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QUADRUPLICATE STATE OF CALIFORNIA DWR USE ONLY - DO NOT FILL IN <br /> For Local Requirements WELL COMPLETION REPORT <br /> Page I of 1 Refer to Instruction Pamphlet STATE WELLNO.lSTATKNI NO. <br /> Owner's Well No. 95366 No.774116 !�I-_1--� �I -� 7 <br /> Date Work Began 11/7/00 Endedl l/10/00 LATITUDE LONGITUDE <br /> Local Permit Agency Public Health Services <br /> Permit No. 24485 Permit Date 11/6/00 APN/TRS/OTHER <br /> GEOLOGIC LOG WELL OWNER <br /> ORIENTATION(v) -/-VERTICAL—HORIZONTAL _ANGLE —(SPECIFY) Name Fredriks Nursery <br /> DRILLING ROTARY _ <br /> DEPTH FROM METHOD FLUID Mud Mailing Address 23223 S.Austin Rd. - _ <br /> RFACE DESCRIPTION MOn _- CA 95366 <br /> Ft to Ft 12'Sand Describe material, grain, size, color, etc. CITY E�i STATE ZIP <br /> 0; 6 I Soil Address 23245 S.Austin. <br /> LL LOCATIO <br /> 6' City Ripon CA <br /> 12 40'Clay&Sand Streaks CountySan Joaquin <br /> 40' 46-Sand — - <br /> -- APN Book Page Parcel <br /> 46; 84 Clay Township Range _ Section <br /> 84 90 Sand Latitude <br /> 90; 140:Clay DEG. MIN. SEC. DEG. MIN SEC. <br /> 140, 144;Sand — – -- — LOCATION SKETCH ACTIVITY (.) <br /> 144' 150:Clay NORTH—- - — _36 NEW WELL <br /> 150, 163 1 Coarse Sand MODIFICATION/REPAIR <br /> Deepen <br /> _ 163 190 Clay Other(Speciy) <br /> 190, 196,Coarse Sand ` \ <br /> be <br /> 196 235 Clay PrEocedures(Descriand Materials N <br /> Under"GEOLOGIC LOG" <br /> PL XNNED USES(v) t� <br /> __ FF WATER SUPPLY <br /> N y __Z Domestic_ Public <br /> Irrigation _ Industrial <br /> LL1 <br /> MONITORING <br /> -_. TEST WELL (s: <br /> ATHOOIC PROTECTION_ <br /> HEAT EXCHANGE_ <br /> DIRECT PUSH <br /> INJECTION <br /> VAPOR EXTRACTION � <br /> SPARGING <br /> - ---- - SOUTH - REMEDIATION <br /> tlhurrutr,N/karrilm Di,(. f Well fawn R—A, liuildirgs, <br /> Fences.Rivers,etc, and attach a map. Use additional paper it OTHER(SPECIFY) <br /> aterssary. PLEASE BE ACCURATE & COMPLETE. <br /> WATER LEVEL&YIELD OF COMPLETED WELL <br /> DEPTH TO FIRST WATER (Ft.)BELOW SURFACE <br /> DEPTH OF STAT <br /> ---- , -- - - - WATER LEVEL6 (Ft.)&DATE MEASURED 11/10/00 <br /> -- -- ESTIMATED YIELD (GPM)& TEST TYPE <br /> TOTAL DEPTH OF BORING 235 (Feet) TEST LENGTH (Hrs.) TOTAL DRAWDOWN (Ft.) <br /> TOTAL DEPTH OF COMPLETED WELL205 (Feet) May not be representative of a well's long-teen vield. <br /> DEPTH BORE- CASING(S) DEPTH ANNULAR MATERIAL <br /> FROM SURFACE HOLE TYPE V) I FROM SURFACE TYPE <br /> DIA. d MATERIAL/ INTERNAL GAUGE SLOT SIZE BEN <br /> Z DIAMETER OR WALL IF ANY FILTER PACK <br /> Ft to Ft. (mss) chGRADE ( <br /> V Irxh )sa THICKNESS (iodise) FL to Ft M�'E/N�,T TON ''FI,,LL`` (TYPE/SIZE) <br /> m t� LL <br /> 0 185 14 v PLASTIC 8 160 160 0 108 <br /> 185; 205 108--_ 205 GRAVEL <br /> ATTACHMENTS CERTIFICATION 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 MASELLIS DRILLING INC. <br /> Geophysical Log(s) (PERSON,FIRM.OR CORPORATION) (TYPED OR PRINTED) <br /> Soivwater Chemical Analysis 119 Albers Rd. Modesto CA _ 95357_ <br /> Other ADDRES3 A CITY STATE ZIP <br /> ATTACH ADDITIONAL INFORMATION,IF IT EXISTS. Signed 11/15/00 _ _ 668622 <br /> - <br /> LL DRILLERIAUTH IZE�REPRESENTATIVE DATE SIGNED C-57 LICENSE NUMBER <br /> DWR 1f1E REV,11-97 IF ADDITIONAL SPACE IS NEEDED,USE NEXT CONSECUTIVELY NUMBERED FORM <br />