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"The free Adobe Reader may be used to view and come Itis form. However,software must be purchased tocoinplele,s' "end reuse a saved form. <br /> File Original with DWR % State of California • <br /> Page s of 18 Well Completion Report <br /> Refer to tnstnidion Pamphlet <br /> Owner s Well Number MW-8 No. 00150778 State Well Numbbeerf-Site—NummbeerT—r <br /> Date Work Began 04/10/2012 Date Work Ended <br /> Local Permit Agency 5an JoaQuin Coul3ty EMironmental H <br /> Ldtilude Lon etude <br /> Permit Number-1§502064 Permit Date 2129/12 APNrrRS/Other <br /> Orientation O Vertical O Horizontal OAngle Specify <br /> Drilling Method Au er Drilling Fluid Name Wight Holdings, Inc. <br /> Mailing Address, 130 S.Wilson Way <br /> City Stockton <br /> State CA_Zi 95205 ' <br /> 0 55 Overdrill 4 inch well to 55 feet. <br /> 1< <br /> Address 130 S2 Wil n Way <br /> City Stockton ,. San 1 a 4a urn <br /> C <br /> Latitude $ — - <br /> ngituri - "� 1 <br /> r)ea Min. Seo, a Dap MI I Sea. <br /> Datum Decimal4V Decima ng _ <br /> APN Book. ' Pie arcei �a ` <br /> Townshi 'an lCfiion <br /> 1 F - N Well <br /> h MoificatioNRepair <br /> a O Deepen <br /> O Other <br /> 01 <br /> +_ 0 ��� • Destroy <br /> •u` ,y [Mauibe proceduand mate lals <br /> 114, �• d` res under'GEOLOGIC LOW <br /> Ir <br /> O Water Supply <br /> aY <br /> []Domestic ❑Public <br /> ❑Irrigation ❑Industrial <br /> A.ftW <br /> O Cathodic Protection <br /> F- <br /> -�� O Dewatering <br /> O;Heat Exchange <br /> 0 Injection, 0Monitoring <br /> O-Remediatibn <br /> South O Test Well <br /> reEe or describe denance of xell mom loads.buildings, <br /> O Vapor Extraction <br /> _ !Nero,etc.and alfa&a ma Use adddlenal aarceq <br /> «,-- Please be aeeurafe and R paper necessary- O Other <br /> W gr <br /> Depth to first water . (Feet below surface) <br /> - Depth to Static <br /> ' sr 'l Water Leiter (Feet) Date Measured <br /> Total Depth of "hg� -, z ' Feet Estimated Yield" _ (GPM) 'Test Type <br /> Total Depth 3., ompleted Well #a r� Feet Test Length (Hours) Total Drawdown (Feet) <br /> am *May not be representative of a well's long term Yield. <br /> �[ Thickness Diameter Type p Any Surface FlII 1 xDescd. on <br /> Depth from t rehole � Yp@ I Wail Outside Screen Slot sae Depth from <br /> Surface Dlmaten� T <br /> Feet to Feet Incfiij` '" Inches Inches Inches Feet to Feet <br /> W7 <br /> , <br /> • <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 Cascade Drillina.L.P. <br /> ❑Geophysical Logs) PBrn.Firm arlrabon <br /> 3632 O ec Cir le Rancho Cordova CA 95742 . <br /> 13Soil/Water Chemical Analyses Addie coy stare Zip <br /> Site Ma Signed 4/26/2012 938110 <br /> AeaCh addttlonal fnforMMon B it e)dsts. C-67 Lloensed +er Well Cqftcwr Date Signed C-57 License Number <br /> DWR 188 REV.1!2006 IF ADDITIONAL SPACE IS NEEDED,USE NEXT CONSECUTTEVELY NUMBERED FORM <br /> t <br />