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J <br /> ORIGINAL tit Nil W ( ILI It ORNI W R u S r 0 N L Y -- D 0 N T F I . I N -- <br /> File with DWR WELL COMPLETION REPORT d/ Z_15 101 <br /> JI;t of Rc cr to Initru,ijorr Pantphlct <br /> STATE WELL NO!STATION NO <br /> Owner', Well No 11105, ID .I 7 � <br /> •Date Werk 11cgarT 0 r t - 12 , ....1 Pride([ �' ") ` ( __ J LATITUDE LONGITUDE <br /> Locil PermltAgency _SanJoaquin Co . Health Dept . <br /> PerTnit Nt) 93-2069 Pertmt Date APN/TRS/ TH R <br /> GFOLOGIC IOG WELL 0«NER <br /> ORIENTATION ( : ) X VERTICAL , HORIZONTAL _ ANGLE _ (SPECIFY) \ame Eugene S a r k s <br /> DEPTH CO FIRST W vru 104 (Ft) REI OW SURFACE ',lalling address 26 1 1 6 S . „P.a t.t e r s n n P a s e, R fl _ <br /> DEPTH FROM <br /> SURFACE DESCRIPTION —Tracy Ca 95326 <br /> Ft t0 Ft Describe marertal Zrarn size color etc CITY STATE ZIP <br /> WELL LOCATION <br /> -address_ Patterson Pass Rd. & Hwy 580 <br /> 3 <br /> _L85 Shale crtY Tracy <br /> 85 ; 88 ; Fine Sand <br /> County San Jon <br /> 88 12 0 C I a �_Page ! { Parcel <br /> _ <br /> aP V i3oo1. 7�v <br /> or <br /> 120 = ' F 1 n e Sand Streaks Township 6.1�Range�/�=Section of125 126 and t 011 eor Latitude NORTH Longitude I_ _EST <br /> ` 130 ClayDEG MIN SEC DEG MIN SEC <br /> LOCATION SKETCH ACTIVITY (!)- <br /> 13Q <br /> NORTH L New WELL <br /> 1 40 ' rClay & ShaleMODIFICATION IREPAIR <br /> 160 168 San-d- <br /> — Deepen <br /> 168 174 : 01ay i <br /> __.._ Other(Specify) <br /> i rSand <br /> 1 SO 1 90 <br /> Cla <br /> ' DESTROY{Descrrbe <br /> Procedures and Marerrals <br /> Under GEOLOGICLOG ) <br /> PLANNED USE(S) <br /> w ¢ <br /> L MONMOWNG <br /> WATER SUPPLY <br /> i r <br /> XDomestic <br /> - Public <br /> _ Irrigation <br /> r <br /> Industrial <br /> ' TEST WELL <br /> _ CATHODIC PROTEC <br /> SOUTH TION <br /> Illustrate or Describe Distance of Well from Landmarks — OTHER(Specify) <br /> such as Roads Buildings Fences Rmers etc <br /> PLEASE BE .ACCURATE t: CbWFLETE <br /> DRILLING <br /> METHOD M U d R 0,t a r <br /> y.,..._ FLUID Wat¢r f Rantnnj t. <br /> WATER LEVEL & YIELD OF COMPLETED WELL <br /> DEPTH OF STATIC <br /> WATER LEVEL (Ft) & DATE MEASURED <br /> i r <br /> ESTIMATED YIELD' (GPM) & TEST TYPE <br /> TOTAL DEPTH OF BORING 19 0 TI'eet) TEST LENGTH (Firs) TOTAL DRAWDOWN (Ft) <br /> TOTAL DEPTH OF COMPLETED WELL X (Feet) 'May not be representative of a well's long-term yield <br /> DEPTH CASING(S) DEPTH ANNULAR MATERIAL <br /> FROM SURFACE BORE TYPE v FROM SURFACE TYPE <br /> HOLE — INTERNAL GAUGE SLOT SIZE <br /> MATERIAL/ CE BEN <br /> IA z w a� d DIAMETER OR WALL IF ANY FILTER PACK <br /> (Inches} oca GRADE MENT TONITE FILL <br /> Ft to Ft m h Uo (Inches) THICKNESS (Inches) Ft to Ft (TYPE/SIZE) <br /> 0 ; 145 12 x PVC 6tl 150sch 0 100 x <br /> It <br /> ; <br /> ITTACHMENTS CERTIFICATION STATEMENT <br /> Geologic Log I the undersigned certify that this report IS Complete and accurate to the best of my knowledge and belief <br /> Well Construction Diagram NAME <br /> HENNINGS BROS . DRILLING CO . , INC. <br /> (PERSON FIRM OR CORPORATION)(TYPED OR PRINTED) <br /> SOO/Wat Water al <br /> 3525 PELANDALE AVE . MODESTO CA 95356 <br /> Sarlt Warer Chemical Analyses <br /> ADDRESS CITY STATE ZIP <br /> �. Other ti � <br /> ATTACH ADDITIONAL INFORMATION IF IT EXISTS Signed WELL ORILLERJAUTHORIZEO REPRESENTATIVE ' O oa E sl9ED1993 2 LOILEON E3UMBER <br /> DWR I%M fit.V 79r1 IF ADDITIONAL SPACE IS NEEDED USE NEXT CONSECUTIVELY NUMBERED FORM <br />