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"The free Adobe Reader may be used to view and come his form, However,software must be purchased to complete,s "ind reuse a saved form. <br /> File Original with DWR ' t . <br /> Sia <br /> to ofCalifomia' :b <br /> Page 7 of 18 Well Completion Report <br /> Owners Well Number MW-7 Rererto tnstrumon Pamphlet State Well Numberfbne Number <br /> Date Work Began 04/12/2012 No. e0150777 N vv <br /> Date Work Ended latitude <br /> Local Permit Agency San Joaguin QQunty_-_Eny'ronnnentalLon 7tude <br /> Department <br /> Permit Number Permit Date 2129/12 APNrrRSlother <br /> Orientation O Vertical O Horizontal OAngle Specify <br /> Drilling Method Au er Name Wi ht Holdin S Inc. <br /> Drilling Fluid <br /> p �" max Mailing,Address 130 S.Wilson Way <br /> a, r <br /> City Stockton " State CA Zi 95205 <br /> 0 53 Pressure grout 4 inch well to 53 feet and drill outw <br /> top 3 feet. Address 130 S.Wifson Wa <br /> CI Stockton ' <br /> ty Cly_San Joaquin <br /> Latitude <br /> Min... I�ongdude <br /> Dep Se#y a M6 ;§ec. <br /> Datum Decimal L�at� s.Decimaong <br /> APN.Book Pa a Parcel <br /> Township �.Ran <br /> Soon <br /> M etidr ®id 0 N ificall,,tion/Repair <br /> "ttTafth O N Well <br /> s n <br /> f N" ` O Dee <br /> pen � <br /> O Other <br /> • Destroy <br /> •'4 ,,..: Desarba"fee and materials <br /> untler'GEOL CGIC LOG' <br /> h O Water Supply <br /> J ❑Domestic ❑Public <br /> * V t W ❑Irrigation ❑Industrial <br /> w <br /> 0 Cathodic Protection <br /> 0 Dewatering <br /> . �, h` a <br /> , O Heat Exchange <br /> ��. O Injection. I <br /> "� � m_�f 0 Monitoring <br /> M. <br /> Me <br /> 0 Remediation <br /> # O Sparging <br /> $fr: South O Test Well <br /> O Vapor Extraction <br /> '= jA ntrste ardescdbe dicta p <br /> w map, <br /> i U wall D from reeds,buildings,fe ry. D Other <br /> Nem,etc.grid at[adi a map.ilea addttlanel paper r necessary. <br /> ° s .,Y` Pleasebeacourafeanalc m <br /> Depth to first water (Feet below surface), ' <br /> i <br /> Depth to Static <br /> - a r .Water Level <br /> (Feet) Date Measured `f <br /> Total Depth of Boning 'S3 Feet Estimated Yield" (GPM) Test Type <br /> Test Len gth (Hours)Totai Drawdown - (Pee <br /> Total Depth t} i <br /> I� mpleted Well � .. r` Feet <br /> *Maynot be reipresentative of a well's long term yield. <br /> Depth from � rehole a �,�< Wall Outside Screen Slot Size Depth from t <br /> Surface D�al"r.�;rr=Type �,+;w o rf I Thickness Diameter Type ype ff Any Surface Fill Description <br /> Feet to Feet inGfe's' Inches inches Inches Feet to Feet <br /> ❑Geologic Log t,the undersigned,certify that this report is oomplete and accurate to the best of my knowledge and belief <br /> ❑Well Construction Diagram Name �cade Drilling.L.P. <br /> Person,Finn or Corporation'. <br /> ❑Geophysical Log(s) 3632_0 ec Circle Rancho Cordova CA 9 42 j <br /> ❑SoillWater Chemical Analyses Aad 63 city state zi <br /> 0 Othe[ Site M Signed - 4/28/2012 gate p f <br /> Attach additional information If it eiders. 0S7 Licensed ter wall 4.tractor - --Date Signed -C-57 License Number <br /> DWR 188 REV.10006 IF ADDITIONAL SPACE IS NEEDED,USE NEXT CONSECUTIVELY NUMBERED FORM - - <br />