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<br /> ' File Original with DWR State of California DWR Use On -Do Not Fill In
<br /> Page 2 of 6 Well Completion Report
<br /> Rotor to lnswction Pamphlet State Well Number/Site Number
<br /> Owner's Well Number AMW-30 No. e0106293 I I INI w
<br /> Date Work Began 01/18/2010 Date Work Ended 01/22/2010 Latitude Longitude
<br /> ' Local Permit Agency San Joaquin County
<br /> Permit Number-SR 0059145 Permit Date 1/12/10 APN/TRS/Other
<br /> Geologic Log Well Owner
<br /> ' Orientation OVertical O Horizontal OAngle Specify Name Forward Incorporated
<br /> Drilling Method Mud Rota Drilling Fluid Bentonite mud Mailing Address 9999 South Austin Road
<br /> Depth from Surface Description Manteca CA 95336
<br /> Feet to Feet Describe material rain size,color,etc Cit State I
<br /> 41.5 45.0 Clayey SILT. Well Location
<br /> 45.0 45.5 SAND,moist,loose,fine to medium grained, Address 27011 South Austin Road
<br /> subangular,poody sorted,mica throughout,dark City Ripon County San Joaquin
<br /> yellowish brown 10YR 4/4). Latitude 37 53 32,20
<br /> N Longitude -121 10 28.31 w
<br /> ' 45.5 46.5 Clayey SILT,dry,verystiff,brown(10YR 4/3). Dec. Min. Sec. Dao. Min. sec
<br /> 46.5 50.0 1 Clayey SILT. Datum WCS 84 Decimal Lat. 37.8923 Decimal Long.-121.1745
<br /> 50.0 51.2 Silty CLAY with trace fine grained sand throughout, APN Book 181 Page 16 Parcel 7
<br /> dry,very stiff,not plastic,dark yellowish brown Township 1 N Rance 7E Section 35
<br /> ' (10YR 414). Location Sketch Activity
<br /> 51.2 51.5 Sandy CLAY,dry,very stiff,not plastic,dark sketch must be dwn li hand after rom,is printed.) @ New Well
<br /> yellowish brown(10YR 4/4). Contains 20% orth O Modification/Repair
<br /> O Deepen
<br /> ' medium grained,subangular sand. See attached O Other
<br /> 51.5 55.0 Sandy CLAY. Figure 1 O Destroy
<br /> Desoibe pmceduras and matenals
<br /> 55.0 56.5 SiltyCLAY,slighUy slightlymoist,medium stiff,brownWell Location Map GEOLOGIC LOG'
<br /> (7.5YR 4/4). Planned Uses
<br /> ' 56.5 60.0 Silty CLAY. O Water Supply
<br /> 60.0 61.5 Sandy CLAY,slightly moist,stiff,plastic,dark y [:]Domestic ❑Public
<br /> yellowish brown(10YR 3/6). w ❑Irrigation [Industrial
<br /> 61.5 65.0 Sandy CLAY. O Cathodic Protection
<br /> 65.0 66.5 Silty CLAY,sli htl moist,medium stiff, lastic, O Dewatering
<br /> O Heat Exchange
<br /> trace mica throughout,dark yellowish brown
<br /> O Injection
<br /> (10YR 4/4). O Monitoring
<br /> ' 66.5 70.0 Silty CLAY. O Remediation
<br /> 70.0 71.5 Silty CLAY,slightly moist,soft,low plasticity, O Sparging
<br /> trace mica throughout,dark yellowish brown south O Test Well
<br /> '
<br /> illusbale or describe distance of war ham roads,h ddmp.fences, O Vapor Extraction(10YR 3/4). &ara,aft.and attach a map-Use&W'-Wnm paper d necesaay. O Other
<br /> 71.5 75.0 Silty CLAY. PMaii be mocur i and coni era
<br /> 75.0 76.0 Silty CLAY,moist,stiff,plastic,mica and iron Water Level and Yield of Completed Well
<br /> staining throughout,brown 10YR 4/3). Depth to first water (Feet below surface)
<br /> ' Depth to Static
<br /> Water Level 71.49 (Feet) Date Measured 06/14/2010
<br /> Total Depth of Boring 177 Feet Estimated Yield (GPM) Test Type
<br /> Test Length (Hours)Total Drawdown (Feet)
<br /> Total Depth of Completed Well 177 Feet *May not be representative of a well's long term yield.
<br /> ' Casings Annular Material
<br /> Depth from Borehole Type Material Wall Outside Screen Slot Size Depth from
<br /> Surface Diameter Thickness Diameter Type If Any Surface Fill Description
<br /> Feet to Feet Inches Inches Inches Inches Feel to Feet
<br /> ' 0 157 18 Blank I PVC Sch.80 0.375 2.75 1 0.0 151.2 Cement Portland
<br /> 157 177 8 Screen PVC Sch.80 0.375 2.75 Milled Slots 0.010 151.2 154.0 Bentonite Pellets
<br /> 154.0 177.0 Filter Pack #2/12 Sand
<br /> Attachments Certification Statement
<br /> ' ❑Geologic Log 1,the underftned cerNfy thaUbis repocomple cid mrate to the best of my knowledge and belief
<br /> Il Well Construction Diagram Name P F
<br /> 13 Geophysical Log(s) grJ,.)o.5
<br /> 1]Soil/Water Chemical Analyses citystele z
<br /> ❑Other Signed -) 1 ��3t0�J�7
<br /> ' Attach addmonalm/afmabw d d edsts, C-57 Licensed Water Well Contractor Date Si ned C-57 License Number
<br /> DWR 188 REV.1/2006 IF ADDITIONAL SPACE IS NEEDED,USE NEXT CONSECUTIVELY NUMBERED FORM
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