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ORIGINAL STATE OF CALIFORNIA DWR USE NL hInT 1:.i L I <br /> File with DWR WELL COMPLETION REPORT <br /> Refer to Instruction Palnphlet STATE WELL NO)STATION NO <br /> Page�of_.L El Well No. N°� 749256 LDNflITUDE <br /> ate Work Began MA13CH 8.2002 __, Ended r MARCH 8.2002— unruDE <br /> Local Permit Agency SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES-ENV DIV APNrrRsrarNER <br /> Permit No 28961 Permit Date FEBRUARY 22 2002 <br /> GEOLOGIC LOG WELL OWNER <br /> ORIENTATION (4) VERTICAL .._MORQONTAL _ANGLE _ISPEClPY) Name UNMAI,,C <br /> DRILLING FROM Hollow Steam Auger FLUID NONE Mailing Address 8788 ELIC GROVE BLVD BUILDING 3 SUITE 1 <br /> �SURFACEE DESCRIPTIONGROVE 5524 <br /> ZIP <br /> FL m rl Detcrlbe material, grain size, color, etc c� STATE <br /> WELL LOCATION <br /> 0 30 I WELL BORING WAS NOT LOGGED OR SAMPLED Address 106 <br /> I r Ctry S-rOCt=N-CA <br /> r County NANJOAQ <br /> I r APN Book Page Parcel l <br /> I I Township Range Section <br /> r Lantude I STH Longitude WEST <br /> ' DEG MW SEC t)EG. WIN. SEG <br /> LOCATION SKETCH ACTIVITY (4) <br /> r +Irwsf - t --� ✓ NEW WELL <br /> MODIFICATIONJREPAIR <br /> Yalta i — Deepim <br /> — Orher(Specify) <br /> tau• � <br /> DESTROY(DesCrabe <br /> I.,.,ores end 1CNL n <br /> + urWet'�GEQLO[1iCCOQ-) <br /> I , l.F �,. `\� �\ tels+a \ PLANNED USES (z::-)IA11,1♦ WATER SUPPLY <br /> 610aA� awy wF17 Danlealic PbtIrc <br /> r Former ; I�a Img1 Wa 1pCuS1ne1 <br /> _s <br /> A\e MONITORING <br /> # 5 a,F.}w TEST WELL <br /> I I r,IeMd4 1%tv F1 CATHODIC PROTECTION <br /> ` l uivaA� MEAT EXCHANGE <br /> r r en67a \ " \� � DIRECT PUSH....,... <br /> FionourA-.f, <br /> shamrrm INJECTION <br /> \ wos1e 01 Yfe-S= <br /> Took \ VAPOR EXTRACTION <br /> SPARGING <br /> ,1 REMEDIATION <br /> Bmlk d A orko \ '�alum OTHER(SPECrFY) <br /> 1 � �� Sildllp i TY11a <br /> r WATER LEVEL 8c YIELD OF COMPLETED WELL <br /> r r <br /> DEPTH TO FIRST WATER TQ BELOW SURFACE <br /> r r DEPTH OF STATIC <br /> WATER LEVEL (FL)8 DATE MEASURE13 <br /> r ESTiuATEO YIELD• (GPM)8 TEST TYPE -- <br /> TOTAL DEPTH OF BORING 30 lFea) TEST LENGTTi (lira)TOTAL VR +wPrAWAO -(FL) <br /> TOTAL DEPTH OF COMPLE ED WELL 90 (Feet) •May not be reprrmimrme of a weWr!ma -te»11 eld <br /> CASING (5) DEPTH ANNULAR MATERIAL <br /> DEPTH CASING <br /> FROM SURFACE TYPE <br /> FROM S127 <br /> FACE HOLE TYPE = <br /> DIA l MATERIAL 1 INTERNAL GAUttE SLOT SIZE CE- BEN- <br /> DIA <br /> S GRADE DIAMETER OR WALL IF ANY Melff OWTE FILL FILTER PACK <br /> Ft FI c�a l [brdlee} THICKNESS 1 ) FI to FI . (TYPE)StZEI <br /> (—) (4) (f) <br /> 0 5 B ✓ PVC 075 SCh 40 0 I 20 ✓ <br /> 27 5 30 8 ✓ 2 Microsparge 20 r 2525 r 30 ✓ W12 L.onestar <br /> Sand <br /> ATTACHMENTS (_) CERTIFICATION STATEMENT <br /> I,the undersigned,cartily that this report is complete and accurate to the Hest at my knowlecige and betW <br /> Ceaklgrl:t.og <br /> .� <br /> Well Commnxtaon Diagram AIAb[F WOODWARD DRILLING <br /> IPER3M RRk OR CORPORA10o (TYPED Olt 1`111114101Oecpt,ys,��g{e) 560 RIVER ROAD/P O BOX 338 Rio VISTA CA 94571 <br /> SO1WYater Chemical Ana"m CITY SfATE ZIP <br /> Other ADDRESS <br /> ArrACH AOMripNAL iNFORMATA N IF IT FX19T3 59—d \t4L-dUJNE 13,-2002 710079 <br /> C DRR.LE i E11 IYE DATE SIG[tED v UCEIM IIuMBER <br /> Dt1 R tea REV 11 W" IF ADDITIONAL SPACE IS NEE D, 115E NEXT CONSECUTIVELY NUMBERED FORM <br />