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G(GINAlf ^+h` STATE OF CALIFORNIA D W U S NL Y — D NOT F I L L <br /> ��Ile with DWR WELL COMPLETION REPORTlot, <br /> age Of Refer to Instruction Pamphlet STATE WELL NO./STATION NO. n <br /> Ownes's Well No. No. 497152 <br /> Date Work Began 10-14-91 ,Ended 10-21-91 LATITUDE LONGITUDE <br /> Local Permit Agency St o kt on <br /> Permit No. 91-2577 Permit Date 10-21-91 F APN/TR6107HER <br /> GEOLOGIC LOG ..WELL OWNER, <br /> ORIENTATION (✓) x vE nwi. _HoRizoNTAL —ANGLE —(SPECIFY) Nar(t� OYj 8 y• - , <br /> DEPTH TO FIRST WATER 1�4 (FL)BELOW SURFACE .Maf irig Address�Cs•�12 ?Bb r on R T) <br /> DEPTH FROM ' ' -_ •. -•" Calif. 95315 <br /> SURFACE DESCRIPTION MOde�t'o % <br /> Ft. to Ft. Describe vmwial,graln size,color,ere '��` errY ' z '• ) WELL•LOCATION STATE zw <br /> 0 25 r Cla �" '• AcdrPss 128'80 :nifir�d <br /> 28 Sand. 011i Ca 95240 <br /> 28 45 Cla - f ;County. Sarx,,J a uJ <br /> 4!j 4R Gravel, + } •APN Book,. Page 4�4�0� Parcel <br /> 48 65 Cla - - r' Tr2wshig ••© Range�C.�t.. Section�t� <br /> ' " ,Latitude 1 r NORTH Longitude r WEST <br /> DEC, MIN. SEC. DEG. MIN. SEC. <br /> 72 <br /> ' ' a � ' �'.` - LOCATION SKETCH ACTIVITY (✓)- <br /> M r <br /> r NORTH -X NEW WELL <br /> 25 <br /> ' •• a rids tone a '• :,� L �).,, MOOIFICATIONIREPAIR <br /> ° r <br /> 128 <br /> r ^Deepen <br /> r ° ' . _ Other(Speclly) <br /> ° ° .•Sand'•� _DESTROY(Descrrbe <br /> r Procedures end hfaterrah <br /> r Under^GEOLOGtCLOG• <br /> 18 q, 186 B•la&k Sand. t- t- PLANNED USE(S) <br /> 180 196 ' Sandstone. 3 t oMOWiTORING <br /> 196: 202 Black Sand. WATER SUPPLY <br /> ev� <br /> 202; 216 Sandstone. Wail Domesna <br /> Z 220 Pink Sand. j _. Public <br /> 22a 230 Sandstone. (r? �r' Inigatlon <br /> 230 34 i Pea Gravel. t ?t _ Industrial <br /> 240 j _ _ TEST WELL., <br /> 24a 2aQ Bedrock Hard stone. S y _ CAbUTH OTNtWDICPROTEC- <br /> R(i 9R6Sa d. <br /> Illustrate or Describe Distance of Well from Landmarks _.OTHER(Specify) <br /> such as Roads,Bulldtngr,Fences,Rfoers,eea <br /> 28Q 316 Caly. PLEASE BE ACCURATE&COMPLETE. <br /> r i <br /> DRILLING <br /> -92d 33oiPink Qliv- METHOD Cable" Ria FLUID <br /> 306 Sandstone. WATER LEVEL is YIELD OF COMPLETED WELL <br /> 3 340 ' Pea Gravel. DEPTH of STATIC <br /> WATER LEVEL 140 (Ft.) &DATE MEASURED 10—2 Z-91 <br /> '34CI 350 ' Clay. ESTIMATED YIELD°- � -(GPM) & TEST TYPE <br /> TOTAL DEPTH OF BORING_408 (Feet) TEST LENGTH (Hre.)TOTAL DRAWDOWN (Ft.) <br /> TOTAL DEPTH OF COMPLETED WELL 408 (Feet) •iWay not be represema(ive of a well's long-term yield <br /> DEPTH BORE- <br /> CASING(S) DEPTH ANNULAR MATERIAL <br /> FROM SURFACE HOLE f� w <br /> FROM SURFACE TYPE <br /> DIA MATERIAL/ INTERNAL GAUGE SLOT SIZE CE• BEN <br /> aches) 1p GRADE DIAMETER OR WALL IF ANY MENT TONITE FILL FILTER PACK <br /> Ft. io Ft. Onchas) THICKNESS pnches) Ft. 10 Ft. �) (�) (TYPE/SIZE) <br /> iz <br /> t � <br /> L? ;16 _ <br /> i r <br /> r � <br /> r <br /> r r <br /> � t <br /> ° t <br /> ATTACHMENTS (✓) CERTIFICATION STATEMENT <br /> _ <br /> Geologic Log 1,the undersigned,certify that this report 1s Complete and'accurate to the'best of my knowledge and belief. <br /> Geo <br /> _ elogicLll ructlopDlagram NAME Valley Drilling Co. <br /> (PERSDN,FIRM,OR CORPORATION) (TYPED OR PRINTED) <br /> _ Geophysical Loo(s) <br /> — ScIfWaterChemicalAnalyses R-0.Box 42. Galt , Ca. 95632 <br /> ADDRESS CiTY STATE ZIP <br /> Other e <br /> ATTACH ADD177ONAL WFORMATIOM IF tr E.VSr& s' 4-9-92 299383 <br /> WELC DRIC R HORlZED EPRO NTATIYE DATE SMNED C47 LICENSE NUMBER <br /> DWR138REY.7-00 1F ADDITIONAL SPACE IS NEEDED, USE NEXT CONSECUTIVELY NUMBERED FORM <br />