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ORIGINAL STATE OF CALIFORNIA <br />File w)th DWR WELL COMPLETION REPORT <br />Page- of Refer to Jnstritction Pempblet <br />O �Q'PW532753 <br />®Date Work Began 5 ' , Ended <br />.ii.)_ Local Permit Agency $an X701 <br />Permit No. 012426 Permit Date <br />i <br />ATTACHMENTS (f-) <br />— Coolovic Lou <br />Wan Construction Diagram <br />___. QeophyslcalLop(s) <br />— SoRf Water Chemie Analyses <br />Other <br />L;XA 11rlUA'1 LU1V 5TA'rAr4ISN_ <br />i, the undersigned, certify that this report Is complete and accgrate to the beat of my knowledge and belief. <br />NAME Hennings Bros,.' Drl lling Co. a Inc. <br />(PERSON. FIRM, OR CORPORATION) (TYPED ) <br />3525 Pelandale Ave. Modesto CA 95356 <br />ABOffS9—,_,j. a ti zi CITY STATE zr <br />ATTACK AVOITIWAL wFORMATRm tF IT Ewsrs. 11 31ptted WE, <br />VWR138REY 7.80 <br />IF ADDITIONAL SPACE IS <br />7-11-97 290813 <br />TWRIZED° TKR DATE SI <br />USE NEXT CONSECU Y NUMBERED FORM i <br />tirb U1.UC:lli L V li <br />'ttIGLL V YY i�.4n <br />ORIENTATION (4) <br />® VERTICAL _.-. HORIZONTAL - ANGLE - (SPECIFY) <br />Na ie <br />MOB— <br />DEPTH TO FIRST WATER (FL) BELOW SURFACE "" <br />Mailing <br />DEPTH � <br />DESCRIPTION <br />Ft. to Ft. <br />Describe veferia4 gain size, color, etc.. `n ° `}• <br />TY <br />"°Ana IN <br />.� Topsoil—'"Address`- <br />r 4 , <br />Clay .,}'" °3 .i Y <br />City^ '` ` n" <br />24 30 <br />Clay& S 1 •e <br />•_„S'i-df"I`_ <br />:County o.Si3�7da(�B1 <br />- 30+ <br />APN Book `4 Page Parcel <br />T id Range Section <br />Lt itd e r NORTN Longitude <br />`t DEO. MIM. SEC. <br />LOCATION SKETCH <br />DOM MIN. SEC <br />ACTIVITY (4)- <br />NEW WELL <br />MODIFICATioNIREPAIR <br />�. Other (Specify) <br />Prooedutae#aa�AratBdals <br />°. <br />32 "< " <br />< g r <br />40 ` 4 ' �^ `` <br />1 ' ° -'x ( <br />75e76NORTH <br />76 85 Clavey " <br />e e % <br />e95 <br />i • b� •, g._ �R <br />r <br />ISODESTROY(Deamlbe <br />r t ` <br />"'e <br />3 <br />atnder•'QEOLOOICLOQ•) <br />PLANNED USES) <br />—lagI <br />'202, <br />Marliromraa <br />i250 <br />Cleav A shale <br />WATER SUPPLY <br />t t <br />1 I� <br />t eC <br />lay A shale <br />ma,• PI1bRa <br />1 eGravel <br />& clay <br />krlgetbn <br />i310eClay <br />shalelndsoltF81 <br />,_. .*TEST wEu•• <br />r e <br />e ' <br />SOUTH <br />_ CATHODIC PROTEC- <br />TION <br />e 1 <br />e , <br />Itlw9rate or Pacribe Dbtanes of Well font Landmarks <br />such as Hoods• Butldinggaa Fettoea, ilium, eta <br />PLEASE BE ACCU[tATE & COMPLETE. <br />`. OTHER (Specify) <br />t e <br />e e <br />DRILLING Mud rotary <br />water/mud <br />FLUID <br />WATER LEVEL & YIELD OF COMPLETED WELL <br />DWAX aFEVELSTATIC 06 ► <br />e I <br />0:1.) A DATE MEASURED <br />e <br />ESTIMATED YIELD° (GPM) & TEST TYPE <br />TEST LENGTH 0*0 TOTAL DRAWDOWN <br />(Ft.) <br />TOTAL DEPTH OF BORING _ (Feet) <br />TOTAL DEPTH OF COMPLETED WELL _2fl� (Feet) <br />May trot be representative of a well} long term yield. <br />DEPTHBgRE- <br />CASINGS) <br />DEPTH ANNULAR <br />MATERIAL <br />FROM SURFACE <br />HOLE <br />FROM SURFACE <br />TYPE <br />TYPE ✓ <br />DIA. <br />MATERIAL/ DIAMETER OR WALL ER14AL GAUGE $LOT F ANY E <br />GRADE <br />CE-rEN)Onches) <br />MENT FILL FILTER PACK <br />Ft. to Ft. <br />OnO118s) THICKNESS (Inch") <br />Ft. to Ft. (�) <br />(�) (TYPE/SIZE) <br />X I PUC 6" 960 <br />14 1 <br />1 <br />„ <br />,t LWOW—e <br />, <br />1 <br />r <br />6 <br />R <br />1 <br />, <br />1 <br />t <br />ATTACHMENTS (f-) <br />— Coolovic Lou <br />Wan Construction Diagram <br />___. QeophyslcalLop(s) <br />— SoRf Water Chemie Analyses <br />Other <br />L;XA 11rlUA'1 LU1V 5TA'rAr4ISN_ <br />i, the undersigned, certify that this report Is complete and accgrate to the beat of my knowledge and belief. <br />NAME Hennings Bros,.' Drl lling Co. a Inc. <br />(PERSON. FIRM, OR CORPORATION) (TYPED ) <br />3525 Pelandale Ave. Modesto CA 95356 <br />ABOffS9—,_,j. a ti zi CITY STATE zr <br />ATTACK AVOITIWAL wFORMATRm tF IT Ewsrs. 11 31ptted WE, <br />VWR138REY 7.80 <br />IF ADDITIONAL SPACE IS <br />7-11-97 290813 <br />TWRIZED° TKR DATE SI <br />USE NEXT CONSECU Y NUMBERED FORM i <br />