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001r'INAL S('ATL OF CALIFORNIA R Y — noO F l <br /> File with [3WR WELL COMPLETION REPORT <br /> BTA WELL O.rSTATU NQ <br /> Page <br /> --L <br /> [o Inrrr>ettrou Pa�npklet � ❑ <br /> �a1 i <br /> Owner's Wel!No. NO 433846 <br /> Date Work Began , Ended 8-3.4-91 _ uTnuot LaNt3tTUDE <br /> Local Permit Agency 5an acaqu n Co. Div <br /> Pertmt No 1-1332 Permit Date 6-6-93 AeAjTR4jQTHrR <br /> GEOLOGIC LOG ` �.�v,1;LL OWNER <br /> ORIENTATION (4) X vERTrcAL —HOP9ONTAL —...Mdq.E —(spEGIm Nrlm,, bl ' e Tri <br /> DEPTH 70 FIRS)'WATER (Ft)BELOW SURFACE Mailing Address $QZ N.�Cl f3_ Ave. - - — <br /> DEPTH KROM 'I , I. ` IJOC3z 95'14G <br /> SURFACC 1)ESCItIPTION ' �` ` <br /> t t to Ft Dercrrbe mat am:rze color arc ti\ ctTY i STATE zta <br /> ~ WELL "CATION <br /> - Address Anderson <br /> Sti <br /> f M 4 st Lcal ca <br /> — 19 71 ° s CIty3, <br /> 21 ' 30 ' Blue c1aV county _San <br /> 30 ; 38 F.Ine blue sa6d ' CPN Book Pa gc Parcel#1fi3-260 12 <br /> 38 67 Blue Cla t• >' r - -row.fim Range O��Section— _t <br /> 67 ' 75 Blue-sand `• ` i ) y �Latltride_ No3n+ Longitude WEST <br /> �h 4 DEG- MW 8EC. QEti MW SEC <br /> 75': 7^9 }B,ylu2 c31..,aY t d LOCATIONNSKETCH �NervIVI $ (✓l <br /> 7 c`3f�11 ° 120 ` 'y$���-ue C�.d ° �,'i +, •; • MOQINCAIMME3PAP <br /> 120 i 125 ' Blue sand � � � ` � � naepen <br /> 1251 11,8 rBlue'cla r OIItErCSpectlr) <br /> 12 130 ' e- sand �� 4&V <br /> 130 ' 133 BlueClan, <br /> ` _ DESTROYdCascrrba <br /> pr"erMresand marorlata <br /> 3 ' 138-: Iue- s h d ' rJader cEOca"L.OaG! <br /> i l ' `Gla -- PLANNED 1LtSE(S) <br /> 142 ° 1451, Blue sand 3: � � I toNtrarIlNG <br /> 45 i 155 Blue C191wAWR SUPPLY <br /> 1-95 ° 165 Blue sand X Dameatra <br /> 180 Blue clay _..... Public <br /> 10 188 BIue s d { — °r'D"tfu° <br /> Blue 9 a <br /> ' ! ._...� fnduatrwr <br /> I ^ <br /> rTEST WELL <br /> CATHODIC aROTEC <br /> SOUTH OTHER InproI1Y) <br /> Illasrrafe or Desarthe Drsldnce of W6lI fmm Landnasrlcr <br /> ° such air t3oadr,&urtdrngr,Z+ences,lita>ar,etc <br /> PRASE �e ACCURATE{r C)M Lk TE <br /> METHDRILLOD <br /> r-Lulo Nater <br /> ETFtOD - •-- <br /> 1 WATER LEVEL. & YIELD OF COMPLETED WELL <br /> WATER LEVEL�O 42 (Ft) &DATE MEASURED 8-15-91 <br /> ESTIMATED YIELD' (GPM) &TEST rIFE <br /> TOTAL.DEPTH OF BORING 195 (Feet} TEST LENGTH (641g)TOTAL DRAWDOWN IFI� <br /> TOTAL DEPTH OF COMPLETED WELL—33-55--(Feet) It May not be 7ep7artuedwe of a well'!fmr4emr_Weld <br /> DEPTH CE <br /> DEPTH ANNULAR MATERIAL <br /> BORE- FROM SURFACE TYPE <br /> FROM SURFACE 41OLE TYPE ✓ <br /> DIA g MATERIAL! INTERNALI , aR WAL s IF ANY E % B� FALTER PACK <br /> Qndteel �++ ti GRADE MFNT KITE FILL <br /> Ft to Ft N u� ntsuheal THICKNESS ptrWlss) Ft to FE (✓ } (� } �) {TYPEJ8IZE) <br /> 7 II II 1 0 3.00 X <br /> IT n +w IF 062 100 195 6-12sand <br /> , <br /> a <br /> 1 ' <br /> ATTACHMENTS (✓} CERTIFICATION STATEMENT <br /> I,the undersigned,certify that this report is complete and accurate i¢the best of my knowledge and belief <br /> Goolegio Lug t <br /> ,�••Wan Canstruction Diagram NRldE oM t1wK OR 0 Dxilla.n Co. Inc. <br /> (PERSON,ilRh'1 OR COSPORATiaN) (TYPED Dlt PRINTEQ) <br /> GQcP#Ws10a1t.0e(9) 300 S. Kilroy Turlock, Ca. 95380 <br /> Sonfwater chemical Analyze* ADD cuT sIAIE 2I1' <br /> mar gkkpr. 9-1_2-91 321252 <br /> ATTACH AODIVONAL INFORMATION IF IT EXISTS- I Signed WELL GRILLE AUTHORIZE ESErIT Ttrh iE P C 57 LICElLSfi NUh78rR <br /> IVELY NUMBERED CORM <br /> mytt185BEYTW IF AUDJTIONAL SPACE IS NEEDED, USE NEXT CONSEGUT <br />