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APO o�q - vi � fzt * A)"� <br /> bnlGINAL STATE OF CALIFORNIA Dw L — Do FILL I <br /> File with DWR WELL COMPLETION REPORT O <br /> Page—of Refer to Instruction Pamphlet STAT W No!s prlorl Na <br /> Owner's Well No No 426317 <br /> Date Work Began 9 9 3. Ended LATHE LOUGITWE <br /> Local Permit Agency San JoaQUID CO- Healtb Vept. —% <br /> Permit No. — Perinit Date , APNITFISIOViEll <br /> GEOLOGIC LOG ' W4FLL OWNER <br /> ORIENTATION (4) X_...VERTICAL HOR20NTAL —ANGLE —(SPECIFY) Nanl� <br /> oetrlN PNaM DEPTH TO FIRS('WATER 10 6 wo BEI.ow SURFAa Mailing Address_9 1 7 3, F' Hwy q� <br /> SURFACE DESCRIPTION `� '� $tOCI,,tOb i ca 9S2(].5 <br /> Ft to Ft DasmhewaIq*.eramE%color,rte - . + STATE ZIP <br /> • WELL L Q C A T I O I+I <br /> 0 '7 S I l '�` �d�lrect 9 <br /> 7 ' 1 C a " � , � Y, , <br /> 1 1 <br /> '25 L. Clay & - ' . ,� couniy San, t]ua U i n � _092e <br /> 25 -727 ' <br /> " , ' APN Dook a Parcel 1114 <br /> 2 7 '5�5} ' Clay '� , ; . 'ti _ To �lsh�� D 8nge Section <br /> 55 '6 0 ' F c •, , ` L.ttletldf* -1 _ NORTH Longjritde __ _WEST <br /> 6 0 7 2 S \ ` ' r DEG MrN. sea DEG MrN sG <br /> 72 100 r C •` —LOCATION SSKETCHACTIVITY <br /> N TIw ITY (✓} <br /> 100 a y & MOO1FlCATIONlREPAW <br /> 115 :739 G a <br /> 13 9 F 15 • ° � ..._eeepan <br /> 1 <br /> 52 ' 160 , _ — atnaresPaelry) <br /> 160 1115 <br /> ClAv <br /> 175 ; 182 \Graso I �°: t slats <br /> WOW GE01.061CLOU 7 <br /> 182 88 ` ' C _`- PLANNED USES) <br /> 188 13 <br /> !-Sh.ale & Ilay W MarNrrCMINO <br /> 2 3 ' Clay WATER SUPPLY <br /> 217 :252 S X Domestic <br /> 252 '255 ' FlIse Sand PaC$e <br /> 255 1275 Clay _ Irrigation <br /> 275 -�283 S a l _ industrial <br /> 283 318 SS 7h a 1 e f& Cl-ay — TEST WELL <br /> 318 `323 ' B 1 u e C l a TH —n�ootc PROTEC- <br /> 2 3 i 3 $ Blue a SOU Illwlsata or Destr"Dutance of Well from Landmarks — OTHER(Spealy) <br /> 358 -364 B I a C k S@nd n,ch in Roada Budumu��npg�,Feaeea,R)oers eta <br /> 3 6 4 '3 6 5 ' S PLEASE BE ACCURATE&COMPLETE. <br /> 3 6 5 270 B l a Sand- MF OD M U d R o 1;a ry FLUID Iite/Water <br /> 370 :374 Shale WATER LEVEL & YIELD OF COMPLETED WELL <br /> 3 74 3$ DEPT" OF STATIC <br /> I r <br /> WATER LEVEL (FI) & DATE MEASURED <br /> ESTIMATED YIELD" (GPM) A TEST TYPE <br /> TOTAL DEPTH OF BORING 3 86 `(Esti} TEST LENGTH airs) TOTAL ORAWDOwN (F!) <br /> TOTAL bE'PTH OF COMPLIs"I ED WELL• 3 8 (Feet) "May not Be represettMauve of a wdl's long-term rdd. <br /> DEPTH CASINGS) DEPTH ANNULAR MATERIAL <br /> FROM SURFACE HOSETYPE FROM SURFACE TYPE <br /> DIA MATERIAL! INTERNAL GAUGE SLOT SIZE CE BEN <br /> DIAMETER OR WALL IF ANY MENT TONIIE FILL <br /> FI to FI (10a1'e°) GRADE FILTER PACK <br /> �� � Qnehsa) TWCKNESS (IAdbea) Ft to Ft I✓} (4) (�} (TYPEl51ZEy <br /> 0 1 365 12 X1_ PVC 6" 160sch <br /> " 125 385 <br /> r , <br /> ATTACHMENTS CERTIFICATION STATEMENT <br /> -�. Goolcglo Log i,the underergned certify that this report Is complete and accurate to the best of my knowledge and belief <br /> — Wall Canatr cellon Dlagrarn NAME H E N N 1 N G S BROS. DRILLING CO. I INC . <br /> (PERSON, flM OR CORPORATION) (TYPED OR FNMW) <br /> . GeophyterCherrilcerAl 3525 PELANDALE AVE. MODESTO CA 95356 <br /> .r 5gRlWaler Chamleal Anetysna <br /> ADDRESS C" STATE IIP <br /> —.—. Other n n <br /> ATTACH AaAITIONAi lhfFCTAMATION 1F IT f7B3TS Signed 4��4j —WELL DRILlYR AlITRnnIZED AEPRESEIITATIVE 01-1A Eo 1 99 C572i[CEN§E NII <br /> DWn 198a$V-(so 1F ADDITIONAL SPACE IS NErtOED USE NEXT CONSECUTIVELY NUMBERED FORM <br />