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TRIPLICATE STA7L OF ( Al IPORNIA DwR USE ONLY - DO NOT FILL IN <br /> Owner's Copy WELL COMPLETION REPORT <br /> Page-I—oF-_ R(f<r to lrntrurttlrn Pnutfrltht STATE WELL NO(STATION NO <br /> Owner's Well No No C <br /> DTtt Woik Began 12/20/00 Ended v LATITUDE LONGITUDE <br /> •I-cal P(Illllt AgencN _SAN -TQAnUIN 0.011 T1"SC PUBLIC HEALTH—SAL SIEr?RV. <br /> P{)))))t No 0024833 Pel lnit Date 12/27/00 APNITRS)OTHER <br /> GEOLOGIC LOG NVELL ONN\$R f <br /> ORIENTATION (zL I -X-VERTICAL _HORIZONTAL —ANGLE —(SPECIFY) Nanic MAN PANTO A <br /> DRILLING lY Address 224 T12ON AVE_ <br /> DEPTH FROM METHOD Mailing FLUID WATER 3 � G - - - <br /> SURFACE DESCRIPTION E{SCALON _„_ .,. .. _ CA 95120 I <br /> Ft to FI I)r se I IIT( nlrtlr I tell "raid %ter( (Oloi !to CITY STATE ZIP <br /> R ELL LO(ATIO\XOPSOIL... ASPHALT <br /> Addteti� 23565 S. SAN^�A PE RD. <br /> Clhr RTVPRBANK <br /> 11 15 ISMALL ROCK WIGIRA U. X SOME SAND Co)tttt-, SAND JOAQUIN <br /> 2n PMTUM TO COARSE SANDS API\ Book .49 P e(t 070 P u Le 1 011 <br /> 38 PGARSE HYDIUM SANDS To%%nShtlT 2—Rim-,L 9EStLtnn) 24 <br /> 40 PEAVETS COARSE SANDS' I ttltnd( _ I I NORTH I ()11,-'Itttdt I h WEST <br /> DEG MIN SEC DEG MW SEC <br /> LOCATIO\ SKET(II Af"1111T1 t.�L)60 POARSE TO MED- RAND WISOME GRAMS -- <br /> NORTH X- NEW WELL <br /> AND FREW STREAKS OF CLAY MbDIFICATIONlREPAIR <br /> 6n 20 VaAMELS & SANDS WISOME CLAY — Deepen <br /> Other(Specoy) <br /> 70 SO PDARSE TO MM- SANDS WISOME GRAVELS <br /> DESTROY[P,?SCnbe <br /> qQ <br /> Procedures and Marerrals <br /> Under GEOLOGIC LOG 1 <br /> P11\\Lu LSLS (2) <br /> 1 ,MATER SUPPLY <br /> r127 ROCK AND SMT —]�, Domeslic _ Public <br /> Irngalion — Indus real <br /> ' 210STIX CLAY WISOME RAND STREAKS LU w MONITORING _ <br /> 14() l 17A ' TEST WELL_ <br /> i2D5 XEDIUM SANDS WISOME SILT CATHODIC PROTECTION <br /> 9n R 5015 ( HEAT EXCHANGE <br /> i =IUM TO FINE SENDS WISOME SILT DlREGT PUSH <br /> INJECTION2140 .50 TINE SMDS WILITTLE _ <br /> VAPOR EXTRACTION <br /> 250 260 TINE SMMS WISTREAKS OF SILT SPARGING <br /> 260 270 TINE <br /> T SOUTH REMEDIATION _._. <br /> IIIyiNntrw Uiurlhr UiWili” nfSS,lf fimnRlelJs filnldol-, <br /> 1 I FLAe(S RILfAet[ and dttel(11aoraIr1Yeadeliomadl�apirr OTHER(SPECIFY) <br /> rrr tisrrrj PLEASE BE ACCT RATE t, C011PI FT <br /> I I <br /> WATLR LEVEL & ]IELD OF CONIPLCTED NIFIA <br /> i I <br /> i r DEPTH TO FIRST WATER (Ft) BELOW SURFACE <br /> DEPTH OF STATIC <br /> WATER LEVEL (Ft)&DATE MEASURED <br /> ESTIMATED YIELD (GPM) & TEST TYPE <br /> TOTAI DEPTH OF BORIV 270 (Fe W TEST LENGTH (Hrs) TOTAL DRAWDOWt+ (P) <br /> TOTAI DCPTII OF CO\IPI 1111) 11 PI f 248 (Nett) ' 1111) not he Irpf(svntarl e Of it- (11 h Info;-te1711 ynId <br /> DEPTH CAST\C (S) DEPTH % %N[1 NR M iTLRIAL <br /> FROM SURFACE HOLE HOLE TYPE() FROM SURFACE TYPE <br /> DIA x w Q a MATERIAL I INTERNAL GAUGE SLOT SIZE CE BEN <br /> (Inches) GRAPE DIAMETER OR WALL IF ANY MENT ITONITE FILL FILTER PACK <br /> F! to FI m coo (Inches) THICKNESS (Inches) Ft to Ft (TYPEISIZE) <br /> 0 e208 8 3/4 X STEEL 6 5/8 0.134 0 197 X <br /> 2 X STEEL 6 5/8 . 0.060 197 200 X <br /> 200 250 X 6 SAND <br /> i <br /> ATTACHNIENTS (J) (ERTIFICATIO\ STATEMENT <br /> Geologic Log I the undersigned certify that this report Is complete and accurate to the best of my knowledge and belief <br /> Well Construction Diagram NAME SRADLET 4 SONS <br /> Geophysical Log(s) (PERSON FIRM OR CORPORATION) (TYPED OR PRINTED) <br /> SOI/Water Chemical Analyses 17702 ULDWIN MADERA CA 93638 <br /> Other ADDRESS CITY STATE ZIP <br /> ATTACH ADDITIONAL WFORMATION IF IT EXISTS Signed 1 ' 1/19/01 414178_ <br /> WELL DRILLERlAUTHORIZED REPRESENTATIVE DATE SIGNED C 51 LICENSE NUMRER <br /> 0M Ititi It % I t N" IF ADDITIONAL SPACE IS NEEDED USE NEXT CONSECUTIVELY NUMBERED FORM <br />