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ORIGINAL STATE OF CALIFORNLI— NOT lJ.l t <br />File with DWR WELL COMPLETION REPORT L� 4 i z., 1 i <br />page -1 of I_ Refer to Instruction Pamphlet STATE WELL N0./ A NO. <br />Ownce s Well No. -'- No. 529997 1 1 1 1 Ll ❑ II t i- F1 <br />Date Work Began O4/21/98 , Ended 05/02/98 LATITUDE LONGITUDE <br />Local permit Agency <br />Permit No. 15122 Permit Date <br />At�itaun1Ylaviro (®.) <br />_ Geologic Log <br />— Wan Construction Diagram <br />— Geophysical Log(s) <br />---e Sof/Water Chemical Analyses <br />_ Other <br />ATTACH ADDITIONAL 1A ORMATIOA! IF IT E7rM. <br />LLrHTIFICATIUM STATEMENT <br />f, the undersigned, certify that this report is complete and accurate to the best of my knowledge and belief. <br />NAME <br />(F fD <br />AM Albers Rd M—A--&AEGIT <br />Signed 5/6/98 668622 <br />WWI nsstsaislaunanca acseescurarmt ax 01F.E. FIR 10enee ..USE. <br />DWR 188 REV, 7-90 IF ADDITIAL SPACE IS NEEDED, USE NEXT CONSECUTIVELY NUMBERED FORM <br />va Va,Vvau ■.Vv <br />WrLiu Vrr NiSR <br />ORIENTATION (r) <br />VERTICAL — HORrZONTAL — ANGLE ®— (SPECIFY) <br />s <br />DEPTH TO FIRST WATER (FL) BELOW SURFACE <br />DEPTH FROM <br />SURFACE <br />DESCRIPTION <br />` <br />Ft. t0 Ft. <br />Describe rnat ain #g,ealar, et6. <br />Address' ' <br />' <br />25 :30 <br />:Sand <br />I S�.r <br />1 <br />' <br />1 {, 1 <br />s <br />tIFN BDak Pagecreel <br />or r� <br />Tow hi� Range Section <br />l 1 `' ` 9 s <br />' '; <br />1 ,*, <br />so .133 <br />:Clay t <br />I,$t(tude 1 1 NORTH Longitude <br />DEG. Aatd SEC. <br />`" LOCATION SKETCH ------ <br />1 1 wEBT <br />DEO. MBG. SEC. <br />ACTIVITY (✓ ) <br />' 1 <br />1 1 , "' -� �" <br />- <br />-vd5 e, <br />e$ <br />NORTH <br />NEW WELL <br />MODIFICATIONIREPAIR <br />i145 <br />1 t I t <br />' <br />' R <br />— Deepen <br />.®— Other (Speolly) <br />,�... OEBTROY (DeecrNle <br />i 913 clay <br />` ' <br />' b ` <br />' <br />ry <br />Proaadnraaar,dAlatsrtale <br />Lwar "GEOLOOICLOG' I <br />PLANNED USES) <br />MONITORING <br />' ' <br />1 , <br />r <br />I <br />WATER SUPPLY <br />� <br />1 <br />i <br />Domeatic <br />1 <br />1 <br />— Public <br />1 1 <br />1 <br />bNgattat <br />1 � <br />1 <br />, <br />— aausu)at <br />® '•TEST WELR <br />1 1 <br />SOUTH <br />IUustrate or Dasctdo Distance of Welf jmm Landourib <br />LEASE BE,AC IQUNAT'E L�sGtORMP�l.��E <br />ROTEC- <br />CATHODIC PROTEC- <br />TION <br />_ OTHER (specify) <br />' <br />' <br />1 <br />, <br />DRILLING <br />1 1 <br />METHOD _ _Rn RY FLUID MUD, <br />NATER LEVEL & YIELD OF COMPLETED WELL <br />QEPTH OF STATtC <br />r <br />t , <br />WATER LEVEL M (Ft.) & DATE MEASURED <br />ESTIMATED YIELD° (GPM) '& TEST TYPE <br />TEST LENGTH (Has.) TOTAL DRAWDOWN <br />(Ft.) <br />r r <br />TOTAL DEPTH OF BORING 220 (Feet) <br />TOTAL DEPTH OF COMPLETED WELL 20—grL-- (Feet) <br />' May not be representative of a shell's long-term yield. <br />DEPTH <br />CASINC(S) <br />DEPTH ANNULAR <br />MATERIAL <br />FROMSORE- <br />SURFACE <br />HOLE <br />FROM SURFACE <br />TYPE <br />TYPE ✓ I <br />DIA• <br />(Inches) <br />ra MATERIAL/ INTERNA! <br />GRADE DIAMETER <br />GAUGE SLOT SIZE <br />OR WALL IF ANY <br />CE- RIM <br />MENT Tom <br />FILL FILTER PACK <br />Ft. to Ft. <br />b3 A (Inchea) <br />THICKNESS Onches) <br />Ft. to Ft. ✓ ✓ <br />✓ (TYPEISIZE) <br />1 <br />, <br />1 <br />, <br />185, 205 <br />e <br />iOO 205 <br />e <br />� <br />6 <br />At�itaun1Ylaviro (®.) <br />_ Geologic Log <br />— Wan Construction Diagram <br />— Geophysical Log(s) <br />---e Sof/Water Chemical Analyses <br />_ Other <br />ATTACH ADDITIONAL 1A ORMATIOA! IF IT E7rM. <br />LLrHTIFICATIUM STATEMENT <br />f, the undersigned, certify that this report is complete and accurate to the best of my knowledge and belief. <br />NAME <br />(F fD <br />AM Albers Rd M—A--&AEGIT <br />Signed 5/6/98 668622 <br />WWI nsstsaislaunanca acseescurarmt ax 01F.E. FIR 10enee ..USE. <br />DWR 188 REV, 7-90 IF ADDITIAL SPACE IS NEEDED, USE NEXT CONSECUTIVELY NUMBERED FORM <br />