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r - - <br /> I ORIGINAL <br /> STATE OF CALIFORNIA <br /> File Wli'F1 DwR <br /> Fi � � WELL COMPLETION REPORT <br /> Page-�—I Of Refer to 1"fiructlart Pamphlet $TA WELLNo JSTA�FONNG <br /> f Owner's Well No 1 <br /> I Date Work Began 04/29/96 Ended 05/04/96 ° 468064 El LATITUDE <br /> LONCaITUDE <br /> [. cal PPrrEll# A envy <br /> Permit No 59$ Permit Date <br /> GEOLOGIC LOG WELL OWNER <br /> ORIENTATION (:) x VERTICAL — HORIZONTAL _ANGLfEd Keaster <br /> (SPECSFY) Name <br /> DEPTH FROM DEPTH TO FIRW WATER (Ft) BELOW SURFACE 'Mailing Address 4460 Marfargoa Dr . <br /> SL,RFACE DESCRIPTION Stockton CA 9521` <br /> Ft to Ft Desenhe materral grmrt size color etc CITY STATE �P <br /> 0 :4 :Sdil WELL LOCATION <br /> 4 Address 3016 Munford Lane <br /> 14 Sandy Clay City Stockton <br /> 14 ;18 ;Sand San Joaquin <br /> 18 ;55 'Clay County <br /> 55 �62 Sand <br /> APIV FSnak Page 1/ arcel v i <br /> b2 85 clay Township�(�Range�ectlon <br /> 85 Latitude NORTH Longitude WES' <br /> 89 :Sand DEG MIN SEC OEG IN SEC <br /> 89 110 .Clay LOCATION SKETCH ACTIVITY (i!�) <br /> 110 116 Coarse Sand NORTH X NEW WELL <br /> 116 :155 ;Clay MOOfFlCAT1CN/REPAIFI <br /> 155 ,170 ;Coarse Sand — Deepen <br /> 170 171 1 C l a y —Other(Specify) <br /> 171 :173 ;Sand <br /> 173 :200 ,Clay ,DESTROY(Descobe <br /> Procedures and Maferrah <br /> Under GEOLOGICLOG <br /> w PLANNED USE{S) <br /> (_!L)5!) <br /> LU —� MONITORING <br /> ; <br /> i WATER SUPPLY <br /> `T� Domestic <br /> Public <br /> Irrigation <br /> - Industrial <br /> _ TEST WELL <br /> SOUTH - CATHODIC PROTEC <br /> 111Isstrnte ar Desrnlie Dlstonce of wPlTrON <br /> I from Landnmar.Lt _ OTHER(Specify) <br /> such as Roads Buildings Fences Rmers etc <br /> PLEASE BE ACCURATE & COMPLETE <br /> METHOD ROTARY WATER <br /> ' FLUID <br /> WATER LEVEL d YIELD OF COMPLETED WELL <br /> DEPTH OF STATI070 <br /> WATER LEVEL (Ft) $ DATE MEASURED <br /> ESTIMATED YIELD` (GPM) b TEST TYPE <br /> TOTAL DEPTH OF BORING 200 {Feet) TEST LENGTH (Hrs) TOTAL DRAWDOWN <br /> TOTAL DEPTH OF COhIPLETED WELL 176 (Ft) <br /> (Feet) ''May not be 7'eF7e1eM,2rMC of a well's long-term yield <br /> DEPTH <br /> FROM SURFACE BORE FROM <br /> DEPTH ANNULAR MATERIAL <br /> HOLE TYPE FROM SURFACE <br /> DIA i a INTERNAL GAUGE SLOT SIZE TYPE <br /> (Inches) IaiATEA(AL! CE BEN <br /> DIAMETER OR WALL <br /> Ft to Ft c z c U GRADE IF ANY FILTER PACK <br /> �'o (Inches) THICKNESS finches) Ft to Ft MEN BP FILL (TYPElS(ZE) <br /> P <br /> 174. <br /> ATTACHMENTS (!) CERTIFICATION STATEMENT <br /> Geologic Log I the undersigned,certify that this report IS complete and accurate t0 the best of my knowledge and belief <br /> — Well Construction Diagram NAME - <br /> fl'ER N FIR R CDRPORAstON) (TVP n OR PRI t)} — - <br /> _.._... Geophymcel Log(3) <br /> — Soil/Water Chemical Analyses M Rd modes <br /> — Other r` UTY STATE ZIP <br /> ATTACH ADDITIONAL INFORMA77ON IF 17'EXISTS StGrood <br /> LL LER AtITHO D RE NTA DATE S(C,NED G 51 LICENSE NUMBER <br /> own lac Qcu Orn Ie arthlrtnslnl caenr ce MOMMOn 1101= urvr <br />