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.. �..,... - -� I "N I t L H HUHL I C WC RKS 209 239 8495 P 03/04 <br /> Owner's Copy 'ELL CO PLET[ON REPORT ' 1 _1 1 ! 1 _t 1 t 1 I I I I <br /> rage___._of ltefcr o Invenie hi i PtimliLlel STATE WELL Nn+STATION NO _ <br /> Owne1-'5 Well] No 21 No 7131319 <br /> 715 <br /> Date 1Vork Ail gall�„�1 A/taCx , Ended LATITUDE LonC+►Tuae <br /> L ocat Penmt Agc me A A j- t h _- �. L. I I I 1 1 E. .a. t._ I 4 <br /> Pf r111[t No pelllilt )Tate lip APNITR%THIA <br /> CEOLOCI( LOC. 11 FLL OWNER <br /> ORIEVATION VCPTICAL _OORIZONTAL .,_At46Jr V00k0,) Naim City of Manteff <br /> DEPTH FfiOMKn <br /> ud rotary-FLUID Ater __ Ma11Tng Adtlless 1001 wast C ntO r St. <br /> SURFACE DESCRIPTION CA 9533 7 <br /> FI to li I)rsrrtbc I+akrlTfl, graln stwc volar err CITY STATE ZIP <br /> N1I=LL LAC;ATIU� <br /> 0 t 9 TO Sol.l _ Acldlrss F1}�t� ��t;aln(3 P,�X _ <br /> 9 1 38 1 Brown Sans! _ CIt) Manteca <br /> 38 ; 52 Brown Clay _ County _ J.4Agpliri- <br /> 52 93 I Sand Gravel _ APN BookPage -wVaicel� <br /> 93 + 124 + Sand Wi L _ rrnw7)ahlt> Range�.____ Section <br /> 12 159 I C -8-and I_ NORTH dungttll(lc t ._ + WtsT <br /> 159 396 I Gla Layers S ISO MIN SCC DEO MIN SEC <br /> I LOCATION SKETCH —A(.T1111'1% <br /> 29 3t� Pine <br /> i n e S _.__ �NOATN -- x NEW WELL <br /> 30 421 ; Clav With F' Fie, ST. MODIFICATIONIREPAIR <br /> Doopon <br /> O1ha(lbpocily) <br /> 1 I � <br /> Po,BmcrXlTRtlYUnit 6Rd MNIOnHId <br /> (t 1111110 <br /> L 1� 11 <br /> y V CNj vroom GEOLOGIC LOG 1 iii <br /> PLANNED USES (4) <br /> WATER SUPPLY <br /> Public <br /> frr t� t,11{,I,L ry I`� c; F 1rrlgnllan ,,.�, tndustrl,,l <br /> IADNRORING— I <br /> 1 I l TEST WELL <br /> CATHODIC PROTECTION <br /> + 1 HFAT FMCHANGE _ <br /> - � r, DIRECT PUSH_ <br /> 1 I J tN IFCTI4N,Ty <br /> + I _ _ I" VAPOR CRTgAC`TION— <br /> Ali If,GL-T' <br /> e I $PAR(aINCa <br /> I 1 � <br /> SOUTH RTwM6DIATION_ <br /> 1llrnlrrde lee Ik_u Ilk DI.rIfowe of V 441 front ltrands 1311r1d"q't <br /> t Ftji t'1 Rot t1Y dc and Mf44,110 tnnp tts+ ndrhfrr,unlll,nt,rr f OTHER(SPECIFY) <br /> T— neer only FLCASE N ACC(IRAT I L(061Pf F I! <br /> I I <br /> 1VA'TFIt LEVEL & AILD Or COMPLEPED WELL <br /> I , �y <br /> I I DEPITM TO FIRST WATER„�,�G.3— (Pt) 8ELC•W SURFACE <br /> t DEPTH OF STATIC /. <br /> WATER LEVEL - d ' IN}s DAPI:MEASURED�I/ <br /> 16/00 <br /> I <br /> I?SrIMATt:O YIELD 200(}(GPM) 6 TEST TYPE�''],rymh t~+r___ <br /> 1(11 Al OF e t l ()t 13t)] i m. __12,J_(rLet) TEST LENGTH 4_8 (Hr) TOTAL DRAWDOWN 131 (FI) <br /> TOTAL DEPTH 017 C0%11 t ETED tlelsl I, itlrry Not Ite rrprr..wn(all,t of a-M,e#'r lolrg-ln:s)rrld <br /> DEPTH BORE CASING S) DEPTH ANULAR AIAIFRIALI w <br /> FROM SURFACE HOLE Type(J) FROM SURFACE YYPC- <br /> T DIA MATERIAL I INTEFW,L GAL D? SLOT SIZE OE SEN <br /> (Ii1GI11)C) <br /> a dFiA01= NAME? R OR 4 ALA. IF ANY MrNT TONITE FILL FILTER PACK <br /> cc <br /> FI to Ft m W u (Ineher THICK LESS llnehe%) Ft Io F1 (i) (�) (TYpri'M ) <br /> I 0 9Q <br /> 5 x <br /> I r + <br /> I <br /> 1123 <br /> I I I <br /> I + I <br /> TT i<I TS CI RTI 'ECATION STATF,AIF`T ---- <br /> C O>7 1, the undersigned,tertilly the this report Is complete and accurate to the best ql my knowledge and 4ellet <br /> �-- GaolDgtosog Ngr—C 1 Punp & Well. Service <br /> Wall Canslruclbn CtEagram NAME <br /> (PERSON rIRK OR CDRPDRATR R ()YPED OR PRIWED) <br /> _ Gsophysleyl Logs) Po Box 3878 Yuba City CA 95992 <br /> �._ SDIIPoYaler Chelnhcal Analysas <br /> aDORtss crrrware tip <br /> Olhe —.- ..._._ <br /> ( 6/10/00 731189 <br /> ATTACH ADDITIONAL WFOAMAYfON IF Pr EX18TS S+8l1°O' ^ <br /> l RR4LERI ORIlID PEP :SEWATIViE OATS SIG C-S LICENSE OR <br /> D111i IM RL1 11 U` IF ADDITIONAL SPAC IS NEEDE , LASE N1 XT CONMUTIVELY NUMBERED FORM <br />