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1 � <br /> N _ n r 1 IN <br /> GINAL STATE OF CALIFORNIA <br /> to with DWR WELL COMPLETION REPORT I I I I <br /> STATE WEiL nO1sTATlwr In <br /> Page_l,_Of�_ Refer so Idstneettan Pamphln ❑ ❑ <br /> "°' 533653 <br /> owner's Well No U 7 — LATITUDE t.otITI1TUOE <br /> Date Work Began 111131011 Ended 1111=0 <br /> Local Permit Agency San Joaquin Coun Public Health Services APNiTRsroTT+ER <br /> Permit No 00529. Permit Date 1116100 <br /> GEOLOGIC LOG WELL OWNERNam <br /> i <br /> ORIENTATION 1•r t7✓ _►tpR¢ONTAL ��ANfILE (SPECIM Mdlll7l Address 6788 ruk r-M...nl.;w p..,iri+nn Swig 15 <br /> METHOE] <br /> Hallow-stem au er FLUID�— g <br /> DEPTH cHOM DESCRIPTION STATE TIP <br /> SURFACE CITY <br /> ,: io Fi Desenbe Inatenal grain size color etc WELL LOCATION <br /> — <br /> Ft. <br /> 1 5 , A50ha t Address <br /> 1 5 2 5 Sd Ienlh sand very dk brown City <br /> 2 5 4 Cla very dlt grayish brown County <br /> _San Artagula <br /> 4 B Sandv Sit brown APN Book Page Partici <br /> 11 , Silty Sand olive brown Township Range Section wets <br /> t3 g „ LAw tulle 1 <br /> 11 13 + Silt.otRle ra Latstude BT Mu, SEC. <br /> 13 18 - Silty Sand elkWnsh bro7M7DE0. ATION KETCH MIK SEQ ACTIVITY (=Y <br /> 18 21 5 Sandv Silt Ilaht olive broNORTH ✓ NEW WELL <br /> MODIFICATIONJAEFAIN <br /> e <br /> Deep" <br /> Ours 169KW1 <br /> Pnoopa iw rDWhg" <br /> 1 PrpygllM d++s AIrIwWA <br /> UnaR-GEOLOGIO LOG-1 <br /> PLANNED USESI�f <br /> i 1 WATER SUPFLY <br /> + Do111FMs - F,OI+C <br /> A, +U-7 UWNS n <br /> MONnanlNG <br /> + 3 I TM WUL.�.� <br /> 1 <br /> 10344 CATNOa1C ff n Tm— <br /> + �Erf, • { NEAT ZXCHM eE— <br /> 1 Doom virile <br /> ��' p41t�TfON— <br /> l <br /> C.) VAPORerrr+AesTou—.— <br /> _ SPARGOM— <br /> so�yl REMEDIATION <br /> !I(„itrwe or Describe Dion of Wel(Tian Naade BnrlArnEr oTNaR isPECIFYI, <br /> Fcnees (roan erc deal dtteleh a nwV (Use Adda,o.rd paper e( <br /> neosomy PRASE BE AGCUr'ArE 6 CPMPrETE <br /> + WATER LEVEL & YIELD OF COMPLETED WELL <br /> ' DEPTH TO FIRST WATER 10.54 (FI)BELOW SURFACE <br /> ' DEPTH OF STATIC <br /> e , WATER LEVEL�1 -06 [F!a DATE MEASURED <br /> ESTOMTED YIELD' _..- (GPIM)i TEST TYPE- - <br /> TE.ST LENGTH (H�.1 TOTAL DRAA' --'�tFL! <br /> TOTAL DEl'fH OF BDRIaIG �Fext1 a WC t Jon -term YrehL <br /> TOTAL DEPTH OF COMPLETED WELL 20 IFeet) May t'Dt k �f°QDe°� <br /> ANNULAR hIATERIAL <br /> CASING IS) DEPTH <br /> DEPTH FROM SURFACE TYPE <br /> CE EIETh <br /> FROM SURFACE D1L - TYNE �) MATERIAL I INTERNAL GAUGE 5 10� HENT ONITT FILTER PA <br /> CIC <br /> FILL <br /> tM1 GRAS OjAmETER OR Iy ) TH1C%NESS Il++ai�I FL to Fi ��� <br /> A to FI <br /> PVC 2 Sch 40 0 3 ✓ <br /> 0 58 ✓ 4 <br /> 5 20 8 ✓ PVC 2 SCH 40 0 020 3 4 20 <br /> AG Sand <br /> 1 <br /> 20 215 <br /> 1' + <br /> ATTACHMENTS 1=Y CERTIFICATION STATEMENT a and pellet <br /> 1 the underimped car*that this repos is cOmPlete end accurate to the ties'of mV knowwled9 <br /> ' Glc� �� Cascada Drillin Inc <br /> woo Cvmwumn DIi4►+m IPERSCR Eutlt oR cppeolutiORl ITYPED Oil PpIMTEd1 <br /> GeoptWiiko LoVe) Rancho Cordova CA 95742 <br /> SONWatw ChMAW Ani 3632 Om da 1 1Nff stATt II <br /> Diller P00p[Q 118101 717510 <br /> ATTAdf Aooff PAL#wVRw7x)m IF rr EXISTS 6ATf SK:NEO C 57 L1Cf.N5E NLLit6[M <br /> WELL pRpiEWAUIIIORirEO ATNF <br /> IF ADDITIONAL$PACE 15 NEEDED, USE NEXT CONSECUTIVELY NUMBERED FORM <br />