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ORIGINAL S1 ITE OF ( kL1FO11\1-% OWR USE ONLY - DO NOT FILL IN <br /> File with DWR WELL COMPLETION REPORT F t I I I <br /> Q,ge 1 ot-1I���r r tU 1)1%r1 roft"1i Palttl+lll't STATE WELL NO/STATVON NO <br /> Chcnet s NVLll 'Vo VFW 1 No 5 ,1 T1 3 3 I I DEN ❑ <br /> D lte ll 011. GL1r� �/ `� V %d LATITUDE LONGITUDE <br /> to T Etuii cl .4 y <br /> Iof II Pf'I,It,1 AaHnK S n Joaquin Cou t Public Health 1 I APNlTRStOT_I l <br /> Prinut \n 6026237 �Petu-tit Date 5-1 -01 <br /> 1 <br /> GEOLOGIC LOG WELL 0N4 VER <br /> ORIENTATION (2�L) -Z-VERTICAL _HORIZONTAL ANGLE ,(SPECIFY) Vame_...ExxonMobil Oil Corporation <br /> DRILLING <br /> DEPTH FROM METHOD FLUID `Nlulln -Wdiess.2300 Clayton Rd. ste. 1250 <br /> SURFACE: DESCRIPTION' Concord CA 94520 <br /> Ft to FI eSLIIbL mai lql �rtfi 11 >1 vL '010,? LGL OITY STATE ZIP <br /> lv L Loca Ion <br /> 1dc�tess_ 1 605 S_ Eorad�o Street <br /> Stockton -- - <br /> Cottnt� <br /> L - AP1t Book L-_1 Pane_ l Patcel <br /> - A Q,j21212Townslup Range Section <br /> I ! <br /> Latitude I I NORTH LQtlgitlt(.If-' I IWEST <br /> i DEG MIN SEC DEG MIN SEC <br /> LOCATION SKETCH ACTIVITY (Z�) <br /> NORTH <br /> _ NEW WELL <br /> See attached site plan. MOD IFICATIONlREPAIR <br /> — Deepen <br /> Other(Specify) <br /> DESTROY(Descrrba <br /> Procedures and Mafenafs <br /> Under GEOLOGIC LOG ) <br /> PLANNED USES f ) <br /> t i WATER SUPPLY <br /> Domestic Pji <br /> Irrlgaucn Industrial <br /> W w MONITORING <br /> TEST WELL <br /> ! I CATHODIC PROTECTION <br /> I ! <br /> HEAT EXCHANGE <br /> DIRECT PUSH <br /> f ! <br /> iNJECTION <br /> e <br /> VAPOR EXTRACTION <br /> SPARGING <br /> i SOUTH REMEDIATION <br /> Illlnturtc of Desu I& Dlstr?WL(if Wdl(tun Roads Bmldaias <br /> r mcr Ricca etc and attach a map U3L additionalk"pr+ +f OTHER(SPECIFY) <br /> ilercnmy PLEISE BE -ICCURA7E '4-COAIPLET <br /> ! I <br /> WATER LEVEL & IIELD OF CONIPLETED WELL <br /> ! I <br /> 1 DEPTH TO FIRST WATER (Ft) BELOW SURFACE <br /> I ! <br /> DEPTH OF STATIC <br /> WATER LEVEL (Ft)&DATE MEASURED <br /> i <br /> i ESTIMATED YIELD (GPM) & TEST TYPE <br /> ]()Fit[, DEP1(I ()r 130111\cky• (Frei) TEST LENGTH (Hre) TOTAL DRAWDOWN (Ft) <br /> I0171L DCPTII OF (0NIPLETED �lCLL I (rVLt) 'zlfay not be Iepi esentatre of a lana-relwz velrl <br /> DEPTH BORE C 15tNG (S) DEPTH 1NNULAR 1IATERI kL <br /> FROM SURFACE <br /> HOLE TYPE (—) FROM SURFACE TYPE <br /> DIA = ¢ MATERIALINTERNAL GAUGE SLOT SIZE CE BEN <br /> FI to FI (Inches) zO a GRADE DIAMETER OR WALL IF ANY MENT�TONITE FILL FILTER PACK <br /> nq m L) vo (Inches) THICKNESS (Inches) Ft to Ft (TYPFJSIZE) <br /> b � x <br /> /� <br /> L / 10,—S <br /> 1 <br /> 1 I <br /> I I <br /> )r-�--- ',FT 1cIINIENCs C ERTIFICMON ST1TENICNT <br /> Geologic Lag I the undersigned certify that this reports complete and accurate to the best of my knowledge and belief <br /> Wel!Construction Diagram NAME <br /> G <br /> (PERSON FIRM UR CORPlgQION) (TYPED OR PRINTED) <br /> � <br /> SodM/at1! <br /> I il/Wat r Lo9ls) �J fl CJS <br /> 1 —/Y eChem atyses <br /> T Other IVIA—) Ai CITY STATE ZIP <br /> 7TTiCH ADDITIONAL INFORMATION IF IT EXISTS Srgned <br /> +AUTHORIZED REPRESEN IA IVt PAT �IGNE7 L a7 LECENSE NI1h,REA <br /> li,s 3 I 1 7 !F ADDITIONAL SPACE S NEEDED USE NEXT CONSECUTIVEL( NUMBERED FORM <br />