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ORIGINAL STATE OF CALIFORNIA D W R U S O N Y — ,�-O�N O!V7g <br /> Fl(e1rlli h DWR WELL coMPLETION REPORT 0 0[A <br /> 1 Refer to larsrrucrion Pamphlet STATE WELL NOJ8TATI <br /> 7�.'asge�aF <br /> d per's Well No. ` No- 416669 F]�t i ► I�]❑ <br /> Date Work Began AN Endgd 'LATITUDE LONGITUDE <br /> Local Permit Agegn JVA PUB. HEALTH <br /> Permit No. Permit Date 08/1U/v5 APE11THS10THER <br /> GEOLOGIC LOG W,ELL OWNER <br /> ORIENTATION (•!) VERTICAL ._.HORIZONTAL _,ANGLE ,_,(SPECIFY) Name ,_ a <br /> DEPTH TO FIRST WATER Q (FL)BELOW SURFACE ( <br /> DEPTH FROM i i (J� � � e V.. � -�'. - CA <br /> SURFACE DESCRIPTION �� s _ <br /> Ft. to Ft. Dereribe materia) ain ri color, <br /> _CITY '' .> ; ZIP <br /> ! 1 T STATE <br /> 9 15 ;SAND SANDY CLAY <br /> 15 3-1 i .` a qPN Boots, ?age Parcel d;BROWN - <br /> ` TQYfg�rnrslti Rang Section <br /> 1 -10 , - ``'� 3 s Ltiflld'e� Longitude I I WEST <br /> -to 91 1113RPWM qLAY t (~ ` DEG MIN. SEC. DEG LOCATION SKETCH ACTIVITYBLA (✓)— <br /> 1 +1 , :+ NORTH _ NEW WELL <br /> 95 tL99 99 1 t• `' MODIRCATIONIREPAIR <br /> 1 1 <br /> 1 ° � I t _Deopoa <br /> ' 111!4� 1 ° _Other(Specify) <br /> 114 '1 <br /> 1'23 LAY D123 '135 i <br /> N <br /> r Q •'CLAY:+- <br /> \ > tt <br /> ^ Dowe(acr <br /> °$-iG '• �AND GRAVEL ProceduresMaterial,, <br /> Under•'GEOLOGICLOG" <br /> $ ! 208-'BOW. �-,UAY AND SANDSTONE t- PLANNED USE(S) <br /> 148 / 208 !S El.; PINK TOUGH 63 Oc) <br /> 3 �. MONITORING <br /> 221 ;SOF CEMENTED SAD WATER PLY <br /> :COARSE <br /> t <br /> 1 2701MILD BROWN <br /> A 949 2-10 2-15 .�. Domestic <br /> LENSES—SMD <br /> Public <br /> 1 _ Publi <br /> 1 ZIUZfb1 AHU PINK BROWN CLAY ton <br /> 1 1 <br /> .,....SANDSTONE induslrfat <br /> 1 1 <br /> _. "TEST WELL•• <br /> AND <br /> r -BROWN <br /> _CATHODIC PROTEC- <br /> 311 34U <br /> SOUTH TtoN <br /> 1 ' Illustrate or Describe Distance of Well from Landmarks —OTHER(Specify) <br /> ` :FIRM BROWN CLAY SANDSTONE such as Roads,Buddfngs,Fences,Ricers,etc. <br /> 1 <br /> 361370 !L AH H PLEASE BE ACCURATE it COMPLETE. <br /> � CEMENTED GRAWL <br /> M ILLINN UD ROTARY FLtnDWATER <br /> ( <br /> 370 ; 376 OWN CLAY WATER LEVEL & YIELD OF COMPLETED WELL <br /> 376 '. 401 ;CLAY A DEPTH OF STATIC 0 f <br /> WATER LEVEL (Ft.) &DATE MEASURED <br /> 401 403 ,SANU .3,56 <br /> ESTIMATED YlfLp a (GPM) a TEST TYPE <br /> TOTAL.DEPTH OF BORING (Feet)* TEST LENGTH ' (Fks.)TOTAL DRAWDOWN (Ft.) <br /> TOTAL DEPTH OF COMPLETED WELL. (Feet) 'May not be representative of a•we0 long-term yield <br /> DEPTH CASINGS) DEPTH - ANNULAR MATERIAL <br /> FROM SURFACE BORE �E FROM SURFACE TYpE <br /> HOLE INTERNAL GAUGE SLOT SIZE <br /> DIA m MATERIAL/ INTERNAL BEN- <br /> Z � DIAMETER OR WALL IF ANY FILTER PACK <br /> (Inches) GRADE MENT TONIiE FILL <br /> Ft. to Ft. cc 5 (laches) THICKNESS (inches) Ft. to Ft. (TYPE/SIZE) <br /> t • •J20a <br /> 1 7- 1313 1 <br /> ! ! <br /> 48U15zo lu <br /> e 1 <br /> 1 <br /> / e I <br /> (ATTACHMENTS (z�.) CERTIFICATION STATEMENT <br /> �. Geologic Log i,the undersigned,certify that this report is complete and accurate to the best of my knowledge and belief. <br /> ._. Well Construction Diagram NAME PURVIANCE DRILLERS NCe <br /> _. Geophysical Log(s) (PERSON. FIRIL OR CORPORATIOIn(TYPED 0 Rift FD) <br /> _ <br /> Bog/Water Chemical Analyses P. Oe BOX 64, D ,/ CA, 95236 <br /> ADDRESS CITY STATE' ZIP <br /> _ Other <br /> 1 ATTACH ADDITIONAL INFORMATION.IF 17`EXISTS Signed 377923 <br /> WE AUTHOR D FNTATIVtDATE STONED C-57 DENSE NUMBER <br /> DWR 188REV.?.00 IF ADDITIONAL SPACE IS NEEDED, USE NftT CONSECUTIVELY NUMBERED FORM <br />