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QUADRUPLICATE STATE OF CALIFORNIA DWR USE ONLY - DO NOT FILL IN <br /> For Local Requirements WELL COMPLETION REPORT <br /> Page I of I Refer to lnsnvction Pamphlet STATE WELLNO./STATION NO. <br /> Owner's Well No. 95304 No.e0331301 �❑ J ❑ <br /> Date Work Began 11/28/2016 Eodedl2/13/2016 LATITUDE LONGITUDE <br /> Local Permit Agency Envimmmpntal HcaNh <br /> Permit No. 76209 Permit Date 11/14/2016 APWTRSIOTIER <br /> GEOLOGIC LOG WELL OWNER <br /> ORIENTATION +L VERTICAL HORIZONTAL —ANGLE —(SPECIFY) Name Carl Navarra <br /> DRILLING ROTARY _ <br /> DEPTH FROM METHOD FLUID Mud Mailing Address 475 W Blgwr tt Rd <br /> DESCRIPTION Tracy CA 95304 <br /> FL b Ft. Describe materia[, grain, size, color, etc. CITY STATE ZIP <br /> 0', 10',Clay Address 25000 Byrd Rd WELL LOCATIO — <br /> 10', 26',Sand Cin,Tracy CA <br /> 44', 45',Clay _. County San Joaquin <br /> 45 51 Clay APN Book Page Parcel <br /> 51'. 701 Sand Township Range Section <br /> 70i 72 Clay Latitude I 1 1 <br /> 721 76 Sand DEG. MIN. SEC. DEG. MIN. SEC. <br /> 76I 88 Clay LOCATION SKETCH ACTIVITY (1) <br /> NORTH _ _-'- -10� NEW WELL <br /> 88 91 Sand and Gravel <br /> -- MODIFIcnrONwEPAIR <br /> 91 191 Clay D <br /> 191 215 Sand other(Speoay) <br /> 215', 220 Clay - <br /> 220; 228 Sand - _ DESTROY <br /> Eures eOnEsMaenals <br /> UmIer"GEOLOGIC LOG <br /> 228! 234 Clay _ PLANNED USES(V) <br /> 2341- 238 Sand WATER SUPPLY <br /> 238 251 Clay <br /> N DemeNk PUEI. <br /> 251 262 Sand — Irngeuon — maasvial <br /> MONITORING- <br /> 262 265 Clay TEST WELL <br /> 265 273 Sand ATHODIC PROTECTION- <br /> 273 300 Clay HEAT EXCHANGE <br /> DIRECT PUSH_ <br /> INJECTION <br /> VAPOR EXTRACTION <br /> SPARGING <br /> - <br /> SOUTH REMEDIATION <br /> 7/1aarmte or Oexrobeasos eojwellJmm Roads, Beadlnp, <br /> Fsn a Rivers,ac. LAM attach a may. ULA additionalpaper if OTHER(SPECIFY) <br /> , necessary. PLEASE BE ACCURATE & COMPLETE. <br /> WATER LEVEL&YIELD OF COMPLETED WELL <br /> DEPTH TO FIRST WATER (Ft.)BELOW SURFACE 1 <br /> DEPTH OF STATLC- 1,L1/2016 <br /> WATER LEVEL C4 (FL)&DATE MEASURED _ <br /> --- '- ESTIMATED YIELD ' -_._ (GPM)& TEST TYPE. <br /> TOTAL DEPTH OF BORING 3W (Flet) TEST IENGTH___(Hrs.) TOTAL DRAWDOWN__ .. _. (FL) <br /> TOTAL DEPTH OF COMPLETED WELL280 (Feet) Mort,not be representative o a well's long-term yield <br /> DEPTH CASING(S) DEPTH ANNULAR MATERIAL <br /> FROM SURFACE BOREHOLE TYPE FROM SURFACE Typ <br /> -> <br /> DIA. mLL MATERIAL I INTERNAL GAUGE SLOT SIZE CE- BEN- <br /> (1w.) Z w O it GRADE DIAMETER OR WALL IF ANY MEW TONIT FILL FILTER PACK <br /> FL to FL m v (Indies) THICKNESS Ilncnes) FL b Ft. I4 IV) U (TYPEISRE) <br /> Q LL <br /> 0; 260 14 1 <br /> 260: 280 100 i 280 GRAVEL <br /> ATTACHMENTS (V.) CERTIFICATION STATEMENT <br /> Geologic Log 1,the undersohed,certry Met this report is complete area a hate W the haet of M knowledge and Woof. <br /> Well ConsbuUion Diagram NAME MASELLIS ILLING INC <br /> _. Geophysical LOg(s) (PERSON,FIRM, F' f <br /> So;uWeter Chem;wl Anarysis 119AlbersR M .sto CA _._95357 <br /> Other ADDRESS `r y CITY STATE ZIP <br /> ATTACH ADDITIONAL INFORMATION,IF IT IXISTS. IA -- DAM <br /> _ 888822 <br /> WELL DRILLER/AUTHORIZED ESENT IVE DATE SIGNED 68 LICENSE NUMBER <br /> DWR 188 REV.11-97 IF ADDITIONAL SPACE IS NEEDED,USE NEXT CONSECUTIVELY NUMBERED FORM <br />