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ORIGINAL STATE OF,CALIFORNIA DWR USE ONLY — D NOT FILL IN <br /> File with DWR WELL COMPLETION REPORT <br /> Page_of Refer In Instruction Palliphlet STATE WELL NO./STATION NO. <br /> Owner's Well No. p No. 716701 � _ <br /> Date\York Began 8-28-00 , Ended 9-9-00 LATITUDE LONGITUDE <br /> Local Permit Agency San Joaquin County 'sol 9 <br /> Permit No. 23APNtTRS/OTHER720 Permit Date � •. <br /> GEOLOGIC LOG .WELL OWNER <br /> ORIENTATION (z�)- —VERTICAL —HORIZONTAL .—ANGLE _(SPECIFY) 1 <br /> DRILLING <br /> DEPTH FROM METHOD FLUID <br /> SURFACE DESCRIPTION <br /> FL to FL Describe Mfltet•ial,grain .size., color, <br /> WELL LOCATION <br /> 0 3 T " ,Add.-6. Same <br /> t San <br /> 'Gpllntyr' <br /> U 52 Clay :'' ' �" �`t� ' 1APN Book Page Parcel <br /> 52 54 SandJ Tow»sliiP; Range Section <br /> 54 1 70 Clay %LatiEude ' I NORTH Longitude I I WEST <br /> '70 1 7'] i C n `,i �. ..� •�� •�-'; DEG. MIN. SEC. DEG. MIN. SEC.' <br /> J '`, :L• "• ` ' '�. ; LOCATION SKETCH ACTIYITl' (�) <br /> f ,ti NORTH <br /> NEW WELL <br /> 88 Sand' <br /> MODIFICATION/REPAIR <br /> 88 I tC I ay."-,, <br /> �,�•.. ``� i I~"•`'"� — Deepen <br /> 242 <br /> B iae c 1 a _ — Other(specify) <br /> I -,_;`B• ue sand <br /> DESTROY(Describe <br /> I . I B.1 ue' c.l a L'�` ` Procedures and Materiels <br /> ' Under"GEOLOGIC LOG") <br /> I257 Blue sand'\`&,-i:1a y streaks PLANNED USES (2:L) <br /> I ,.,"C• a ER SUPPLY <br /> Shale w• sand streaksDomestic _ Public <br /> Shale ¢ — Williston _ Inoustriat <br /> 365 427 W MONITORING427 434 _ <br /> Sand TEST WELL <br /> t I ay CATHODIC PROTECTION <br /> I t <br /> HEAT EXCHANGE <br /> DIRECT PUSH <br /> r t t <br /> INJECTION <br /> I I VAPOR EXTRACTION <br /> SPARGING <br /> SOUTH REMEDIATION_ <br /> Illustrate or Descrlbe Distance of Wall from Rands,Buddli gx, <br /> Fences,Ricers,etc.and attach a mn 1.Use additional leper iJ OTHER(SPECIFY)_ <br /> necessary.PLF"ASE RE ACCURA7IE G COMPLETE. <br /> • t t <br /> NATER LEVEL & YIELD OF COMPLETED WELL <br /> DEPTH TO FIRST WATER 160 (Ft.)BELOW SURFACE <br /> DEPTH OF STATIC <br /> WATER LEVEL (Ft.)&DATE MEASURED <br /> I i <br /> ESTIMATED YIELD' (GPM) &TEST TYPE <br /> TOTAL. DEPTH OF BORINC 455 (Feet) TEST LENGTH (Hrs.)TOTAL DRAWDOWN (Ft.) <br /> TOTAL DEPTH OF COMPLETED WELL 440 (Peet) •May not be represeutative ofif well's long-tow yield. <br /> DEPTH CASING (S) DEPTH ANNULAR,MATERIAL <br /> FROM SURFACE BORE- <br /> HOLE TYPE( FROM SURFACE TYPE <br /> DIA. x zW x a MATERIAL/ INTERNAL GAUGE SLOT SIZE CE• BF1J- <br /> (Inches) ¢ pt- a GRADE DIAMETER OR WALL IF ANY MENT TONITE FILL FILTER PACK <br /> Ft. to Ff. c>� (Inches) THICKNESS (Inches) Fl. to Ft. (TYPE/SIZE) <br /> 0 100 1211 u160 0 1 200 <br /> 100 300 12-- X PVC 6" 200 200 440 -Sand./iciravel <br /> 300 i420 12" X PVC 6" 16 <br /> 0 1440 12 PVCII <br /> I <br /> ATTACHMENTS CERTIFICATION STATEMENT <br /> _ Geologic Log I,the undersigned,certify that this report is complete and accurate to the best of my knowledge and belief. <br /> — Well Construction Diagram NAME Hennings Bros. Ori l ling Co.a Inc. <br /> Geophysical Log(s) (PERSON. FIRM. OR CORPORATION) (TYPED OR PRINTED) <br /> Soil/Water Chemical Analyses 3525 Pelandale- Ave, modp-qfn CA 9-S-156 <br /> Other ADD SS . CITY STATE ZIP <br /> ATTACH ADDITIONAL INFORMATION, IF IT EXISTS. Signedadl -9--11-ho <br /> WE ER/UTHORIZEO REPRESENT E DATESIGNED C-57 IC E MBER <br /> DWR 188 REV..II-41, IF ADDITIONAL SPACE ISN USE NEX NSECUTIVELY BERED FORM <br />