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DO NOTDWRD <br /> iiii <br />ORIENTATION (<) <br />^AJ4I <br />o <br />(Ft.) BELOW SURFACE <br />10/9/2002— (Ft.) & DATE MEASURED <br />ESTIMATED YIELD * <br />(Feet) <br />CASING (S) <br />Ft.Ft.to Ft.Ft.to <br /> <br /> <br />(<) <br />DWR 188 REV. 11-97 <br />12 <br />12 <br />0 <br />250 <br />250 <br />270 <br />6 <br />6 <br />0 <br />100 <br />DEPTH <br />FROM SURFACE <br />MATERIAL/ <br />GRADE <br />DEPTH <br />FROM SURFACE <br />Parcel <br />Section <br />s <br />FILTER PACK <br />(TYPE/SIZE) <br />INTERNAL <br />DIAMETER <br />(Inches) <br />SDR241 NONE <br />SDR21 .070 <br />Jo <br />SLOT SIZE <br />IF ANY <br />(Inches) <br />CA______95380_ <br />STATE ZIP <br />434218 <br />C-57 LICENSE NUMBER <br />MODIFICATION/REPAIR <br />Deepen <br />Other (Specify) <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />TOTAL DEPTH OF BORING 320(Feet) <br />TOTAL DEPTH OF COMPLETED WEL1.270 <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 />BORE­ <br />HOLE <br />DIA. <br />(Inches) <br />_1_QQ__vS <br />270 <br />I m <br />CE- I <br />MENT <br />S' <br />$ <br />lil <br />LATITUDE <br />95380 <br />ZIP <br />I i I I <br />APN/TRS/OTHER <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 1Q/9/2002---------------- <br />Local Permit Agency SAN JOAQUIN CTY EHD--------------------------- <br />Pennit No. SR0031302 Permit Date 9/24/2002 <br />--------------------------------------GEOLOGIC LOG ------------------------------------ <br />---------------------------------------------- CERTIFICATION STATEMENT ----------- <br />I, the undersigned, certify that this report is complete and accurate to the best of my knowledge and belief. <br />mamp CALWATER DRILLING CO., INC. <br />(PERSON, FIRM, OR CORPORATION) (TYPED OR PRINTED) <br />300 S. KilroyJW. <br />ADDRESS <br />Signed <br />DEG. MIN. SEC. <br />----ACTIVITY (Z) ----- <br />NEW WELL <br />MONITORING <br />TEST WELL <br />:ATHODIC PROTECTION- <br />HEAT EXCHANGE - <br />DIRECT PUSH <br />INJECTION <br />VAPOR EXTRACTION <br />SPARGING <br />REMEDIATION <br />OTHER (SPECIFY) <br />£ <br />✓l~ <br />13 <br />(GPM)& TEST TYPE ___ <br />TEST LENGTH (Hrs.) TOTAL DRAWDOWN (Ft.) <br />May not be representative of a well's long-term yield. <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 />'ELL DRILLER'AUTHORIZED REPRESENTATIVE____________________ <br />IF ADDITIONAL SPACE IS NEEDED, USE NEXT CONSECUTIVELY NUMBERED FORM <br />J8x16 <br />TYPE ) | <br />—9-iM. <br />PLASTIC <br />PLASTIC <br />CA <br />STATE <br />Address J 0100 NORTH tW^^S^^ENTO ROAD <br />City STOCKTON CA 95380 <br />County SAN JOAQUIN <br />APN Book . Page <br />Township Range <br />Latitude_____,_____i__________ <br />DEG. MIN. SEC. <br />LOCATION SKETCH <br />------NORTH - <br />GAUGE <br />OR WALL <br />THICKNESS <br />WATER LEVEL & YIELD OF COMPLETED WELL <br />DEPTH TO FIRST WATER-52. <br />USE ONLY <br />J__I__I__I__I__I__I__L <br />STATE WELL NO./STATION NO. <br />E i i i i iZD <br />LONGITUDE <br />Xu dock <br />CITY <br />11/09/02 <br />DATE SIGNED <br />--------------------------------------WELL OWNER <br />Name VAL SAN ASSOC <br />Mailing Address 443 N SIERRA NEVADA <br />STOCKTON <br />CITY <br />ANNULAR MATERIAL <br />TYPE <br />BEN­ <br />TONITE FILL(z) e<) I <br />DEPTH FROM <br />SURFACE <br />Ft. to Ft. <br />0 <br />3 <br />25 <br />33: <br />46 <br />_53 <br />93: <br />175 <br />183 <br />188 <br />205 <br />215 <br />21’9 <br />240 <br />267 <br />288 <br />307 <br />DEPTH OF STATIC WATER LEVEI 52 <br />STATE OF CALIFORNIA <br />WELL COMPLETION REPOR. <br />Refer to Instruction Pamphlet <br />No 792139 <br />-■/— VERTICAI----------HORIZONTAL —ANGLE --------(SPECIFY) <br />DRILLING om-Anv in METHOD ROTARY---------------------FLUID MUD <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 /> <br />l'88j CLAY GRAY ~~ ' <br />205 : SAND <br />215 CLAY GRAY <br />219 SAND <br />240 CLAY GRAY <br />267' SAND COARSE <br /> <br /> <br />288 CLAY GRAY <br />307 SAND FINE <br />320 CLAY BLUE <br />FILL IN <br />DESTROY (Describe <br />Procedures and Materials <br />Under "GEOLOGIC LOG" <br />PLANNED USES(^) <br />WATER SUPPLY <br />------ Domestic Public <br /> Irrigation Industrial