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A <br /> J .4,y DWR USE ONLY — DD NOT FILL IN <br /> TRW11CATE JUN ZQ�O T, STATE OF CALIFORNIA <br /> QwneI"s Copy W j6LL COMPLETION REPORT STATE WELL NO.1 STATION NO. <br /> Refer to Instruction Pamphlet ❑ 1 <br /> Page 1 ort No. lL <br /> Owner's Well No 1 813225 LATITUDE LONGITUDE <br /> Date Work Began 10/05/98 Ended 02/06/99 <br /> I <br /> local Permit Agency OLINly <br /> APN1TRSlOTl-iER ` <br /> Permit N,. 016995 Permit Date 09/25/98 <br /> GEOLOGIC LOG wELL OR'NER <br /> -�L._VERTICAL —HORIZONTAL ANGLE —(SPECIFY) Name MORENO, CASTELLO 8r 0R <br /> ORIENTATION(—} !F <br /> DRILLING Mallin Address 1790 WI CHESTER A <br /> DEPTH FROM METHOD ROTARY - FLUID WATER CAMPBELL CA 95008 <br /> DESCRIPTION CITY STATE ZIP <br /> Ft to Ft. Describe material, grain, size, calor, etc. <br /> 0 1 ;CLAY Address BLEW" &KOU�* LO TIUN <br /> 1 ; 39;GRAVEUROCK City TRACY CA- <br /> 39: 45:CLAY County SAN JOAQUIN <br /> 45 701 GRAVEUCLAY STREAKS APN gook Page Parcel <br /> 70; 77 CLAY Township0 RangeO Section 0 <br /> 77; 115:GRAVEL Latitude 1 <br /> 1 . <br /> 115; 117:CLAY DEG- MIN. SEC. DEG. MIN. SEC. <br /> LOCATION SKETCH ACTIVITY (✓) <br />[[ <br /> 1171 127:GRAVEL NORTH _Y� NEW WELL <br /> 127� 133:CLAY MODIFICATION/REPAIR <br /> 133� 136;GRAVEL —Deepen <br /> t. —Omer(Specify) <br /> I, 136; 138:CLAY <br /> 138; 141 GRAVEL — DESTROY{oescrbbee - <br /> 141 ; 142;SOLI© ROCK Procedures and Materials <br /> t Under"GEOLOGIC LOG'S <br /> f 142 144:CLAY PLANNED USES( ) <br />( 144; 168 GRAVEL WATER SUPPLY <br /> F - H Domestic— Public <br /> 168; 170;CLAY w Irrigation — Industrial <br /> 170; 177;GRAVEL <br /> MONITORING— <br /> IF <br /> I .177'� 180;CLAY � T'EST WELL <br /> 180! 190 GRAVEL ATHODIC PROTECTION— <br /> 190 197 CLAY HEAT EXCRANGE <br /> DIRECT PUSH <br /> 197:.- 207:GRAVELwJECTION 207: 210:CLAY VAPOR EXTRACTION— <br /> 210 222GRAVEL SPARGING- <br /> 222 229 CLAY SOUTH REMEDIATION <br /> Ilh�strate or Describe Distmfoe ofWdl from Roads,Buildings, OTHER SPEC{ <br /> 229; 235:GRAVEL Fenoes,Rivers,etc.end attach a=P.Use additional Paper if ( — <br /> setessary.PLEASE BE ACCURATE & COMPLET& <br /> 235; 240;CLAY <br /> r 240; 244',GRAVEL WATER LEVEL&YIELD OF COMPLETED WELL <br /> 244; 245;CLAY DEPTH TO FIRST WATER (Ft)BELOW SURFACE <br /> 245: 247;GRAVEL DEPTH OF STA%q 02!06199 <br /> 247 25O;CLAY WATER LEVEL (Ft)&DATE MEASURED <br /> ESTIMATED YIELD ' 0 (GPM)&TEST TYPE <br /> TOTAL DEPTH OF BORING 520 (Fed) TEST LENGTH (Hie.) TOTAL DRAWDOWN 0 (Ft) <br /> TOTAL DEPTH OF COMPLETED WELL 460 (Feet) M not be ry resentative ofa well's Ian -term Yidd <br /> DEPTHAR <br /> CASING(S) DEPTH ANNULAR MATERIAL <br /> FROM SURFACE FROM SURFACE TYPE <br /> INTERNAL GAUGE SLOT SIZE "WFt <br /> CE BEN- <br /> MATERIAL I FILTER PACK GRADE DIAMETER OR WALL EF ANYMENT TON FILLFt to Ft Inches THICKNESSS (Inches) (rYPFISIZE)0; 340 ✓340; 460E 1275 5 . 6X12 <br /> ATTACHMENTS { } CERTIFICATION STATEMENT <br /> Geologic Log 1,the undersigned,certify that this report is complete and accurate to the best of my knowledge and belief. <br /> Well Construction Diagram fvAmE CALWATER DRILLING CO. INC. <br /> Geophysical Log(s) (PERSO ,FIRM,OR CORPO ATION) (TYPED OR PRINTED) <br /> 5oiW4fater Chemical Analysis 300 S. 4r Rd. Turlock CA 953BO <br /> ADDR STATE ZIP <br /> — Other 0&1 )0 434218 <br /> ATTACH ADDITIONAL INFORMATION,1F iT EXISTS_ Signed <br /> LLD A ORIZED RE NTATNE DATE SIGNED CS7 LICENSE NUMBER <br /> 3; DWR IM RSV.11-s7 IF ADDITIONAL SPACE ISN DED,USE NEXT CONSECUTTVELY NUMBERED FORM <br /> a <br /> I <br />