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10 <br /> OR191HAL STATE OF CALIFORNIA — l <br /> File with DWR WELL COMPLETION REPORT <br /> Page of Refer to Initractioe Papmpbler STATE WELL NO.tSTAr)ON NO. <br /> Owner's Well No. No. 4 8 8 2 8 3 <br /> Date Work Began ,1 A N _ 7 1 , 4 9 9 , Ended LATrrUDE LONGITUDE <br /> {f. <br /> Local Permit Agency <br /> APNiTRSiOTHFR <br /> Permit No. _91 —2644 Permit Date <br /> GEOLOGIC LOG WELL OWNER j <br /> ORIENTATION (!} x VERTICAL _ HORIZONTAL — ANGLE — (SPECIFY) Name F r a n k l i n Cole <br /> I <br /> DEPTH TO Fkk WATER 5.4—(FL) BELOW SURFACE Mailing Address.P -0 - BOX 1 1 14 <br /> DEPTH FROM <br /> SURFACE DESCRIPTION <br /> Ft. to Ft. Describe material,grain size,color,ac. C1TY STATE ZIP <br /> WELL LOCATION <br /> 0 4 Top So I address 7599 W . Linne Rd . <br /> 4 ' 8 ' Sand City Tracy . <br /> 8 ; 17 C I ay County San Joa uin <br /> 17 ; 4 3 ; Gravel APN Book Page�Parcel <br /> 43 12 T-7-7 l d 'Townor ship 03 RangeSection <br /> or <br /> 1 25__L1 3 2 Gravel Latitude_ I L NORTH Longitude WEST <br /> i DEG. MIN. SEC. DEG. MIN. SEC. <br /> 132 . 160 Clay <br /> 1 fi0 � 195 Gravel LOCATION SKETCH ACTIVITY (—) <br /> r NORTH X NEW WELL <br /> 1 9 5 2 2 5 ' C 1 a MODIFICATION rREPAIR j <br /> 225 ; 235 Gra-vel _ Owen <br /> 235 ; 245 C I a y — Other(specify) <br /> i <br /> DESTROY(Describe <br /> Procedures end Afaleriels <br /> under^GEOLOGICLOG'7'. <br /> PLANNED USE(S)= <br /> W W (✓} <br /> }� MONITORING <br /> WATER SUPPLY <br /> Domestic <br /> PuEfic <br /> ' irrigation <br /> �,- Industrial <br /> I <br /> "TEST WELL" <br /> CATHODIC PROTEC• <br /> SOUTH TION <br /> 111v trate or Describe Durance of Well from Landmarks — OTHER(Specity) <br /> such as Roads,Buildings,Fences,Rivers,elc. <br /> PLEASE BE ACCURATE & COMPLETE. <br /> DRILLING <br /> RotaryMETHOD FLUID Bentonite <br /> ; <br /> WATER LEVEL A YIELD OF COMPLETED NVELL <br /> DEPTH OF STATIC <br /> WATER LEVEL (Ft.) A DATE MEASURED <br /> ESTIMATED YIELD' (GPM) & TEST TYPE <br /> TOTAL DEPTH OF BORING 245 (Feet) TEST LENGTH (Hrs.) TOTAL DRAWDOWN (Ff.) <br /> TOTAL DEPTH OF COMPLETED 1VELL 200 (Feet) May not be representative of a well's long-term yield. <br /> DEPTH CASING(S) DEPTH ANNULAR NIATERIAL <br /> FROM SURFACE [)ORE- WE --' FROM SURFACE TYPE <br /> HOLEINTERNAL GAUGE SLOT SIZEDIA. MATERIAL! 7CE- BEW DIAMETER OR WALL IF ANY FILTER PACK <br /> (Inches) GRADEDNITE FILLFt. to Ft. (Inches) THICKNESS (inches) Ft. to Ft. (✓ ) (✓ ) (TYPE,SIZE) <br /> 0 160 14 X PVC 81t 160 a a <br /> 160 200 14 X P 11 <br /> ATTACHMENTS (!) CERTIFICATION STATEMENT <br /> 1,the undersigned,certify that this report is Complete and accurate to the best of my knowledge and belief. <br /> Geolog)c Log _ 3 <br /> Well Conalruclion Diagram NAME <br /> (PERSOAI, FIRM. OR CORPORATION) (TYPED OR PRINTED) <br /> Geophysical Loo(s) <br /> Soil/Water Chemical Analyses 3525 PELANDALE AYE , STO <br /> ADDRESSZIP <br /> GTY STATE <br /> Other <br /> 2 9 0 813 <br /> ATTAClf ADpsTTONAL lNFOFTMAT)ON. IF iT EXISTS. Signed WELL DRILLER AUTl10R17E0 REPRESENTATIVE DATE SIGNED C-57 LICENSE NUMBER <br /> uwR Itt11 REV.-.vu IF ADDITIONAL SPACE IS NEEDED, USE NEXT CONSECUTIVELY NUMBERED FORM <br />