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ORIGINAL .File With DWR STATE OF CALIFORNIA W N Y Page o 1 WELL COMPLETION REPORT Refer to lrnstruction Pampblet STATE WELL NO./STATION NO. Owner's Well No. M I-�2 No. ❑ Date Work Began 8 16 9 6 , Ended 8/16/9 6 5 0 0 5 3 4 LATS C t' - LONGITUDE Local Permit Agency Sari Joaquin Count Environmental Healt Permit No. 6 Permit Date 6./1.4 "9 6 A ITR r GEOLOGIC LOG WELL OWNER ORIENTATION {!) .-_X VERTICAL. —HORIZONTALANGLp �_{SPECIFY) Name Frontier - Transportation, Inc . DEPTH TO FIRST WATER!0• 5fFL) BELOW SURFACE " 'Mailing- Address357 P 1 i e p 1a Ave . DEPTH FROM SURFACE DESCRIPTION Chino CA Ft. to Ft. Describe material,grain size,color,etc. CITY STATE ZIP 0 : 0. 5 ,As haltic concrete avement La'rc wRolal�ocAT1oN 0. 5 - 10 ' CLAY sandy: ver dark -grayCjtr_."Tracy — :_slightly lastic , 30% verCounty San Joaquin Eine to fine sand slight.lAPN Book 212 Page200 Parcel 08 III O i s t . Township 2 S Range 5E Section 16 10 ' 13 SAND Clayey e gra Vel^ Eine Latitude_ t NORTH Longitude wesT - r"l DEG. MIM. SEC. DEC. MIN. SEC, raded nub-aTi ular 30'/x :::, LOCATION SKETCH ACTIVITY (.!L)— NORTH X NEW WELL ' sli htl ._: 1a'stic fines `• ver "[.y� /'� �,p�.p 161=17 CATIONIREPA1R 13 18 4 ,Moi..5't , t.O`'tTl..,i.::t;,,� ' •'' A CLAY sand-i", ra-. ish�=brown _._. lasti6 30%"_ ver fine to other(Specify) - `-fine'. sand 'Wet sand content —DESTROY{Deacrrbs increases with depth . Procedures and Materiah ' 20 ' SA Cla- e ra ish browxl Under"GEOLOGIC LOG' I— PLANNED USE(S) ' ver fine to fine rained y., MONITORING l : poorly oorl graded subangular, �W WATER SUPPLY 207, slijhtly plastic fines , DomesticODomestic verywet . ,. Public grayish bro;'m Irrigation 25-35% very fine to Industrial : fine sand ver wet . �P� ply" "TEST WELL" 23 ' 25 . 5 ' SAND clayey; grayish bro,,m- — cATHoolc PROTEC- : VerV 'fine to Line grainedSOUTH TION Illustrate or Describe Distance of Well from Landmarks —OTHER(Specify) ' Doorl-i graded, 20% fines such as Roads-Buildings,Fences,Rivers,etc. PLEASE BE ACCURATE & COMPLETE, very wet . 25 . 5 ; 26 . 5 ; CLAY, sandy; gray-brown, METHOo N/A FLUID Plastic , 30-40% very Eine San WATER LEVEL & YIELD OF COMPLETED WELL ; Very wet . DEPTH OF STATIC 1 0. 2 j' WATER LEVEL (Ft.) & DATE; MEASURED $/30/9 6 ESTIMATED YIELD' (GPM) S TEST TYPE TOTAL DEPTH OF BORING 26 • 5 (Feet) TEST LENGTH (Hrs.) TOTAL DRAWDOWN (Ft.) TOTAL DEPTH OF COMPLETED WELL—16 (Feet) *May not be representative of a well's long-term yield. DEPTH CASING(S) DEPTH ANNULAR MATERIAL FROM SURFACE BORE- FROM SPE FROM SURFACE TYPE ( HOLE INTERNAL GAUGE SLOT SIZE DIA. t z o d MATERIAL? CE- BEN (laches) GRADE DIAMETER OR WALL IF ANY TON)TE FILL MENT FILTER PACK a _ a Ft, t4 ft. � oma= � Dnches) THICKNESS (Inches) Ft. to Ft. // (TYPEISIZE) 0 6 .0 1 8 PVC 2 Sch .40 0:'2 . 5 x 6 .0; 26 .01 8 x PVC 2 Sch.40 0 .01 2 . 5 � 4 .0 x 4 .0; 26 . 5 Ix 42/12 Sanc ATTACHMENTS (✓) CERTIFICATION STATEMENT t Geologic Log I,the undersigned,certify that this report is complete and accurate to the best of my knowledge and belief. — L _ / Well Construction Diagram NAME The Twining Laboratories :Inc --• - �. (PERSON. FIRM. OR CORPORATION) (TYPED OR PRINTED) —... Geophysical Log(s) - Soil/Water Chemical Analyses 2527 Fresno Street Fresno CA: 93721 ADDRESS CITY STATE ZIP OthwFf l ATTACH ADDITIONAL INFORMATION. IF IT EX15TS. SignIGNE ed k j NE 506159 WELL RILLFA ALIT RIZED RE HTATIVE DATE SQ C-51 LICENSE NUMBER OWR)RR REV.s-aD IF ADDITIONAL SPACE IS NEEDED, USE NEXT CONSECUTIVELY NUMBERED FORM