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'mefreePjote Rlaadermay be used to vier and Wmplak xm. However,software must be pumbatod t000rrplete,Be&reuse a saved faT.% <br /> File Original with DWR State of California DWR Uie. Qu tot Fitl In <br /> Well Completion Report <br /> Fags 1 a# 7 ROW n:MarnActM 1� $tete Well Number'Si a Numaar <br /> Owner'sWelLNUMber Unknown No. e4Q98750 NI I. I I I I yy <br /> Dale Work Begen 06/1612WO nate Work Ended Q6( MgD9 Latitude Longitude <br /> Local permit Agency &Q Joao Gounty Eavimnmertal bieahh Department <br /> Permit Number 054609 Permit Date 8199105 <br /> APNFrRR tther <br /> Lie4 �!� �e1L�wrnei <br /> mientakon OVertical 0HcnzwW OAngie Specify hirme Unkrimm, pmPef}y owner is Pacific Gas and Electric Co, <br /> Drilling McAhod Wall ADandcnmern Dr9kig F44 Fresh waiter Mailing Address $401 Crow Canyon Road <br /> m'fmm Su fam Des <br /> Feet pest etc city San Ramon a A l X4583 <br /> 0 65 VVell of unknown identification was abandoned b lAFblf o'tia#�ori <br /> bockfilling with neat cement. Address 712 5, Sacramento St <br /> City troth County San Joaquin <br /> Latlt 4a , T 29 N lvngaude':t 21 <br /> DW. MN. Soca "Dan. Mil Sec. <br /> Datum Decimal Lad, Decimal Long. ^ <br /> APN Book,Q45 Page 32 parcel .46 <br /> Townshi Ra . &6Qn <br /> k otatt6d � lav' <br /> ksKgxnMWcrdwwr hv+ aWONfwm 24,4 Now Well <br /> Norbt ModiticalionlRepBir <br /> Q Deepen <br /> . Q Other <br /> Q Destroy <br /> Cvwbv prop duw and imEeMG <br /> uma^3ECLL"LOG <br /> 0 Water 5U <br /> F?l8r�niI11t3~tlsi� <br /> See attached Site Plan; ❑Domastic OPubiic <br /> well ebandoned was Qlrrigation ❑Industrii8l <br /> easternmost well 4 Cathfcdlc Protection <br /> identified on the Site Pian, O DawateriN <br /> O beat Exchange <br /> Q lrtactinn <br /> .. . . O Ntonirorin9 <br /> O Remediation <br /> Q Sparging <br /> 4 Teat Well <br /> .. INnemaW Ci OwnlC4 A�lafw Oval cpm rca*,wllrt,7e,�encez C)Vapor Ex+trachon <br /> MtifSQIC.iN etal7,e�ep_LIsr�lLffol pepRir�,eoeau:�. UOther <br /> Plr m 2C4UFM Wad cpm WYa <br /> Depth to first water (Feet below su rface) <br /> Depth to Static <br /> VMter LeWl _(Fe0t) Dale Measured <br /> Total Depth of 9orfng Feet Estimated Yield' (GPM) Test Type <br /> Molal Depth of Compie;ed Wall Fest Tes!Langth (Hours)Total Dtel'wdown {Feet} <br /> 'Ma not be re resentatNe of a wall's IDnq temp ylaid. <br /> Depth f rn 'Rarehate ... � Wall outsim uaan Wat3ixe Depth bvm <br /> Surface D"gm�r,. ' blatarial ThWA-RM Diameter ryes If Any Surface Fill Dascrtptlon <br /> Feat u Fant fIrIC11MY Z fillwhesiInches JndiesFeet to Feet <br /> 7OWell <br /> 1,the undersigned, csrtlfv(hat this report is oomptate and aocarate to the best of my knowledge and!relief <br /> nstruction Diagram !Name ililioduvarrf Drllilna.Cnmtranv <br /> 'PerSor�,Fimt IX�roo�allcn RI6StB 94571 <br /> sical Logs) P C] Rnx,17 Cter Ghemic9l Adlatyses AAJrm cu 9lxts zip <br /> m Other Site Plan Signsd746079 QkXtAlyva <br /> r �r LrCn%Qd } I faebo( DateDete S Signed C-57 Llcanse{Number <br /> DWR:8a RFV.150M IF ADD rrI0W&SPACE%14EEOED,USE NEXT DONSECUrPYELY NUMBER)FORlA <br />