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'Thf fr"AM*Rd&Jor may tw triad 13 waw and raxnptmx th-s krmi. NpA»,ror,snrcwury nnnt tw p(urtuued In catgdote uw v,x.rl fa.,w d er.ixf krm. <br /> Fite Ong+nal Nvlh MR Slate of Califorrtia _. yUWsiUaeClntY_t�o►�ot Fin___-----_— <br /> Well Completion Report ;Page or! or I r�;>u-W ill,r:.'AkY„VW.rtiw <br /> state WM NufmWO Ira wrew <br /> Ovvier's Well Number ------.-- -- xxxxxx .--. T _ N - <br /> Data Wank Bugai Q I�( —�l/ Dato Work Enoud j�- �_ _____ t ariwde . _ t orgrtuaa .._.._ <br /> Local Permit Agency,-----�QL}�_— <br /> _ I t i 1 t i -.. _— <br /> Permit Number Permit Date------- APN1TR5001e+ <br /> Geoff is Log Well Owner <br /> Orientation Vedcal Q Hontonlal OAngle Spcary Nall <br /> U•Ainp McVvd FO Dre-V FkA Mitring Address <br /> taepd�frwn$urtace DeoscriptionCit — <br /> foot m Feet ibo mit®' rein rtre eoior,e+c __ Stal@ _ <br /> O 1W1031N Well Location <br /> M fuiorc gs �^� <br /> city '� O l/\ County <br /> LntrWdtt N Lorxluoo __yr <br /> . L�.s NJr. ass:. lYxa ton `Sac <br /> Datum. Dec.Lat. Dec.Long, <br /> APN Book Page Parcel <br /> —` — - <br /> Township —T2 -- Seckn <br /> Location Sketch Activity <br /> "k alai loath ha aaArr tw hares.-Mpf,rte,_-r..,I." New Watt <br /> 0 MoancatiorvRep" <br /> O Dem <br /> O Other <br /> O boy <br /> La 414 psy a0uti aM n.16Y1Ji <br /> Planned tlsos <br /> 01 Waw sapwly <br /> [3Danvattc QPubhic <br /> E ❑irrlgaiton ❑Industria; <br /> w <br /> O Cathod-c Protection <br /> O Dawatenng <br /> O Heat Exchartr•}e <br /> _ O inledlion <br /> O Morutoong <br /> O fiemtxUahon <br /> O Sparging <br /> O Test Wel <br /> ur.rm or wanes am«.x a woe mss'5xh wc%x ae•raa. O Vapor Eslraction <br /> r..ma.t:a-r nr:n t....,.s M-4 fxcr a rr...(:wr O other <br /> .ssw w to of <br /> ester Levet wid Yield of Completed Well <br /> - ---- - — — — De*to fimt vmler (F eeI llalaty R LNfOICt9) <br /> Depth to St©tic <br /> Water Level (Feet) Data htwt"utaat__ -- <br /> Total Deoih vI Bonng Feat Estimated Yled' (GPfd) Test Type <br /> Feat Test Length (Rows) Total DraWdo -n (feet} <br /> Total Depth of Camp101erl Well Feat not be ra esartlative of u W'el9 s 10eq ttKnl YiOla. <br /> Casings Annular Matisrial <br /> Npth fromf3otoNoM UAaterial VVaU outowe Ecresn Slot Suv Depol tram <br /> Surface tJirneoeer Type Thk3wess Diam w Typo if My Surface fill 13e"c++ptMn <br /> Footm Feet Inchbe inch" lmhft inches F r( rcul <br /> C Ir \ Z <br /> N 02 <br /> NCJ <br /> ki <br /> Atte ttwnts tIAQ <br /> sit- <br /> Certification Statement <br /> Ct7oiogic tog 1,the undersgvd,certify that this report is complete and oocurate to the bftt of my knowledge and belief <br /> Nfxrte <br /> C]Wuit Gwistruetlon pltgram penes,,r.•r to t:aryorunu• <br /> ❑G®opfrysx;al Log(s) <br /> ❑SD 1p Notor Chemcal Analyus A"W" r..rr swo► z11 <br /> 13otrrtfsr Signed <br /> A r o•tn.x7 r rnr+ C-67 Vo w,0Velw Nlul Crrrorarnr Data S lid C-57LJCa9rt80 AbumDur <br /> DWR lee REV I r7cm IF AvurtI w4i,smg Is mfmo,L9*Mxr C(lli`aECllrNkLY tJUlAt3trvtD i-0ri1J <br />