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ORIGINAL STATF OF CALIFORNIA <br />File with DWR WELL COMPLETION REPORT <br />Page 1 of 1 Refer to Instruetion Pampblet <br />Owner's Well No. No. 433851 <br />® Date Work Began , Ended 9-11=91 _ <br />Local Permit Agency San Joaquin Co. Div, of pay. Health <br />Permit ND. 91•-2317 Permit Date l�%K <br />.rs <br />GEOLOGIC LOG <br />ORIENTATION (✓) X__ VERTICAL — HORI20NrAL _ ANGLE — (SPECIFY) Name``, <br />DEPTH TO FIRST WATER (FL) BELOW SURFACE A <br />Adailing A <br />DESURFACE <br />PTH FROM DESCRIPTION � <br />Ft. to Ft. Describe material, gram rise color, eta <br />0 <br />55 r Brown cls <br />t ; <br />ove. An, sea <br />`Acl(jxess <br />55 ' <br />61 <br />61 <br />70 I <br />!! <br />!! <br />sand <br />clay <br />MODIFIdATR)NIREPAIR <br />tAPN oak <br />70 74 °D sand ' �` `''�: ` <br />' <br />74 , <br />82 <br />!! <br />cls , <br />`� ° '� " ' <br />a •'' <br />hi <br />T4wvnshiP R <br />i.StttuC1 <br />82 90 ' -sand ` "a '4\ " � l �' <br />PLANNED USE(S)- <br />e <br />90 a <br />94: <br />n <br />r. <br />. clay <br />o <br />WATER SUPPLY <br />r <br />e <br />97 <br />Public <br />sand.' <br />Irrigation <br />Industrial <br />97108�111z <br />-TESTWELL" <br />MATERIAL/ INTERNAL GAUGE SLOT SIZE <br />(Atohea) �' GRADE DIAMETER OR WALL IF ANY <br />_. CATHOW PROTEG <br />SOU <br />- <br />Ina, <br />anches) THICKNESS (Inches) <br />Matthews <br />., <br />!. 263 clay <br />r <br />n <br />WELL OWNER <br />Range <br />I I NSI Longitude <br />I I wEs7 <br />'G. MRs EC. <br />ove. An, sea <br />LOCATIO SKETCH <br />ACTIVITY (4) <br />✓)NO <br />NO <br />M NEW WELL <br />r r <br />MODIFIdATR)NIREPAIR <br />Deepen <br />�j�t <br />Other (SpecKy) <br />q <br />DESTROY MWORW <br />Frocadwas endA4aterlats <br />e i <br />tsarOGIccoo") <br />EsnMATED YIELD* (GPM) a TEST TYPE <br />PLANNED USE(S)- <br />TEST LENGTH (Era.) TOTAL DRAWDOWN (Ff.) <br />TOTAL DEPTH OF COMPLETED WELL 207 <br />._ MONITORING <br />° May not be repiesewadve of a well's long-term yield. <br />WATER SUPPLY <br />X Domestic <br />DEPTH <br />Public <br />FROM SURFACE <br />Irrigation <br />Industrial <br />TYPE <br />-TESTWELL" <br />MATERIAL/ INTERNAL GAUGE SLOT SIZE <br />(Atohea) �' GRADE DIAMETER OR WALL IF ANY <br />_. CATHOW PROTEG <br />SOU <br />T[RH <br />t 1 - <br />!! <br />Illustrate or Describe Distance ofa from Landmarks <br />OTHER (Speo*) <br />3 <br />such us Roads, Rutld(n F i sve etc. <br />PLEASE BE AC 7=2 tr COd1PL�I'E <br />r r <br />e t <br />I r <br />DRILLING <br />METHODlld 1"OtaiV FLUID Water <br />i e <br />WATER LEVEL h YIELD OF COMPLETED WELL <br />e <br />DEPTH OF STATIC <br />WATER LEVEL 124 (Ft.) & DATE MEASURED <br />e i <br />EsnMATED YIELD* (GPM) a TEST TYPE <br />TOTAL DEPTH OF BORING 340 (Fast) <br />TEST LENGTH (Era.) TOTAL DRAWDOWN (Ff.) <br />TOTAL DEPTH OF COMPLETED WELL 207 <br />(Feet) <br />° May not be repiesewadve of a well's long-term yield. <br />DEPTH <br />CASING(S) <br />DEPTH <br />ANNULAR MATERIAL <br />FROM SURFACE <br />BORE - <br />TYPE •� <br />FROM SURFACE <br />TYPE <br />MATERIAL/ INTERNAL GAUGE SLOT SIZE <br />(Atohea) �' GRADE DIAMETER OR WALL IF ANY <br />CE- SEN- <br />M1cNT DNRf FILL FILTER PACK <br />Ft. to Ft. <br />anches) THICKNESS (Inches) <br />Ft. to Ft. <br />(TYPE/SIZE) <br />7 <br />2" <br />Pvc et _ 1600 <br />e 100 <br />X <br />187 x 7 <br />n <br />er !e !I <br />100 <br />6-12 sand <br />e <br />_.r207 <br />r <br />r <br />, <br />e <br />e <br />r <br />e <br />ATTACHMENTS (✓} <br />CERTIFICATION STATEMENT <br />I, the undersigned, certify that this report Is complete and accurate to the beat of my knowledge and belief. <br />_ Geobgio Log <br />® Wall Construction Diagram <br />Drillins�Clo_. TItC. <br />NAME GiIW&terGeopttystcai <br />(PERSON, FIRM• OR CORFORATIOM UR PRI <br />Loge) <br />— Sol/water Chemical Aa*ws <br />300 S. Kili-ov Turlock Ca 953 <br />A ATE ap <br />Other <br />" <br />` 9-12-91 321252 <br />ATTACH ADDnTONAL MFORMATION. tF tr EXRSTS <br />Slgaed jacAwc <br />WELL DRI iE NED C31 UCERSE MMRFR <br />DWR I88REV. 7.00 <br />IF ADDITIONAL SPACE IS NEEDED, USE NEXT CONSECUTIVELY NUMBERED FORM <br />