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ORIGINAL STATE OF CALIFORNIA D W R USE' ONLY t N <br /> File with DWR WELL COMPLETION REPORT 1 04 <br /> Page^of Refer to Instruction Pamphlet STATE WELL NO.ISTATION NO. <br /> Owner's Well No, / NO• I �° ❑ ❑ <br /> Date Work Began 9-27-98 Ended / J V LATITUDE LONGITUDE <br /> Local Permit Y <br /> t1g enc San Joaquin Q.' L cal Health District <br /> Permit No. Permit Date Nt Rst TER <br /> GEOLOGIC LOG WELL OWNER <br /> ORIENTATION ('!) VERTICAL -HORIZONTAL -ANGLE ____„(SPECIFY) J _ <br /> DEPTH TO FIRST WATER (FL)BELOW SURFACE _ <br /> DSURFACE DESCRIPTION <br /> Ft. to Ft. Dercribe material,grant rize,color,etc, "' ? W EL L,LO C ATI O N v <br /> 0 8 ClayAd(]ress= 20026`-W. Patterson Pass Rd. <br /> 8 9 SandCity"- Tracy, : , <br /> 9 ; 27 : ClaySaneJoaquin <br /> `" -County <br /> 27 29 F Sand APN Book Page 16' Parcel <br /> 29 40 Clay 3 Tgwnship•• ZS Ranged Section 3� <br /> 40 44 Sarrdstarie1 Lati�ude r t NORTH Longitude WEST <br /> 44 r 48 r C a DEG. MIN. SEC. DEG. MIN. SEC, <br /> ' LOCATION SKETCH ACTIVITYO <br /> 4C8 ' 57 r S ndstQne� NORTH <br /> _x NEW WELL <br /> 57 ' 60 Qlajck s and ", - MODIFICATION/REPAIR <br /> 60 64 Shale Deepen <br /> 4 66. Black,sand Other(Spacity) <br /> 66 -N Clay <br /> e90 r streaks _nESTROY(Describe <br /> ty V r ,,r C n e. Procedures and MateAets <br /> J Under"GEOLOGICLOG') <br /> 93 07 <br /> 0 ' �l PLANNEDIISE(S) <br /> O/ ' 1 ' E u:e c 1 ay ILI _ MON TORWO <br /> r r <br /> Shale & sand streaks� <br /> WATER SUPPLY <br /> r <br /> Shale & clay, X_ <br /> Domestic <br /> 5' 200 ,' Set black sand Public <br /> r <br /> 2Q5 : Shale <br /> ._._. MriOslicn <br /> r r <br /> r <br /> �- "TEST WELL" <br /> ,_,-• CATHODIC PRO7EC- <br /> SOUTH TION <br /> ' Illustrate or Describe Distance of Well from Landmarks OTHER(Spaeity) <br /> such as Roads,Buildings,Fences,Rivers,etc. <br /> PLEASE BE ACCURATE& COMPLETE. <br /> r r <br /> DRILLING <br /> r METHOD Mud rotary FLUID water <br /> WATER LEVEL & YIELD OF COMPLETED WELL <br /> r DEPTH OF STATIC i <br /> WATER LEVEL 32 (Ft.) & DATE MEASURED, <br /> i t <br /> ESTIMATED YIELD' (GPM) &TEST TYPE <br /> TOTAL DEPTH OF BORING 206,(Feet) TEST LENGTH (Hrs.)TOTAL DRAWDOWN (Ft.) <br /> TOTAL DEPTH OF COMPLETED WELL 700 (Feet) "iWay not be representative of a well's long-term yield. <br /> DEPTH CASINGS) • DEPTH ANNULAR MATERIAL <br /> FROM SURFACE BORE- TYPE ✓ FROM SURFACE TYPE <br /> HOLE <br /> DIA. z� 0 4 MATERIAL) INTERNAL GAUGE SLOT SIZE CE- BEN- <br /> (Inches) oc�i J GRADE DIAMETER OR WALL IF ANY MENT TONITE PILL FILTER PACK <br /> Ft. to Ft. S v on , (Inches) THICKNESS (inches) Pt. to Ft. (TYPEISIZE) <br /> 0 : 180 1211 X PUC 611 160 0 100 X <br /> 180 ; 200 12" X PVC 6j1 160 45/1000 100 200 and ravel <br /> r <br /> r r <br /> t r <br /> , r <br /> ATTACHMENTS (✓). 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 /> _ <br /> Wall Construction Diagram NAME Hennings OROS. Drilling Co. ,Inc. <br /> Geophysical Logs) (PERSON,FIRM,OR CORPORATION) (TYPED OR PRINTED) <br /> Soil/Water Chemical Analyses 3525 Pelandale Ave. Modesto CA 95356 <br /> ADDRESS CITY STATE ZIP <br /> Other /IIldt <br /> ATTACH ADDITIONAL INFORMATION.IF IT EXISTS, SignedA111 -1(E SG ?�1OR13 <br /> WELL DRI LE AUTHORIZED flEPRESEN E DATE SIGNED <br /> C-57 EICENSF Nt1MOER <br /> DWR 198 REV.7.90 IF ADDITIONAL SPACE IS NEEDS 1114USE NEXT CPYSECUTIVELY tol3ERED FORM <br /> r <br />