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<br /> File Original with DWR Stale of California DWR Use On -Do Not Fill In
<br /> ' Page 5 of 6 Well Completion Report
<br /> Refer to Inatrucdon Pamphlet
<br /> Owner's Well Number AMW-30 No. e0106293 State Well Number/Sole Number
<br /> N W
<br /> Date Work Began 01/18/2010 Date Work Ended 01/22/2010 Latitude Lon itude
<br /> Local Permit Agency San Joanuin County
<br /> Permit Number SR 0059145 Permit Date 1/12/10 APN/rRS/Other
<br /> Geologic Log Well Owner
<br /> ' Orientation U Vertical O Horizontal OAngle Specify Name Forward Incorporated
<br /> Drilling Method Mud Rota Drilling Fluid Bentonite mud
<br /> Depth from Surface Description Mailing Address 9999 South Austin Road
<br /> Feet to Feet Describe material rain sae color,etc City Manteca State CA ; 95336
<br /> 130.0 130.9 SAND,moist,loose,fine to medium grained, Well Location
<br /> poorly sorted,subrounded,mica throughout,dark Address 27011 South Austin Road
<br /> gra ish brown 10YR 4/2). Loose gravel at top City Ripon County San Joaquin
<br /> of s oon.
<br /> Latitude 37 53 32.20 N Longitude -121 10 2s.31 w
<br /> 130.9 135.0 SAND. Dec. Mir. sea Dec. Min. sea
<br /> 135.0 135.6 SAND,moist,loose,fine to medium grained, Datum WAS Sa Decimal Lat. 37.8923 Decimal Long.-121.1745
<br /> poorly sorted,subrounded,mica throughout,dark APN Book 181 Page 16 Parcel 7
<br /> grayish brown 10YR4/2 . Townshi .1N Ra a 7E Section 35
<br /> 135.6 135.9 Silty SAND,moist,dense,poorly sorted, Location Sketch Activit
<br /> subrounded,mica throughout,brown(10YR4/3). skettnmuscbedraamN �defterformir "ted• p New Well
<br /> 135.9 140.0 Silty SAND. O ModificationlRepair
<br /> O Deepen
<br /> ' 140.0 141.0 Silty SAND,moist,loose,poorly sorted, See attached O Other
<br /> subrounded to subangular,mica throughout,brownO Destroy
<br /> Figure 1 Uaurbe prowftmend nNUMls
<br /> (I OYR 4/3). Loose ravel at top of spoon. Well Location Map under•GEOLOGIO LOG'
<br /> 141.0 145.0 Silty SAND. Planned Uses
<br /> ' 145.0 145.8 GRAVEL&SAND,moist,loose,fine to coarse O Water Supply
<br /> grained,poorly sorted,subangular to subrounded, �, [:]Domestic ❑Public
<br /> brown(10YR4/3). w []Irrigation [:]Industrial
<br /> 145.8 146.2 Silty SAND,moist,loose,poorly sorted, O Cathodic Protection
<br /> subrounded to suban ular,brown(10YR 4/3). O Dewatering
<br /> O Heat Exchange
<br /> 146.2 151.1 Silty SAND. O Injection
<br /> 151.1 151.3 Silty SAND,moist,loose,very fine to fine grained, O Monitoring
<br /> '
<br /> poorly sorted,subangular,dark grayish brown O Remediation
<br /> (10YR 4/2). O Sparging
<br /> 151.3 151.4 Sandy/Silty CLAY,moist,very soft,highly lastic, south O Test Well
<br /> slabara n daaaWa eaten al ad Inam mads.bw1dir s,tones, O Vapor Extraction
<br /> ' rock flour to fine grained sand,dark yellowish da.s,ow..ndaaudtamap.LimWildiwopapardna�essary O Other
<br /> brown(10YR 3/4 Pleawbome,raYrtl
<br /> 151.4 155.0 Sandy/Silty CLAY. Water Level and Yield of Completed Well
<br /> Depth to first water (Feel below surface)
<br /> Depth to Static
<br /> Water Level 71.49 (Feet) Date Measured 06/14/2010
<br /> Total Depth of Boring 177 Feet Estimated Yield (GPM) Test Type
<br /> Total Depth of Completed Well 177 Feet Test Length (Hours)Total Drawdown (Feet)
<br /> *May not be representative of a well's long term xield.
<br /> ' Annular Material
<br /> Depth From Borehole Casings Wall Outside Screen Slot Size Depth from
<br /> Surface Diameter
<br /> Type MaterialSlot
<br /> Diameter Type If Any Surface Fill Description
<br /> Feet to Feet inches Inches Inches inches Feet to Feet
<br /> 0 157 18 Blank PVC Sch.Bo 0.375 2.75 1 0.0 151.2 Cement Portland
<br /> 157 177 18 Screen PVC Sch.80 0.375 2.75 Milled slots 0.010 151.2 154.0 Bentonite Pellets
<br /> 154.0 177.0 Filter Pack #2/12 Sand
<br /> Attachments Certification Statement
<br /> ' ❑r Geologic Log I,the unde aifat tfhis re s /m,pile rid a urate to the best of my knowledge and belief
<br /> 0 Well Construction Diagram Name 7� 10�'L
<br /> ❑Geophysical Log(s) P n, Y1h Q
<br /> CA 1� 5
<br /> 0 Soil/Water Chemical Analyses s ctyy 7,� j state Zinn
<br /> �T/
<br /> ❑Other Signed 3�0_
<br /> Attach additional tnformetion A it ensts. G57 Licensed Water Well Contrador Date signed C-57 License Number
<br /> DWR 188 REV.1/2006 IF ADDITIONAL SPACE IS NEEDED,USE NEXT CONSECUTIVELY NUMBERED FORM
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