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ORIGINAL STATE OF CALIFORNIA <br /> File with SWR WELL COMPLETION REPORT <br /> Page L of 1 Refer fa lnarrnetion Pamphlet STATE WELL NO./STATION NO. <br /> �waer's Well No. MW-1 No. 422698 <br /> LATITUDE LONOMDE <br /> Date Work Began 9Z29/93 , Ended 9/2 9/9 3 <br /> Local Permit Agency San Joaquin County Health Services I_-). I r fn I I j I I 'I <br /> Permit No. Permit Date 8/31/93 <br /> GEOLOGIC LOG WELL OWNER <br /> • ORIENTATION (!) X.__.VERTICAL _HORIZONTAL _ANGLE _(SPECIFY) Name McKesson Corporation <br /> DEPTH TO FIRST WATER (Ft) BELOW SURFACE Mailing Address one Post 'Street, 28th Floor <br /> DEPTH FROM i <br /> SLIPPAGE DESCRIPTION San Francisco," CA 94104-5296 <br /> a � _ _. <br /> Ft. to Ft. Detcribe material, ain size,color,etc, -CITY - W• T <br /> ELL LOCATION STATE IJP <br /> Acldress `4110 Industrial Way _ <br /> a. ementCity .Tri acey,, CA <br /> 114 2 : Silty sand w ravel County San Joaquin ot <br /> and <br /> APN Boake Page 2 Pa L0 <br /> QE <br /> -11 21 , sandy clay 'Township Range Section <br /> or <br /> Latitude NORTH Longitude WIEST <br /> PEG. -MIN. SEC. DEG, MIN. SEC. <br /> LOCATION SKETCH ACTIVITY (!)— <br /> ' ' NORTH <br /> X_NEW WELL <br /> y <br /> MODIFICATION tREPAIR <br /> ; Deepen <br /> +y1W- <br /> Other(Specify) <br /> 10 <br /> It <br /> DESTROY(Describe <br /> Proceduese3 ',y n <br /> Under C EOLOGLG <br /> I C O <br /> >" f� PLANNED USE(S) <br /> W <br /> }s tu MONITORING <br /> WATER SUPPLY <br /> — Domestic <br /> 5 <br /> e Public <br /> Irrigation <br /> e 2 <br /> Industrial <br /> "TEST WELL" <br /> ' - _ CATHODIC PAOTEC- <br /> "• SOUTH TION <br /> Illustrate or Describe Distance of Well from Landmarks — OTHER(Specify) <br /> such as Roads,Suddings,Fences,Rivers,etc. <br /> PLEASE BE ACCURATE Cr COMPLETE. <br /> DRILLING: hollow-stem auger N/A <br /> METHOD FLUID <br /> WATER LEVEL do YIELD OF COMPLETED WELL <br /> DEPTH OF STATI <br /> WATER LEVEL X - 8 (Ft.) & DATE MEASURED 10/14/93 <br /> ' ESTIMATED YIELD•N/A (GPM) $ TEST TYPE <br /> � N/A <br /> TOTAL DEPTH OF BORING 21 - 0 (Feet) TEST LENGTH N/kHrs.) TOTAL DRAWDOWN N/A —(Ft.) <br /> TOTAL DEPTH OF COMPLETED WELL 2 t1 - e+ (Feet) *May not be representative of a well's long-term yield <br /> DEPTH CASING(S) DEPTH ANNULAR (MATERIAL <br /> FROM SURFACE BOR <br /> RLE TYPE ! FROM SURFACE TYPE <br /> DIA. ,C 2 y MATERIAL/ INTERNAL GAUG=E SLOT SIZE- <br /> FS. to Ft. (Inches) K U �� GRADE DIAMETER OR WALL IF ANY CE- BEN- FILTER PACK <br /> � � (Inches) THICKNESS MENT TONITE FILL(Inches) Ft. to Ft. (� ) (_!!L) (✓ ) (TYPEISiZE) <br /> 0 10X PVC 2 Sch 40 0 6 X X <br /> I X1 PVC <br /> 2 Sch 40 0 . 02 6 8 X <br /> 113ottom_ Gap 8 21 Monterey <br /> #3 sand <br /> , <br /> ATTACHMENTS (✓) CERTIFICATION STATEMENT <br /> •� <br /> Geologic Log f,the undersigned,certify that this report is complete and accurate to the best of my knowledge and belief. <br /> X_ Well Construction Diagram NAaIE TREADWELL & ROLLO, INC. on behalf of Gregg Drillir <br /> ` <br /> Geophysical Log(s) (PERSON, F111M. OR CORPORATION) {TYPED DR PRINTED) <br /> SoRlWater CherniealAnalyses 353 Sacramento Street San Francisco, CA 93111 <br /> — Other <br /> ADDRESS CRY STATE ZIP { <br /> � <br /> 7 A oG CC � <br /> ATTACH ADDITIONAL 1NFORAfATTON. 7F IT EXISTS. SrQndd 4 8`t 1 6`� <br /> Lf AUT RR15D AEPRESENTATIyE DATE SIGNED C-5T UCENSE NUMBER i <br /> DWRIPA REV.7-gr IF ADDITIONAL SPACE IS NEEDED, USE NEXT CONSECUTIVELY NUMBERED FORM r 3� <br />