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vVELL <br />L -1J <br />9/24/2002 <br />ORIENTATION ( <) <br />C? <br />o <br />(Ft.) BELOW SURFACE <br />10/9/2002 <br />£(Feet) <br />CASING (S) <br />"S' <br />Ft.=!Ft.toFt.Ft.to (Z) <br />✓ <br />z 8x 16 <br />>ELL' DRILLER/AUTHORIZED REPRESENTATIVE <br />DWR 188 REV. 11-97 <br />95380 <br />ZIP <br />250 <br />270 <br />12 <br />12 <br />PLASTIC <br />PLASTIC <br />6 <br />6 <br />SDR21 <br />SDR21 <br />0 <br />250 <br />DEPTH <br />FROM SURFACE <br />5 w <br />I <br />MATERIAL / <br />GRADE <br />GAUGE <br />OR WALL <br />THICKNESS <br />DEPTH <br />FROM SURFACE <br />Parcel <br />Section <br />cn s <br />MONITORING <br />TEST WELL <br />CATHODIC PROTECTION <br />HEAT EXCHANGE <br />DIRECT PUSH <br />INJECTION <br />VAPOR EXTRACTION <br />SPARGING <br />REMEDIATION <br />OTHER (SPECIFY) <br />FILTER PACK <br />(TYPE/SIZE) <br />INTERNAL <br />DIAMETER <br />(Inches) <br />co <br />SLOT SIZE <br />IF ANY <br />(Inches) <br />BEN- <br />TONIT£ FILL <br />(O <br />MODIFICATION/REPAIR <br />Deepen <br />Other (Specify) <br />BORE­ <br />HOLE <br />DIA. <br />(Inches) <br />I <br />oW pJOPl <br />DEPTH FROM <br />SURFACE <br />Ft. to Fl. <br />NONE <br />.070 <br />0 <br />200 <br />200 <br />270 <br />CA <br />STATE <br />TYPE (Z) <br />5CD <br />CE­ <br />MENT <br />(-Z) <br />95380 <br />ZIP <br />434218 <br />C-57 LICENSE NUMBER <br />to <br />3 <br />25 <br />33 <br />46 <br />53 <br />93 <br />175 <br />183 <br />188 <br />205 <br />215 <br />219 <br />240 <br />267 <br />288 <br />307 <br /> <br />- SOUTH - <br />Illustrate or Describe Distance of Well from Roads, Buildings, <br />Fences, Rivers, etc. and attach a map. Use additional paper if <br />necessary. PLEASE BE ACCURATE & COMPLETE. <br />----------------------------------------- CERTIFICATION STATEMENT ---------- <br />I, the undersigned, certify that this report is complete and accurate to the best of my knowledge and belief. <br />HAMP CALWATER DRILLING CO., INC. <br />(PERSON, FIRM, OR CORPORATION) (TYPED OR PRINTED) <br />300_S. Kilroy Rd. <br />addressX^ZC <br />Signed. <br />DEG. MIN. SEC. <br />---ACTIVITY (Z) <br />_1Z NEW WELL <br />TOTAL DEPTH OF BORING 320(Feet) <br />TOTAL DEPTH OF COMPLETED WELL270 <br />-------------- ATTACHMENTS <br />Geologic Log <br />Well Construction Diagram <br />Geophysical Log(s) <br />Soil/Water Chemical Analysis <br />Other <br />ATTACH ADDITIONAL INFORMATION, IF IT EXISTS. <br />IF ADDITIONAL SPACE IS NEEDED, USE NEXT CONSECUTIVELY NUMBERED FORM <br />ia <br />c <br />2- <br />5 <br />QUADRUPLICATE <br />For Local Requirements <br />Page 1 of 1 <br />Owner's Well No. VAL SAN ASSOC <br />Date Work Began 10/4/2002 ; Ended 0/9/2002 <br />Local Permit Agency SAN JOAQUIN QTY EHD-------- <br />Permit No. SR0031302----------------------Permit Date <br />----------------------------------GEOLOGIC LOG---------------- <br />DESTROY (Describe <br />Procedures and Materials <br />Under "GEOLOGIC LOG" <Q <br />PLANNED USES(Z) <br />WATER SUPPLY <br />----- Domestic Public <br /> Irrigation Industrial <br />CA <br />STATE <br />Address 10100 NORTH iW/kfe^ffl^ENTO ROAD <br />City STOCKTON CA 95380 <br />ConntySAN JOAQUIN <br />APN Book Page <br />Township-----------Range <br />Latitude i i <br />DEG. MIN. SEC. <br />LOCATION SKETCH <br />------------------------------- NORTH ------------- <br />Turlock_________ <br />CITY <br /> 12/19/02 <br />DATE SIGNED <br />ANNULAR MATERIAL <br />TYPE <br />(Ft.) & DATE MEASURED <br />ESTIMATED YIELD *-------- (GPM) & TEST TYPE <br />TEST LENGTH (Hrs.) TOTAL DRAWDOWN (Ft.) <br />May not be representative of a well's long-term yield. <br />WATER LEVEL & YIELD OF COMPLETED WELL <br />DEPTH TO FIRST WATER-52. <br />DEPTH OF STATIC <br />WATER LEVEL 52----------------- <br />FILL INDWR USE ONLY — DO NOT <br />J__I__I__I__I__I__I__I__I__l—l <br />STATE WELL NO./STATION NO. <br />............in <br />LONGITUDE <br />----------------------------------WELL OWNER <br />Name VAL SAN ASSOC <br />Mailing Address 443 N SIERRA NEVADA <br />STOCKTON <br />CITY <br />_>Z VERTICAI-----------HORIZONTAI ANGLE (SPECIFY) <br />METHOD ROTARY _ fluid MUP <br />DESCRIPTION <br />Describe material, grain, size, color, etc. <br />3 CLAY___________________________________ <br />25 CLAY RED <br />33 SAND <br />46: CLAY RED <br />53 SAND <br />93 CLAY RED <br />175 CLAY GRAY <br />183 SAND <br />188 CLAY GRAY <br />205 SAND <br />215 CLAY GRAY <br />219 SAND <br />240 ■ CLAY GRAY <br />267 SAND COARSE <br />288 CLAY GRAY <br />307 SAND FINE <br />320 CLAY BLUE <br />STATE OF CALIFORNIA <br />COMPLETION REPORk <br />Refer to Instruction Pamphlet <br />N° 792139 i I i I i <br />LATITUDE___ <br />I I I I I I <br />APN/TRS/OTHER