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ORIGINAL STATE OF CALIFORNIA QWA USE ONLY Db N LL I <br /> File with DWR WELL COMPLETION REPORT STATE WELL NOISTAI NA <br /> R Page._L_of_.i Aefer to instruction Pamphlet <br /> "° 749258 <br /> Ownee's Well No. SP-1B LanruDe LONGI7T]DE <br /> lbate Work Begat) MARCH 7.2002 _, Ended_ MARCH 7,2002 <br /> Local Permit Agency SAN JOAOUIN COUNTY PUBLIC HEALTH SERVICES-ENV DIV AFWTRSMTHER <br /> Perintt No ___ 28981 _ Permit Date—FEBRUARY 22,2002 <br /> GEOLOGIC LOG IWELL OWNER <br /> ORIENTATION (4) ✓ VERTICAL _HORIZONTAL —ANGLE _(5PEGFY) Nam UNOCAL <br /> DRILLING,Hollow Steam Auger FLUID NONE Mailing Address B78B LK GROVE BLVD BUILDING S.SUITE 15 <br /> pSURFACEN DESCRIPTION ELK GROVE CA 95824 <br /> FL m FI. DesGnbe material grain sr--e, color etc ' STATE zip <br /> Address <br /> 0 BO I WELL BORING WAS NOT LOGGED OR SAMPLED WELL LOCATION <br /> I I City Z=KTON-CA <br /> i County <br /> i APN Book Page Parcel <br /> I Township Range Section <br /> I LatitudeI NORTH Longitude, 1 WESTDEG aew —SEC DEG. rglN SEC. <br /> SKETCQ_ _ ACTIVITY t,) <br /> i i yN11��1 1 %r ✓ NEW WELL <br /> MODIFICATIOWREPAIR <br /> DESTROY(DesarWip <br /> ' , — / ti v����-• , PiacsaurQa end llfandals <br /> Under-GEOL(MIC LOG") <br /> # rwylr 11 �� EWAN PLANNED USES (=) <br /> ..v6f630 , WATER SUPPLY <br /> i I r <br /> ` ��r fvmrr t erwA , OP"� ■er�1T DameahC �. Pu4iK <br /> fan Induuori <br /> t ibis awe NM �..� IrNps <br /> i I ; wndr a" ;S (MONITORING— <br /> _ TEST WELL— <br /> I <br /> i Mwna � t CATHODIC PROTECTION <br /> ' t}NW.3 S 1, j wAT ExcHANGE <br /> y y s� 1 I DIRECT PUSH <br /> I f ftrfilC s } <br /> 1 SinRpn ` •croft� Mys,�1 INJECTION <br /> Too yM VAPOR EXTRACTION <br /> E MMTA SPARGING <br /> I i <br /> WWF An- MMFaO OTHER(SPEOFY) <br /> r i WATER LEVEL & YIELD OF COMPLETED WELL <br /> DEPTH TO FIRST WATER (Fi)8ELOW SURFACE <br /> I r <br /> t DEPTH OF STATIC <br /> WATER LEVEL (PI)8 DATE MEASURED <br /> I 1 <br /> ESTIMATED Y(E)A • (GPluq 8 TEST TYPE <br /> 'DOTAL DEP17i OF BORING (10 TEST LE:NNiTO (lira)TOTAL DRAWDOWN_.(Ft) <br /> TOTAL DEPTH OF COMPLETED WELL 60___(Fee0 • k ii at be rrpresentarm of e tarWr Ivag-"yield <br /> DEPTH ARE_ <br /> CASING (S) DEPTH ANNULAR MATERIAL FROM SURFACE HOLE TYPErl! FROM SURFACE TYPE <br /> DIA z MATERIAL I INTERNAL GAUGE SLOT SIZE CE- BEN• FILTER PACX <br /> {kfetws} "' GRADE DIAMETER OR WALL IF ANY la HENT TONITE FILL {TYPEIS1ZE) <br /> R /o FL {In&*Q THICXNE5S Ute) <br /> 0 I 57 5 8 ✓ I I I PVC 075 Sch 4D 0 i 50 ✓ <br /> 575 I 80 8 ✓ 2 Microsparge 50 i 55 Vol <br /> 55 I 80 ✓ 2/12 Lanestar <br /> I , Sand <br /> I I <br /> 1 ATTACHMENTS (_) CERTIFICATION STATEMENT <br /> 1 the Undersigned,Certify that alis report IS COmplele and accurate to the best at my knowledge and belief <br /> Geologic Log <br /> — well CwLatmenon Diagram NAME WOODWARD DRILLING <br /> — C*OpYslcw Log(g) (PERSON.TIRK 08 CORPORATIDNI (TYPED OR PN M 01 <br /> _ -',W+Nrater ChWWN A,reryaes 550 RIVER ROAD/P O BOX 330 RIO VISTA CA 94571 <br /> diner AMOM STATE AP <br /> rITTICIM, ocrrrQnraL ave ruAnoAt 1r=tT r x►STs. SV dOL JUNE 13 2002 770079 <br /> WELL DRILLER! tIE6 REPRFSENTATIYE DII SI171E0 C-57 LICENSE NUMBER <br /> D►�R 168 REV IS 9T IF ADDITIONAL SPACE IS NEEDED, USE NEXT CONSECUTIVELY NUMBERED FORM <br />