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Cil � <br /> ORIGI14AL STATE 131� CALIFORNIAo w e — o T F IL I <br /> File With DWR WELL COMPLETION REPORT <br /> Page I of X Refer to lartritarrati PampblRt STATE WELL NOISTATION Ni <br /> Otvn;7''s Well No MW1 throw h MW7 No. 495497 <br /> 0- Date Work Began 114195 , Ended 1/17/95 LATITUDE WNSI ME <br /> Lata]Permit Agency San joaguin Local Health District <br /> Perm4t No, ri/ Permit Dote 11(, J 94_ - <br /> GEOLOGIC LOG rt�. _� ,-W ELL OWNEA <br /> ORIENTATION (�) R vEAnGAL HOR)ZONTAL —AkaLE _(SPEOFY) Najoe j)f in . ,j)l �''h� IOD r <br /> nEFFH TO I`IRsir WAT[?rt (t'L)BELOW SURFACE Mal 1mg`Adtire�s 12._-RIS 5 1-5 5 <br /> - <br /> DE�FAGgta DESCRIPTION <br /> &IL lt�ulon CsA_ 99583 - - <br /> Ft to Ft Detmlre t-ferA4 g xn rrze dolor,etc t, t'. C�rY V d 95 O ``> 1 ' 'WELL LOCATION STATE ZIP <br /> J <br /> r1Vayy Drz-tfe _ -- <br /> ' CIry% Stocktol� aA <br /> `l ,Co4nty- 1-r,rT4 1I12I co-unty ~ <br /> ` kPN Boak1`45 `Pae 030 Parcel Y 09 <br /> ' ` • •' T( ship Range Section <br /> d X99 , 'e. <br /> Iaf1iude - - i NaATFi LonWhlcle t --1_ We r <br /> ` T1 Wells ; • Dec ►ari sLa DEC, tael sr c <br /> 1 th-mg O Nwb ' 8 ro a LOCATION SORT" <br /> SKETCIi ACTIVITY (4) <br /> NEW WELL <br /> ' fuft Ili gn 011t <br /> the wdstingr <br /> MOOIFICAT[ONIREPAIR <br /> We1' sin s ' and SEE ATTACHED SITE PLAN <br /> d ' t The AND VOCATION MAP, —Other(SPecify) <br /> f� t yr <br /> f]Uljj reale <br /> i t ' with =4 6o bht grout, which a <br /> oESTnOY(naacrteii <br /> ' borinit tn fbe xxx surfacci ju =e F- PLANNED USES) <br /> � i _T MONYTORIN6 <br /> 1 <br /> WATEA SUPPLY <br /> i I <br /> ._� DDrnaslfD <br /> 1 I <br /> 1 � <br /> Y...�PubRa <br /> ` � � vnQDlron <br /> , 1 <br /> ' ' _.. Indlrotilel <br /> "TEST WELI.- <br /> , i <br /> CATV=t0 PR0T9C_ <br /> • SOUTH TION <br /> ' IAwlrafe or D.Jeribe D(stanu df Well Agra Landmarks ,071 1(SPaailY) <br /> snah as i PLEASE BE AC4.4 RATEPnces G COMPLETE. <br /> Hollow-stem_ auger FLUID n/a <br /> WATER LEVEL h YIELD OF COMPLETED WELL <br /> DEPTH OF STATIC <br /> WATER LEVEL (FL) a DATE MEASURED <br /> 1 i <br /> ESTIMATED YIELD' (GPM) tI TEST TYPE <br /> TOTAL, DEM OF BORING (Rot) TEST LENGTH (Hre.)TOTAL DRAWDOWN (Fta <br /> TOTAL DEFER OF COMPLF`TED WELL (Feet) •May IWot be t+tpr=nW0Ve ofd w&5r long-term geld <br /> DEPTH CASING(S) DEPTH ANNIULAR MATXRIAL <br /> PROM SURFACE SORE HALE TYPE 41 <br /> FROM SURFACE TYPE <br /> DIA INTERNAL GAUGE $LOT SIZE <br /> y� g MATERIAL/ DEAMEfEiR OR WALL IF ANY N(ENTF7BOUNTE FILL FILTER PACK <br /> FL to Ft 4aDheu) THICKttES$ pnehes) FL to F1 r (TYPEISIZE) <br /> , r <br /> NA 'NA <br /> 1 ; <br /> i <br /> ATTACHAJENTS (4) CERTIFICATION STATAIdENfT <br /> — apowgIQ Lop I,the undamigned,corll(y that thio mport,s comp fate and accurate to the beat of my knowfedge and bolfet <br /> —We"Canstruallon D,ayrarn NAME WUO( ffl j D��],lnir_�`O.- - <br /> (PER9DN flRll nR CORP(IRATIaH) (IT DR PAINTEM <br /> — ()aophYsicel Loo(a) <br /> ._ 8DiUWatorChoniw0Aery*" <br /> ..2L ONrar <br /> CI71 STAEE P <br /> N <br /> ATTACH ADUTA7MAL IMFCMM77Locatio7OON IFarf IX ra s�ned 581639 <br /> WELL DRI} ED E A71YE OAEE E F57 LICE NUMBER <br /> DWIR183REV 741p IF ADDITIONAL SPACE IS NEEDED, US EXT CONSECUTIVELY NUMBERED FOFtM d�'� 7 <br />