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ORIGINAL STATE OF CALIFORNIA OwR USE ON Y — Do NOT FILL IN <br /> File with DWR WELL COMPLETION REPORT <br /> Page I of_1Refer to Instruction Parnphlet STATE WELL NoISTATION NO <br /> Owners Well No _ SP 1C No 779195 I i I I I !❑ ❑ <br /> LATITUDE LONGITUDE <br /> to Work Began.FEBRUARY_11,2002 , Ended FEBRUARY 11,02 <br /> al Permit Agency San Joaquin County Public Health Services-Environmental Health Div ppNlTRS/OTH£R <br /> Permit No 28822 Permit Date FEBRUARY 8,2002 <br /> GEOLOGIC LOG WELL OWNER <br /> ORIENTATION (:) ✓ VERTICAL —HORIZONTAL —ANGLE —(SPECIFY) Na1Tie UNOCAL CORPORATIO <br /> DRILLING Hollow Steam Auger NONE Mailm Address 8788 ELK GROVE BOULEVARD BUILDING 3 STE 15 <br /> DEPTH FROM METHOD FLUID g <br /> SURFACE DESCRIPTION ELK GROVE CA 95624 <br /> Ft to Ft Descrtbe inaterial grain size color etc CITY STATE ZIP <br /> Address <br /> 0 1 45 I THIS WELL WAS INSTALLED WITHIN FIVE FEET WELL LOCATION <br /> ! I OF WELL SP-1A AND SP-1B,AND WAS NOT LOGGED city STQQK1QN, CALIFORNIA <br /> I OR SAMPLED County SAN JOAQUIN <br /> APN Book Page Parcel <br /> I Township Range Section <br /> I Latitude I I NORTH Longitude I 1 WEST <br /> DEG MIN SEC DEG MIN SEC <br /> LOCATION SKETCH ACTIVITY 0::) <br /> NORTH ✓ NEW WELL <br /> I t MODIFICATION/REPAIR <br /> �. Deepen <br /> ("+ Other(Spaclty) <br /> I 1 <br /> I DESTROY(Describe <br /> I t � <br /> Procedures <br /> GEOLOGIC erints <br /> ULOG-) <br /> r Z PLANNED RISES (�) <br /> WATER SUPPLY <br /> Domestic _ Public <br /> I r �/ Irrigation Industrial <br /> I I Lu MONITORING— <br /> I 1 <br /> TEST WELL— <br /> r CATHODIC PROTECTION_- <br /> I I <br /> I I //`�/�� We, A / MEAT EXCHANGE____ <br /> I DIRECT PUSH— <br /> I (f_� f �I INJECTION— <br /> I I VAPOR EXTRACTION <br /> SPARGING <br /> ` I SOUTH REMEMATION <br /> 111nstrate or Desenbr Dlsinnce of Well from Roads Brraldings OTHER(SPECIFY) <br /> i Fences niters etc and attach a inap Use additional mer t� -� <br /> necesvory PLEASE BE ACCURATE b COMPLETE <br /> WATER LEVEL & YIELD OF COMPLETED WELL <br /> 1 1 <br /> DEPTH TO FIRST WATER (Ft)BELOW SURFACE <br /> I 1 <br /> r t DEPTH OF STATIC <br /> WATER LEVEL (FL)h DATE MEASURED <br /> ESTIMATED YIELD' (GPM)A TEST TYPE <br /> TOTAL. DEPTH OF BORING 45 (Feet) TEST LENGTH (His)TOTAL DRAWDOWN (Ft) <br /> TOTAL DEPTH OF COMPLETED WELL 45 (Feet) 'May not be representative of a well's Ion -term yield <br /> DEPTH BORE- CASING (S) DEPTH ANNULAR MATERIAL <br /> FROM SURFACE HOLE TYPE(—') FROM SURFACE TYPE <br /> DIA 6ur INTERNAL GAUGE SLOT SIZE CE BEN• <br /> pnc�tas) z 4 M GRADE ! <br /> DIAMETER OR WALL IF ANY MF1JT BEN FILL FILTER PACK <br /> Ft to FI m (Inches) THICKNESS (inches) FI to FL t (TYPEISIZE) <br /> 0 v 425 8 ✓ PVC 0 75 0 1 35 ✓ <br /> 425 I 45 8 ✓ MICRO 35 1 40 ✓ <br /> SPARGING 40 I 45 ✓ 2112 LONESTAR <br /> SAND <br /> I I <br /> ATTACHMENTS (�) CERTIFICATION STATEMENT <br /> Geologic Log I the understgned,certify that this report is complete and accurate to the best of my knowledge and belief <br /> Well Construction Diagram NAME WOODWARD DRILLING <br /> (PERSON FIRK OR CORPORATION) (TYPED OR PRINTED) <br /> Geophysical Log(s) <br /> - Sotvwater Chemical Artayses P O BOAX 336 RIO VISTA CA 94571 <br /> Other ADDRESS Crry STATE ZIP <br /> ATTACH ADDITIONAL 1NFORmATION tF rr EXISTS svwd MAY D 2002710079 <br /> IC 0 0 7 B <br /> wt,DRI OR D R[PRESENTATIYE DATE SIGNED C-57 iICENSE NUMBER <br /> DR R 168 REV 1107 IF ADDITIONAL SPACE IS NEE D, USE NEXT CONSECUTIVELY NUMBERED FORM <br />