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ORIGINAL ST-0 E OF CAI [FOti\I A DWR USE ONLY — DO NOr FILL IN —I <br /> Fite with DWR WELL COMPLETION REPORT � <br /> 1 <br /> R.kg('��Ui I H(fc+ frr Pn++i)rlll(t STATE WELL NO STATION NO❑ �, <br /> O��ner'sRetl \N V - t3 z 729666 <br /> ~ I.�itl \N OI I� I3E(Tr 1d LATITUDE LOt1GVTUbE <br /> ti 111 /0 V r� L(1(IE(� <br /> OC LI PC I Illit b APNrTRS,OTHER i <br /> PeiIII)t No it Zz 16/1 PL 111111 D,tE _ 3 -Zo �� 1 <br /> A1ELT 011\L11 <br /> GEOLOGIC LOG <br /> ORIENTATtON VERTICAL -HORIZONTAL „,.ANGLE _(SPECIE ) \7111E +7C.J (�4 ll�` <br /> DRILLING MalIw'-' -�(�di”, , G <br /> DEPTH FROM METHOD FLUID (.1 6 <br /> SURFACE DESCRIFTIU\ CITY STATE ZP I <br /> Ft so Ft D( rIlrtt(r rrr! �trrrrrr st_c s(ll.,, (t< <br /> 11 L LO T O <br /> i Glt} <br /> S 4eJ Grt111t <br /> ------------ <br /> -,P\ }3(x11` P lr,L P Ock <br /> To\Niis y 11 uloc ti(CtIoTI <br /> I I Ldtltli(le 1 I NORTH 1on'itlld( 1 -- __ ---- <br /> DEG rl r SEC DEG --- I <br /> LOC A I IO\ SJ.LT( 11 - <br /> 1 1 NORTH _✓ IE cL ' <br /> 1 <br /> i i 'G� F C6'u• �_-_ - 1 <br /> I I DESTROYOo- <br /> s v-f3 Pllc=CI <br /> YLV\\1 D LSl S j <br /> r r,.TEr s..PF-•— I i <br /> I 1 �� 1■'L/�_ a h4C I"CR <br /> w <br /> s Tc S' <br /> 1 I CATHODIC PCO EC C <br /> NEAT ExCrl!3_ <br /> DIMEG' Pu�- <br /> I 1IN El <br /> 1 1 VAPOR EXTRA-Or, ! <br /> 1 I SPARC <br /> SOUTH RE lE01A" <br /> 1 1 Iflu+Irrh a UI�(111+� !h hila, n(}1,111 bl h,.xl hrlllrlr+r_ <br /> Fun( Rtt r+ ,to addo I rrr!r r( OTHER SPEC= � <br /> n((c rll I P1 LASF Bf ACC(&A I (()%Ipl F11 <br /> \`l LLN EL & AILLD 01: COMPI ErLD 11L1 L <br /> 1 1 DEPTH TO FIRST WATER (Ft) BELO'I SURFnCE <br /> I I ! <br /> DEPTH OF STAT 1 ,^ 7! j <br /> 1 WATER LEVEL (Ft)& DATE MEASURED <br /> ' ESTIfiArED YIELD IGPM) & TEST TYPE <br /> RIT11 DI 1'FI! I)I 11()111\C - i,w r TEST LENGTH (His) TOTAL DRAWDOWN- <br /> 101 <br /> RAWDOWN 101 11 DI 1711 OF (()VPI): I11) INE 3 L 7 y.._F(ltl Val ,rot 1'( Itpr, (W1111 1 01-1 1!l luu;-tr,»r lnlrl ! <br /> 1 <br /> DEPTH (SSI\G (51 DEPTH Nt 1 rl RI 11 <br /> FROM SURFACE FORE TYPE( ' } FROM SURFACE TYPE <br /> HOLE — <br /> DIA z rr w MATERIAL 1 INTERNAL GAUGE SLOT SIZE CE BE'J <br /> z "' zD i DIAMETER OR WALL lF ANY '1EJ 'Gt}iTE FILL FIL"E= <br /> (lnchesl cc oU J GR Ft 10 FS cT+-E S ZE <br /> Ft to R a U L» .� {Incnesl THICKNESS Ilrches) (�} (.tL) I <br /> rn o <br /> b 6 vL Z p D 1 ' v ✓ <br /> 6 1 v V 2 () o 0 20 60 ✓ <br /> 1 1 <br /> ! 1 <br /> -MALCHME\TS C ERTIFICATIO\ STATE\[L\T <br /> the undersigned cel that this report Is cDr lele and accurate to the best Ot my knowledge and be1,et <br /> Geologic Log <br /> Well Construction Diagram NAME <br /> (PERSON FIRM OR CORPORATION) (TYPED OR PRINTED) <br /> 1-3>x 3Geophysical Log(s) �Sj 1 n V t s C/ <br /> _ SolkrWater Chemical Analyses ?10 pY STATE ZAP <br /> ADDRESS <br /> -7-1 IO7G <br /> Other D <br /> ATTACH ADDITIONAL INFORMATION fF IT EXISTS Stgne WELL DRILLERIAUTHO PRESENTATI GATE S�GNEO C 57 ICE ivL <br /> mint IN" rl 11 v- IF ADDITIONAL SPACE IS NEEDED USE NEXT CONSECUTIVELY NUMBERED FORM <br />