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ORIGINAL STATE OF CALIFORNIA lific Q41 x <br /> — QP 1EILl 114 <br /> Pare with owR WELL COMPLETION REPORT, <br /> Page of 1 Refer ro InrlTuetlox Fampblet STATE WELL NO ISTATION NO <br /> Owner's Well No 1 No pa p <br /> Date Work Began06/12/95 Ended 06/15/95 O J LArnuDE � LOtgiRUDE El <br /> Local Petmrt Ag_2y <br /> Permit No. 6 3 Permit Date l <br /> CEOLOCIC LOC ,WELL OWNER <br /> [CRIENTAT"IGMN (✓) A VERTICAL —HORIZOPITAL _ANGLE _(ametFY) Namlj Mfoorivi n-vs'1�ter Systems Inc <br /> DEPTH FROM DEPTH TO FI)?$1'WATER (FL)BELOW SU"AC9 `Mailing¢'d[lirm 2190, WA}-ep Rd. —- <br /> suRFAce DESCRIPTION .� StoC�cto>w, ; + �,` CA 95215 <br /> FI to Ft Dtrarrberxatenel, m color,etc ,' CITY <br /> O ;;j ;Top soi 156 +.�HW 14 TION <br /> 3 TION eTATE ZIP <br /> t 80 r C ay Andress <br /> ,� .. . = ,City Lodi , <br /> 80 82 ;San �s auD�y San joaqu�n <br /> 82 : 150 ;C ay \ % <br /> t , '"tsslsl <br /> 'get ParceAPN Bok O TI 1152 an <br /> 152 Raw Secioln CId _ <br /> :2131jok 1� y�` ;` \ ( tl,,9t�ftide DEO MIN SEC NOMLOngltu a DEQ MEN 8Ee« WE8T <br /> 213 ; 2 ,y ��� i s Y - ` ^s LpCATION SKETCH ACTIVITY (.e:)_ <br /> 28 <br /> 0 1 an f li ? .s NORTH NEW WELL <br /> MODIFICAYIONIREPAIR <br /> ^_Other(Specify) <br /> t. <br /> �. Wrd9r'GEOL4XWLOG 7 <br /> PLANNED USES) <br /> IAONITTO)RINQ <br /> WATER SUPPLY <br /> ' ' Danestic <br /> r , Puhlb <br /> infgatbn <br /> Industrial <br /> 7EST WELL <br /> SOUTH — CATHODIC PROTECT <br /> Illustrds or Deacr&Dlatame of Well from Laxdmarhs _ OTHER C8peelTy) <br /> r r <br /> PLEASE BE ACGlURAM 6*0M G T <br /> DRILLING ROTARY WATER <br /> ' METWQD FLUID <br /> r WATER LEVEL h YIELD OF COMPLETED WELL <br /> r , DEPTH OF STATIO86 <br /> WATER LEVEL (Ft_) d DATE MEASUFIBD <br /> ESTIMATED YIELD (UpM) a TEST TYPE <br /> TOTAL DEPTH OF BORING 295 _(PegtL TEST LE:N07H (*a)TOTAL DRAWDOWN (Ft) <br /> TOTAL DEPTH OF COMPLETED WEIJ 2y2 (Feet) *Muy nW be reyraenta we of a wdU! loNg term y dd. <br /> DEPTH t30RE CASING(S) DEPTH ANNULAR MATI3RIAL <br /> FROM SURFACE HOLE TYPE ✓ FROM SURFACE <br /> DIA ,c MATERIAL/ INTERNAL GAUGE BLOT SIZE TYPE <br /> a$; DfAMrrER OR WALL IF ANY CE BEtE- <br /> FL !o FC <br /> (inches) d (TRADE MENT Til <br /> FL PILL FILTER PACK <br /> tIn�,..) THICKNESS u�aha>} Fr to Ft (�} (�) {,) "PEIGIZE) <br /> 12 x PLASTIC 6 iia C _10-0-7-2-92 <br /> q i 200 x y <br /> ' 292 x .a45 Zd0 r x <br /> 292 GRAVEL <br /> , <br /> r <br /> ATTACHMENTS (4) CERTIFICATION STATEMENT <br /> aoobDle Log !,lha undersigned cerlify that this report Is complete and accurate to the best of my ImoWtodue and belief <br /> — Wall Construction Diagram NAW MASELLIS DRILLING, INC., f/rte 4/ <br /> . — Gwohyakal Log(n) (PEBSDN FIRM, DR CORPDA TION) (TTPM QR PRINTED) <br /> 119 Albers Rd. Modesto CA 95357 <br /> SNIlWMar Chrmbal Analysen <br /> RE34 <br /> �. ether r CITY ZIP <br /> 06/21/95A 66862�N1jMBjFf_AITA L1H AWn(ONAL NFORMATIOM IF IT E;aST& Signed <br /> EPRESEHIATIVE GATE SCGN! C57 IICFNSE <br /> DWR193KEY Tag IF ADDITIONAL SPACE IS NEEDED USE NEXT CONSECUTIVELY NUMBERED FORM <br />