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'The free Adobe Reader may be used to view and comp) form. However,software must be purchased to complete, nd reuse a saved form. <br /> File Original With DWR State of California DWR Use Only-Do Not Fill In <br /> Page of Well Completion Report <br /> Refer to InsWCGon Pamphlet State Well Number/Site Number <br /> Owners Well Number EX-2 Ner e0246330 ��-�il-�—��r�II <br /> Date Work Began 11/19/2014 Date Work Ended 11/19/2014 Latitude <br /> Local Permit Agency San JOaauin County Environmental Health <br /> Permit Number SR70836 Permit Date 10/22/14 APNrrRS/Other <br /> Geologic LogWell Owner <br /> Orientation O Vertical O Horizontal OAngle Specify Name R.F.Land, Inc. <br /> Drilling Method Auger Drilling Fluid <br /> Depth from Surface Mailing Address 938 Frontage Road <br /> P Description. _ <br /> Feet to Feet Describe material,grain size,color,etc City Ripon StateCA _Zi <br /> 0 20 Sil clay mix,fine Drains Well Location <br /> 20 40 Silty Sand Address 938 Frontage Road <br /> 40 55 Fine sands, mix silts,semi-course City Ripon County San Joaquin <br /> Latitude N Longitude <br /> De _ <br /> a. Min. Sec. Deo. Min. Sec. <br /> Datum Dec.Lat. Dec.Long. <br /> APN Book Page Parcel <br /> Township -Range Section <br /> Location Sketch Activit <br /> Sketch must be drawn by hand after form isprinted.) 9 New Well <br /> North O Modification/Repair <br /> O Deepen <br /> O Other <br /> - <br /> 0 Destroy <br /> omaeba prwmwm and mmednis <br /> mwar'csal.ocic Lac <br /> Planned Uses' <br /> O Water Supply <br /> « ❑Domestic C3 Public <br /> da w ❑Irrigation ❑Industrial <br /> O Cathodic Protection <br /> O Dewatering <br /> O Heat Exchange <br /> O Injection <br /> O Monitoring <br /> O Remediation <br /> O Sparging <br /> South O Test Well <br /> nwsaleardaeedbodhlanmofweobammada,bnpaires,fwcea O Vapor Extraction <br /> mom's,em and aamh a map.Live additional paper if nmmaa, O Other <br /> Pleura bo accumb entl tour INa. <br /> Water Level and Yield of Completed Well <br /> Depth to first water (Feet below surface) <br /> Depth to Static <br /> Water Level (Feet) Date Measured <br /> Total Depth of Boring 55 Feet Estimated Yield a (GPM) Test Type <br /> Total Depth of Completed Well 55 Feet Test Length (Hours) Total Drawdown_(Feet) <br /> *May not be representative of a well's long term yield. <br /> Casings Annular Material <br /> Depth from Borehole Type Material Wall Outside Screen Slot Size Depth from <br /> Surface Diameter Thickness Diameter Type if Any Surface Fill Description <br /> Feet to FeetInches Inches Inches Inches Feet WFeet <br /> 0 40 12 Blank PVC SCh 40 6 0 36 Cement Portland <br /> 40 55 12 screen IPVCI Seh 40 16 1 Slot 10.010 36 38 Bentonite <br /> Chips <br /> 38 55 Sand #8 <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 Cascade Drilling L.P. <br /> El Geophysical Log(s) Person,Firm or Corporation <br /> 3000 Duluth Stre West Sacramento CA 95691 <br /> ❑ Soil/Water Chemical Analyses ' I Add ��� atr Stale -Zip <br /> ❑+ Other Site Map Signed ✓ 12/12/2014 938110 <br /> Attach additional information if it adds. 1 CS]Lice Water Well Con actor Date Signed C-57 License Number <br /> DWR 188 REV.12006 IF ADDITIONAL SPACE IS NEEDED,USE NEXT CONSECUTIVELY NUMBERED FORM <br />