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ORIGINAL STATE OF CALIFORNIA DWR USE ONLY -- DO NOT FI L IN <br /> File with DWR WELL COMPLETION REPORT OJ i of S O L IF— I Di'31 <br /> Page 1 of I Refer In /nalreclian Pamphlet INSTATE WELL NO/ NO. <br /> Owner's Well No. 95357 ND•1077678 J ❑0 <br /> •Date Work Began 9/26/2005 Endedl O/5/2005 LATITUDE LONGITUDE <br /> Local Permit Agency FnVlronnn ntaLHealth 11 1 1 11 1 1 1 I <br /> Permit No. Permit Date <br /> 43938 9/15/2005 APNrrRS/OTHER <br /> GEOLOGIC LOG WELL OWNER <br /> ORIENTATION I V) -'L VERTICAL —HORIZONTAL — ANGLE —(SPECIFY) <br /> DRILLING <br /> DEPTH FROM METHOD ROTARY FLUID Mud <br /> DESCRIPTION <br /> Ft. to Ft. Describe material, grain, size, color, etc. We <br /> 0; 2;Soil Address 29701 E. Carter KDLL LOCATIO <br /> 2 7 Clay City Escalon CA <br /> 7: 10 Sand CountySan Joaquin <br /> 10: 33:Clay APN Book Page Parcel <br /> 33: 47:Gravel Township Range Section <br /> 47: 243:Clay Latitude I I <br /> 243: 245:Gravel DEG. MIN. SEC. DEG. MIN. SEC. <br /> 245: 322!Cla LOCATION SKETCH ACTIVITY (�) <br /> y 322: 336:Black Sand&Shale Streaks NORTH _s" NEW WELL <br /> MODIFICA PAIR <br /> 336; 353;Clay —Deepen Deepen <br /> —Other(Specify) <br /> DESTROY(Describe <br /> Procedures antl Materials <br /> Under"GEOLOGIC LOG" <br /> PLANNED USES(V) <br /> WATER SUPPLY <br /> y _-Z Domestic_ Public <br /> — legation _ Industrial <br /> MONITORING— <br /> TEST WELL_ <br /> • ATHODIC PROTECTION_ <br /> HEAT EXCHANGE— <br /> DIRECT PUSH_ <br /> INJECTION— <br /> VAPOR EXTRACTION— <br /> SPARGING_ <br /> SOUTH REMEDIATION— <br /> /llnuna,or 7krcrlAe Dixlmwe JWeIIJrom Rrwds, Buldtlrgs, <br /> Perm,Riven,etc. and attach a map. Use additional paper if OTHER(SPECIFY)— <br /> nttenery. PLEASE BE ACCURATE & COMPLETE. <br /> WATER LEVEL&YIELD OF COMPLETED WELL <br /> DEPTH TO FIRST WATER (Ft.)BELOW SURFACE 1 <br /> DEPTH OF STAT C <br /> WATER LEVEL 40 (Ft,)&DATE MEASURED 9/30/2005 <br /> ESTIMATED YIELD ' (GPMI& TEST TYPE <br /> TOTAL DEPTH OF BORING 353 (Feet) TEST LENGTH IHni TOTAL DRAWDOWN (Ft.) <br /> TOTAL DEPTH OF COMPLETED W ELL338 (Feet) May not be representative of a well's low-tern;yield. <br /> DEPTH BORE• CASING(S) DEPTH ANNULAR MATERIAL <br /> FROM SURFACE HOLE TYPE FROM SURFACE Typ <br /> DIA, x w o. MATERIAL/ INTERNAL GAUGE SLOT SIZE CE- BEN- <br /> (Inches) ¢ p a GRADE DIAMETER OR WALL IF ANY MENT TONIT FILL FILTER PACK <br /> Ft. to Ft. m o u (Inches) THICKNESS (Inches) Ft. to Ft. ,,JJ`` ,` (TYPE/SIZE) <br /> N S H IV) (V) <br /> Oi 318 11 PLASTIC— 6 160 <br /> 318'', 338 45_ 1 GRAVEL_ <br /> ATTACHMENTS CERTIFICATION STATEMENT <br /> • — Geologic Log I,the undersigned,certify that this report is complete end accurate to the beat of my knowledge and belief. <br /> — Well Construction Diagram NAME MASELLIS DRIIAING.INC. <br /> Geophysical Log(a) (PERSON,FIRM,OR C PORATION) (TYPED OR PRINTED) <br /> Sod/Water Chemical Anaysis 1J9 Albets Rd —MQduto CA 95357 <br /> Other ADDRESS 1Y,� CITY STATE ZIP <br /> ATTACH ADDITIONAL INFORMATION,IF IT EXISTS. Signed 10/05/05 66 6623 <br /> WELL DRILLER/AUTHORIZED REPRESENTATIVE DATE SIGNED C-57 LICENSE NUMBER <br /> DWR I88REV,11-97 IF ADDITIONAL SPACE IS NEEDED,USE NEXT CONSECUTIVELY NUMBERED FORM <br />