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ORIGINAL STATE OF CALIFORNIA DwR USE N v — Do T ILL IN <br /> File with DWR WELL COMPLETION REPORT F I <br /> I STATE WELL NOISTANO <br /> Page�of,.�— Refer to Instruction Pamphlet ❑111 1 ❑ <br /> ` Owner's Well No MW-21 "° 749264 <br /> *]Local <br /> teWorkBegan MARCH4.2002 Ended MARCH 4 2002 LATITUDE LONGITUDE <br /> Permit Agency SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES-ENV DIV APNITRS/OTHER <br /> Pen-nit No 28980 Permit Date—FEBRUARY 22,2002 - <br /> GEOLOGIC LOG WELL OWNER <br /> ORIENTATION (:) ✓VERTICAL _HORIZONTAL —ANGLE —(SPECIFY) Name UNOCALC AP RAT N <br /> DRILLING <br /> DEPTH FROM METHOD Hollow Steam Auger_FLUID NONE Mailing Address 8788 ELK GROVE BLVD BUILDING 3 SUITE 15 _ <br /> SURFACE DESCRIPTION ELK GROVE CA 95624 <br /> F1 10 A Describe inaterial grain size color etc CITY STATE ZIP <br /> 0 ! 55 I CLAY, DARK BROWN Address WELL LOCATION <br /> 55 ! 12 I CLAY WITH SAND, LIGHT OLIVE BROWN City <br /> 12 I 60 I CLAY, OLIVE BROWN&DARK YELLOWISH BROWN County RANI JQAQ1 PIN <br /> APN Book[ Page Parcel <br /> Township Range Section <br /> Latitude I , NORTH Longitude I I WEST <br /> DEG MIN SEC DEG MIN SEC <br /> LOCA'T'ION SKETCH ACTIVITY (�) <br /> + NEW WELL <br /> i <br /> I MODIFICATIOWREPAIR <br /> urFe} �1 Deepen <br /> 011ier(specify) <br /> �x �1 DESTROY(Des"" <br /> Proc&Wree and MahiteN <br /> Under GEOLOGIC LOG-) <br /> I I �� �+�' Mst1a$♦ +� 1� rrM�e PLANNED USES (2::.) <br /> op.= IN 7 WATER SUPPLY <br /> C♦;'�// + fwnw + a , Domestic Pubfic <br /> V Fomes t DSrs sr-ac Irnystlon Indusirul <br /> Dep— + NR7\ <br /> MONITORING <br /> 1 <br /> I ! 1 vw4w • TEST WELL <br /> 1 ! t IaW.14 St +6 Vrr i7.__ 1 i CATHODIC PROTECTION <br /> to ti,1 HEAT EXCHANGE <br /> iirw�a ah4w , <br /> i DIRECT Plisfl <br /> EhrmhR ` '`Fwmx Tarr-S+� 1 <br /> I S{sties + re.te 07 , i�' INUECTION <br /> Tarn 'Y VAPOR EXTRACTION <br /> s p� <br /> + tea / � � SPAR/3e4G <br /> ! ' REMEDIATION <br /> ! ! <br /> 40 OTHER tSAECIFY)„^ <br /> I ! $adl of htherks i IiWa <br /> I WATER LEVEL & YIELD OF COMPLETED WELL <br /> ! ' DEPTH TO FIRST WATER (FI) BELOW SURFACE <br /> ! DEPTH OF STATIC <br /> WATER LEVEL. 23.94 (FI)S DATE MEASURED APRIL 11.2002 <br /> ! I ESTIMATED YIELD' (GPM) 6 TEST TY <br /> TOTAL DEPTH OF BORING 60 (Feet) TEST LENGTH (Hie)TOTAL DRAWDOWN___(FL) <br /> TOTAL DEPTH OF COMPLETED WELL 10 (Feet) 'May not be representative of a weh"s ion -term yield <br /> DEPTH CASING (S) DEPTH ANNULAR MATERIAL <br /> FROM SURFACE HOS TYPE{ ) FROM SURFACE TYPE <br /> DIA >N Ifl ATERIAL/ INTERNAL GAUGE SLOT SIZE CE RENu'`j GRADE DIAMETER OR WALL IF ANY MENT ONITE FILL (TYPE�� <br /> Ft 1n R (Inches) THICKNESS (indms) PL to FI <br /> 0 ! 50 8 Vi I PVC 2 SCh 40 4 I 45 ✓ <br /> 50 I 60 8 ✓ PVC 2 0020 45 I 48 ✓ <br /> 48 ! 60 ✓ #3 MONTEREY <br /> ! , SAND <br /> I <br /> ! <br /> r ATTACHMENTS (4) CERTIFICATION STATEMENT <br /> I the undersigned,certify that this report Is complete and accurate to the best of my knoWledge and belief <br /> — Log <br /> — <br /> Well Consinidion Diagram NAME WOODWARD DRILLING <br /> (PERSON RRM OR CORPORATION) (TYPED OR PRINTED) <br /> — Geophysical Logs) 550 RIVER R AD/P O BOX 336 RIO VISTA CA 94571 <br /> --- SOIt/Water Chemical Analyses Ory STATE ZIP <br /> Other ADDRESS <br /> ATTACH ADDITIONAL wroiI mArtoN 1F!T EXISTS SBnedQ/ JUNE 13, 002 710079 <br /> WELL i4.eERJJREBEMTAT DATE SIGNED C-57 LICENSE NOidBER <br /> DIAR 188 REV I19; IF ADDITIONAL SPACE IS NEED USE NEXT CONSECUTIVELY NUMBERED FORM <br />