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'The free Adobe Reader may be used to view and co m —.tform.form. However,sDttware must be purchased to complete,r 1`and reuse a saved <br /> File Original with DWR i State of California <br /> Page 4 of 18 Well Completion Report . •I <br /> Owners Well Number MWS Refer toln&nxSonPamphlet <br /> No. e0160772 State Well Nunn er it.Number <br /> Date Work Began 04/10/2012 Date Work Ended 4Z1W012 N W <br /> Local Permit AgencyLatitude Lon itude <br /> e <br /> Permit Number 15502064 Permit Date 2129112 APNlTRslOther <br /> Orientation O Vertical O Horizontal OAn4 <br /> gle . Specify Name Wight Holdings, Inc. <br /> Drilling Method Auger Drilling Fluid <br /> Mailing Address.130 S.Wilson Wa <br /> iffi <br /> r .... C' Stockton State.CA �i 85205 <br /> 0 60 <br /> Overdrill 4 inch wells to 60 feet <br /> Address 13 S:Wilson Wa -VAN- <br /> City-Stockton C .° San ioaicIuin <br /> Latitude gitude <br /> Deo. Min. Sq. .. Mln. e$r°. <br /> Datum Decimal L '' Decimlriing._ <br /> APN Book Pe Parcel'n <br /> Townsh! _ ..Ra SA0n <br /> n0 New Well <br /> MogificationlRepair <br /> , -OF t 'a3.-O Deepen <br /> ` O Other <br /> Destroy <br /> Describe prooWures and matenaz <br /> » under OfOLOGX LOG' <br /> _R.. <br /> Domestic �Publi <br /> Q WaterSupply <br /> ❑ ❑ c <br /> ❑Irrigation ❑Industrial <br /> . �,. w <br /> r• Q.Cathodic Protection <br /> 0 Dewatering <br /> z � <br /> 0 Heat Exchange <br /> s <br /> " '• O Injection <br /> .- k 0 Monitoring <br /> 0 Remedlation <br /> inq <br /> y Sown 0 Test Well: 11IIIII <br /> ;-X6Wjw deacrsbe dlatance cl well Ram roads,WNdhme,tames. O Vapor Extractionand attach a map'Use addidanal paper it rxrr�aryQ Otheraceurale m dcorn.M,• ,w- ..... - - <br /> >' Depth to first water (Feet below surface) <br /> Depth to Static <br /> r , <br /> Water Level (Feet) Date Measured <br /> Total Depth of ao n / <br /> . 9i3O Faeet Estimated Yield' (GPM) Test Type <br /> Test Length <br /> Total Depth o�ompleted Well Feet 9 (Hours)Total Drawdown .. . (Feet) <br /> 'Ma not be representative of a well's Iona term 4eld. <br /> - pe V41ata� Type Depth <br /> r <br /> Depth horn 'i8urehote � I <br /> wall Outside Screen Slot Size Depth from I t t <br /> surface I)i r� Thickness Diameter If An Surface FIII btiscrlpdon <br /> Feet to Feet Inc if a °'* inches Inches Inches Feet to Feet <br /> 0 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 Cascade illint7l.P. _ <br /> Person,Flom or Corporation "— <br /> ❑Geophysical Log(s) 3632 O ec Ci Rancho Cordova CA 95742 <br /> ❑SoiVWater Chemical Analyses Add s city state zip <br /> El Other Site Man _ Signed 4/26/2012 938110 <br /> Attach addWonal information if it exists. C-57 Licensed Wafer I Co cW Date Si ned C-57 License Number <br /> DWR 188 REV.112006 IF ADDITIONAL SPACE IS NEEDED,U EXT CONSECUTIVELY NUMBERED FORM <br />