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<br /> File Original with DWR Stale of California
<br /> DWR Use Only-Do Not Fill In
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<br /> Page 3 of 5 Well Completion Report
<br /> Refer to Inomban Pemphrat State Well Number/Site Number
<br /> Owner's Well Number OW-29 No. e0106872 N W
<br /> Date Work Began 01/27/2010 Date Work Ended 02/02/2010 Latitude Longitude
<br /> ' Local Permit Agency San JOaOUin County
<br /> Permit Number SR 0059146 Permit Date 1/12/10 APN/TRS/Other
<br /> Geologic Log Well Owner
<br /> Orientation O Vertical O Horizontal OAngle Specify Name Forward InCOroOrated
<br /> Drilling Method Mud Rotary Drilling Fluid Bentonite mud
<br /> Depth from Surface Description Mailing Address 9999 South Austin Road
<br /> Feet to Feet Describe material rain size color,etc City Manteca State CA ; 95336
<br /> 71.5 75.0 SILT with trace sand. Well Location
<br /> ' 75.0 76.5 SILT,damp,slightly lastic,very stiff,yellowish Address 27011 South Austin Road
<br /> brown(10YR 516 . Contains 2%coarse,angular city Ripon County San Joaquin
<br /> sand. Latitude 37 53 29.12
<br /> N Longitude -121 10 aa
<br /> ' 76.5 80.0 SILT, 0". Min. sec. oeo. Min. sac
<br /> 80.0 81.5 Silty CLAY,damp,hard,moderately plastic,trace Datum wGS 84 Decimal Lat. 37.8914 Decimal Long.-121.1791
<br /> mica throughout,brown(10YR 413). APN Book 181 Page 16 Parcel 7
<br /> 81.5 85.0 Silty CLAY. Township _Ran a 7E Section 35
<br /> 85.0 86.1 SAND,wet,loose,medium grained,well sorted, Location Sketch Activity
<br /> subrounded,brown(10YR 5/3 . Contains 5% Sketchmtstbedrawn hand after form ta tad' O New Well
<br /> North O Modification/Repair
<br /> mica throughout. O Deepen
<br /> ' 86.1 90.0 SAND. O Other
<br /> 90.0 91.0 SAND,wet,loose,medium grained.well sorted, O Destroy
<br /> subrounded,brown(10YR 5J3 . Contains 5%
<br /> See attached daces ptaee�aaa ww mataaW
<br /> mica throughout. Figure 1 Planned Uses
<br /> 91.0 95.0 SAND. Well Location Map O Water Supply
<br /> 95.0 96.2 SAND,wet,loose,medium grained,well sorted, ❑Domestic pPublic
<br /> subrounded,brown(10YR 5/3). Contains 5% 3 0irrigation [Industrial
<br /> mica throughout. O Cathodic Protection
<br /> O Dewatering
<br /> 96.2 100.0 ISAND. O Heat Exchange
<br /> 100.0 101.5 SAND,wet,loose,medium grained,well sorted, O Injection
<br /> subrounded,brown 10YR 5/3). Contains 5% O Monitoring
<br /> ' mica throughout. O Remediation
<br /> 101.5 105.0 SAND. O Sparging
<br /> 105.0 106.4 SAND,wet,loose,fine grained,well sorted, south O Test Well
<br /> subrounded,brown(10YR6/3). Contains 5% 1USN"Wa"�' °'WON from roadcbw1d1w.fances, O Vapor Extraction
<br /> ' mars,enc.and edam a map.use&amnions)paper a necessary. Q Other
<br /> mica throughout. Please be aewrata env
<br /> 106.4 106.5 Clayey SILT,wet,soft,highly plastic,trace iron Water Level and Yield of Completed Well
<br /> staining,micaceous,yellowish brown(10YR 5/6). Depth to first water (Feet below surface)
<br /> ' Depth to Static
<br /> 106.5 110.2 Clayey SILT. Water Level 70.13 (Feet) Date Measured 06/14/2010
<br /> Total Depth of Boring 171.5 Feet Estimated Yield (GPM) Test Type
<br /> Test Length (Hours)Total Drawdown (Feet)
<br /> Total Depth of Completed Well 170 Feet *May not be representative of a well's longterm yield.
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<br /> Casings Annular Material
<br /> Depth from Borehole T material wall Outside Screen slot size Depth from
<br /> Surface Diameter Type Thickness Diameter Type If Any Surface Fill Description
<br /> Feet to Feet inches Inches Inches inches Feet to Feet
<br /> ' 0 150 18 Blank I PVC Sch.80 0.375 2.75 1 0.0 144.0 Cement Portland
<br /> 150 170 8 Screen PVC Sch.80 0.375 2.75 Milled slots 0.010 144.0 146.6 Bentonite Pellets
<br /> 146.6 170.0 Filter Pack #2/12 Sand
<br /> Attachments Certification Statement
<br /> ' Geologic Log I,the undersign t titisr�porl is co d a 1Q,t a best of my knowledge and belief
<br /> 0 Well Construction Diagram Name (/Y` L
<br /> ❑Geophysical Log(s) F c
<br /> O Soil/Water Chemical Analyses cdy State
<br /> ❑Other Signed '7 �3 { &310 Pr
<br /> Attach admhonat tnr°mtati°n tf It amsts. nod Water Wall convector Date Signed C-57 License Number
<br /> DWR 188 REV.112006 IF ADDITIONAL SPACE IS NEEDED,USE NEXT CONSECUTIVELY NUMBERED FORM
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