova CA 95742 <br /> AMKSS CRY STATE DIF <br /> Oulae <br /> d i June 14,2001 71 <br /> 7510 <br /> ATTAr + oDTDAUL lAFObMTA7N tF rr EXSS <br /> YIELL ORILLERtAUTxoR12Ei1 RE ATiYE RATE SIGNED C 51 LICENSE NUMBER <br /> ALA'A lea REV 11 DT IF ADDITIONAL SPACE IS NEEDED, USE NEXT CONSECUTIVELY NUMBERED FORM <br />