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CD <br /> a. <br /> ORIGINAL STATE OF CALIFORNIA QWA URN QNLY NOT FILL IN i1 <br /> File With DWR WELL COMPLETION REPORT <br /> page—oP_ 11/r N, I,,.t H,cti n PamPhlrr 1 1` <br /> [ �.JPiIA In 1 r� <br /> Owner's Well No. 5 No. C <br /> -- <br /> ate Work Began 3 "Zn .Ended <br /> Local Pennit Agency <br /> Permit No, Pennit Date <br /> GEOLOGIC LOG <br /> -( PT t't f' 7� 'JZa._ to <br /> ORIENTATION (�) <br /> J&_VERnCAL _HORIZONTAL _ANGLE —(SPECIFY) Name '4- �.Nr,..s9iK''.DRILLING <br /> : n <br /> DEPTH FROM METHODMyJ'Qota FLUID H`^�• Mailing Address <br /> SURFACE DESCRIP ION f� <br /> Ft 1, F,. D"cribe,nnrerial,grain sine,color,rte. em STATE DP 1 <br /> o Cl 16QN arr ,i'wI,LOCATION r <br /> ALd <br /> 1 S te^ c- C <br /> Li •F4 Sa CCD <br /> y 7$ C( Page Parcel7 4� Range SectionwESTn 9 f i NORTH Longitude t�MIN, SEC. DEG. MIN. $'EC <br /> LOCATION SKETCH ACTIVITY <br /> Q) til 112 y (4 NORTH ,NEW WELL <br /> 2N vc( MODIFICATIONIREPAIR 1 <br /> _0at <br /> co 13 /b o aN ( + 6 _Oa of(Spec TY) r U <br /> 17 1 3 �p <br /> 17I / o- DESTROY(Dos <br /> :7 1 �} O Pmoaeure and M.larl/It <br /> 3 I Ct Unear-GEOLOGIC LOG"1 <br /> CD k9t- fee ( PLANNED USES 1_1 <br /> 0_ - - WATER SUPPLY <br /> �J o Ly ( _u,lo.voa _mawu,Ll <br /> � aj 4 I < MONITORING <br /> n 2< 3 G 2 I C I 1 W TEST WELL�L <br /> lD 12 <br /> _25y I �jO I sfrH I \ CAT110DIC PROTECTION <br /> HEAT EXCHANGE <br /> Qo$ I Z ( DIRECT Pus4— <br /> M �} I VAPOR EXTRACTION <br /> < _ $PARGINO <br /> O - SOUTH REMEDIATION_ <br /> Illus+rntr nr Dwain•Dinrtllm„(1114(pial Ruh.Budding, OTHER(SPEC,FY)— <br /> � Frnces.Ahr,a.rrr.nwd ultndl n swill. 'tr ndtlitlnnnl raper It <br /> J I ,vcm„rr J.PLEASE BE ACCURATE b COMPLET�. <br /> CD ' _t0 $—1 l WATER LEVEL k YIELD OF COMPLETED WELL <br /> DEPTH TO F,PST WATER (FI.)BELOW SUP.FACE <br /> DEPTH OF STATIC <br /> r WATER LEVEL (Pt.)d DATE MEASURED <br /> ESTIMATED YIELD' (GPM)&TEST TYPE <br /> 7T TOTAL DEPTH OF BORING 160 (Feet) TEST LENGTH IHr.)TOTAL DRAWDOWN Ft.) <br /> CA t1 rtor br rr aenrnrivr o a wrll'J ton -rmn yield. <br /> -p TOTAL DEPTH OF COMP TED WELL (Feet, aY F°'� f <br /> (0D CASING (S) DEPTH ANNULAR MATERIAL <br /> 9 DEPTH BORE- FROM SURFACE TYPE <br /> FROM SURFACE HOLE',' TYPE(z' <br /> DIA. MATERIAL! INTERNAL GAJGE SLOT SIZE CE T TONBEN• LL RE FILTER PA <br /> (Inchas) :' GRADE DIAMETER OR WALL IF ANY MENFI <br /> FL to FI. <br /> Um?,.-) THICKNESS [IM)'") Ft to Ft. (_) (:L) (�) (TYPE'S4 <br /> o I�0 Iii AI X pvL {o �5ot2\"1 do lu7— x Y,w Q <br /> 1 <br /> y(,p 1 Ileo -oto Sib w <br /> �o o 1320 x <br /> Piro IIboTION <br /> AI IAULIMENTS(�) CEs comps to and STATEAt the <br /> I,the undersigned,certify that this report Is complete and accurate to the best of my knowledge and bell <br /> Geologic Log It----11 <br /> _ Well Construction Diagram NAME �.J <br /> (PERSON,FIRM,OR CORPORATION) 11YPE0 OA PAIMEDI <br /> _ Geophysical Log(0 <br /> _ Sol/Water Chemical AnayseS CIT1 STATE Z <br /> 1DDRESS <br /> _ Other O <br /> ATTACH ADDITIONAL WFORMATIGN, IF IT EXISTS. <br /> Sipped SIGHED <br /> WELL DRiLLER/AJTNORIZEO REPAESENTAII'IE DATE C'7�ICEtiS{ O� <br /> - O <br />