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e , ORIGINAL STATE OF CALIFORNIA D Y N T FILL I <br /> _ File with DWR WELL COMPLETION REPORT ( _ <br /> w • Page I of I Refer to Instruction Pamphlet r22 1 STAXE�WELL NO/STATION N0. <br /> Q Owner's Well No. MARIPOSA "oE0171593 IJ-1 —�'l_'CI ��I 1� I I� <br /> Date Work Began 2/13/2013 Ended2/20/2013 IATITIi LONGITUD <br /> • Local Permit Agency SAN JnAC]LIIN Cn EHD I I I I I I I I I I I I I <br /> DR0066482 1/31/2013 APNrrRS/OTHER <br /> Permit No. Permit Date <br /> GEOLOGIC LOG wFt nwnl�w <br /> ORIENTATION(V) VERTICAL _HORIZONTAL ANGLE —(SPECIFY) <br /> DRILLING <br /> DEPTHFROM METHOD R_O_TARY FLUID MUD <br /> DESCRIPTION <br /> Ft. to Ft. Describe material, grain, size, color, etc. yFpCAION <br /> _...._ _.. <br /> 0 30 SANDY CLAY Address 12754 E. MARIPVOSA1.1,F %ffIO <br /> 30 50 SAND STREAKS,CLAY City STOCKTON CA 95215 V <br /> 50. 53.SAND CountySAN JOAQUIN <br /> 53 60 CLAY APN Book 1.81 Page 080 Parcel 13 <br /> 60 63 SAND Township Range Section <br /> 63 100:CLAY, SAND STREAKS Latitude I I I <br /> 100: 103:SAND DEG. MIN. SEC. DEG. MIN. SEC. <br /> 103 118 CLAY LOCATION SKETCH ACTIVITY (IK) <br /> NORTH ✓ NEIN WELL <br /> 118; 125;VERY FINE SAND <br /> 125: 145;CLAY,SMALL SAND STREAKS MODIFICATION/REPAIR <br /> 145: 148:SAND —Other(Spec <br /> 148 160:CLAY <br /> --"- — <br /> _160: 165:SAND DESTROY(DesWb <br /> and Me <br /> ��s � Unser"GEOLOGIC <br /> Procedures LOGIC <br /> IC <br /> V.1�1/ <br /> 1651 198 j CLAY, SAND STREAKS PLANNED USES <br /> 198 200;SAND WATER SUPPLY <br /> 200: 207:CLAY rn /�) " �� rn Domestic— Publ <br /> !. I t`•1 Irrigation _ ink <br /> 207' 216;SAND � ��t�J � <br /> -- MONITORING <br /> 216 260!CLAY TEST WELL <br /> THODIC PROTECTION. <br /> l] I1J1 HEAT EXCHANGE. <br /> DIRECT PUSH. <br /> INJECTION. <br /> VAPOR EXTRACTION. <br /> SPARGING <br /> ""--' SOUTH REMEDIATION- <br /> tllustrete nr Describe Distance JWell from Roads, Buildings, <br /> _ Fences,Rivers,etc. and attach a map. Use additional paper if OTHER(SPECIFY)_ <br /> necessary. PLEASE BE ACCURATE & COMPLETE. <br /> i <br /> WATER LEVEL&YIELD OF COMPLETED WELL <br /> DEPTH TO FIRST WATER (Ft.)BELOW SURFACE 1 <br /> DEPTH OF STATC <br /> WATER LEVEL 9D (Ft.)8 DATE MEASURED. 2/20/201 3 <br /> TOTAL DEPTH OF BORING 260 ESTIMATED YIELD ' (GPM)& TEST TYPE <br /> (Feet) TEST LENGTH—(Hrs.) TOTAL DRAWDOWN (Ft.) <br /> TOTAL DEPTH OF COMPLETED WELL220 (Feet) May not be representative o a well's tort -term yield. <br /> DEPTH BORE- CASING(S) DEPTH ANNULAR MATERIAL <br /> FROM SURFACE HOLE TYPE - ) FROM SURFACE TYPE <br /> DIA. bc w = °- MATERIAL/ INTERNAL GAUGE SLOT SIZE CE- BEN, <br /> FL to Ft. M L, <br /> (Inches) Z w O a GRADE DIAMETER OR WALL IF ANY MENT TONIT FILL FILTER PACK <br /> In L, (TYPE/SIZE) <br /> C3LL (Inches) THICKNESS (Inches) FI. to Ft. ✓ � ✓ <br /> 0: 200 10 5/8' _pLASTI..0 SDR21 0 100 <br /> 200, 220 105/8 PI„A TIC 6" $DR21 5_ _11W 220 B 16GRAV6 <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 NAME CALWATER DRILLING CO. INC. <br /> — Geophysical Log(s) (PERSON, , R C PORATION) (TY R PRINTED) <br /> — Soil.Water Chemical Analysts 300S.Kilr R . Turlock CA 95380 <br /> — Other ADDRESS CITY STATE ZIP <br /> ATTACH ADDITIONAL INFORMATION,IF IT D(ISTS. S`s"ed-- 03111/13 _ _ 434218 _ <br /> 11 WELL DRILLER/ HORIZ D REP ES WE DATE SIGNED C-57 LICENSE NUM <br /> DWR 188 REV.11-97 IF ADDITIONAL SPACE IS NEEDED,USE NEXT CONSECUTIVELY NUMBERED FORM <br />