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ORIGINAL STATE OF CAMFORNIA DWAUSE ° IN <br /> File with DWR WELL COMPLETION REPORT <br /> Page_I of Aefer to lnsrruction Pamphirt STATE WELL NOJSTATION NO <br /> Owner's Well No. MW-20 No 749263I I Eln <br /> ate Work Began_ MARCH B,2002 , Ended MARCH 6.2002 LAT1TuDE LONGITUDE <br /> Local Permit Agency SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES-ENV DIVI E] APWTRS/OTHER <br /> Permit No 26980 Permit Date FEBRUARY 22,2002 <br /> GEOLOGIC LOG I WELL OWNER <br /> ORIENTATION (zC) ✓ VERTICAL —HORIZONTAL ____.ANCIiE —tspfCifY) Naris N <br /> DRILLING <br /> DEPTH FROM METHOD Hollow Steam Auger FLUID NONE Mailing Address 8788 ELK PaROVE @LVD BUILDING 3.SUITE 15 <br /> SURFACE DESCRIPTION ELK GROVE CA 95§24 <br /> Ft In FL Describe inatersal grain size color, etc CITY STATE Z'P <br /> Address <br /> 0 1 21 , CLAY OLIVE BROWN WELL LOCATION <br /> 21 1 26 r SAND, DARK CsRAYISH BROWN CI Ck <br /> City••,-- <br /> STO =N_CA <br /> 26 1 56 1 CLAY OLIVE BROWN&DARK OLIVE BROWN County <br /> 66 1 71 1 SAND, DARK GRAYISH BROWN APN Book Page Parcel <br /> 71 1 81 1-CLAYEY SAND, OLIVE BROWN 5 DARK BROWN Township Range Section <br /> 81 1 90 I CLAY DARK BROWN Latitude, 1- r NORTH Longitude + - WEST <br /> DECL MIN, SEC DEG MIN. SEC. <br /> LOCATION SKETCH ACTIVITY (4) <br /> I I - -� ��#rrw,f?�'"` — 1 ; ✓ NEW WELL <br /> � M00IFICA71gNIREPAIR <br /> AMA 066PSIL <br /> ` 1 Omar(Speciy) <br /> 1 I veri � \ , DESTROY CO.ecrroe <br /> �.� ProcwOuras&W AhfeNaLe <br /> URWf-GEOLOGIC LOG) <br /> 1 r � #� a""• �1 3� Rama PLANNED USES (.:t) <br /> 1 •� rw"��, -�A _ 1, WATER SUPPLY <br /> r�Vr 11Domedk Pnsnc� <br /> 1 1 F. ( LW 4 WF86 NMImpulon Inaosinal <br /> \`1 <br /> , ✓`y �,7 MONITORING r..� <br /> TEST WELL_.. <br /> �� irw raV1e+1 �"s � CATHODIC PROTECTION_ <br /> y l `•*�j ,A BEAT EXCHANC� <br /> e'""' 1 �k DIRECT PV5N_ li <br /> 1 1 <br /> '1 Fmn� �i •��� �'is l , INUECTX)N <br /> 1 1 S SbIiCO S .ells ai 111f■ ` <br /> E17 ;_ Took vA ' \ VAPOR EXTRACTION <br /> SPARGINO <br /> REMEDIATION <br /> 1 1 Soft d krgrkb 111101040 OTHER ISPEOFY) <br /> 111"09 1 <br /> 1 WATER LEVEL & YIELD OF COMPLETED WELL <br /> 1 1 DEPTH TO FIRST WATER (FL) BELOW SURFACE <br /> 1 r DEPT"OF STATIC <br /> WATER LEVEL 25-14 (R)&DATE MEASURED APRIL 11,2002 <br /> I 1 <br /> ESTIMATED YEW' {Gpllq✓! TEST TYPE <br /> TOTAL DEPTH OF BORING 90 (Frei) TEST LENGTH (MrL)TOTAL DRAWDOV (FL1 <br /> TOTAL DEPTH OF COMPIMD WELL 90 _{Feet) ,May not be represexro e of a wfWr lOtl -term ieM <br /> DEPTH CASING (S) DEQ ANNULAR MATERIAL <br /> FROM SURFACE HOLE 'TYPE ! FROM SURFACE PE <br /> DIA MATERIAL I INTERNAL GAUGE SLOT am CE (EN <br /> Ir:lcileel W GRADE DIAMETER OR WALL ifi ANY HENT TOMTE Frtl tTLR PACK <br /> FI ro FL § 111"1031) THICKNESS (Inches) FL to FL (TYPPAIM <br /> �) (4) (_) <br /> 0 1 85 8 Vi I I PVC 2 SGL 40 0 1 76 ✓ <br /> 85 1 90 8 ✓ PVC 2 0 020 78 1 83 ✓ <br /> 1 83 , 90 ✓ #8 MONTEREY <br /> SAND <br /> 1 <br /> ATTACHMENTS I=) CERTIFICATION STATEMENT <br /> Geologw Log 1,the Undersigned,cert(ly thal this report is complete and accurate to the best of my knowledge and beM <br /> T Wel;Cmsir=Wn Diagram PMUE WOODWARD DRILLING <br /> IPERSDIr FIRM, DR CINIPDRA110M RTPED DR PRIttEED1 <br /> — SQVWaler� ame 650 RIVER ROAD/P O BOX 336 RIO VISTA CA 94571 <br /> -- Other Ater Chemical Anslysas <br /> Other ADDRESS v 11 CRT SfAiE ZIP <br /> Ar=A H ADDI7)QAIAL DNFGRMA7Wk IF(T EXjS; 4 SID+Isa JUNE 13.2002 710079 <br /> WELL tIWUHU IED Re__ __RESENTATIVE DDE SIMD C•S7 UCErISE NUNaER <br /> D11R 188 REV IWt IF ADDITIONAL SPACE IS NEED D, USE NEXT CONSECUTIVELY NUMBERED FORM <br />