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:e;7_ _ _— - — — _ _ _ _ STATE OF CALIFORNIA <br /> —_ — _ —_— —, _ _ --Do Not Fill,In _ ....: <br /> w <br /> THE RESOURCES AGENCY �p 70347 <br /> ORIGINAL DEPARTMENT OF WATER RESOURCES l� <br /> File with DW8 <br /> WATER WELL DRILLERS REPORT State Well No <br /> I 10 4 r <br /> f Other Well No.�' r - <br /> (1) OWNER (11) WELL LOG Q <br /> Name Ce, C. CUNNINGHAM Total depth 6 ft Depth of en pleted well 84 ft <br /> Address P. 0. BOX 191 Formation Vesrrrbe by color rbcrarrer,sr=e of malenal rnd slrarlarr <br />' T k CALIF. 95136 0_14 it to Clay ft <br /> (2) LOCATION OF WELL 140 Sand <br /> coanly Owner s namber if any 2 Gravel & Sand <br /> Township Range and Sect o. 4- $ Clay <br /> t Dssance from titter roads raslroads etc 1001 N. of DurFi7am M. 58-6-1Gravel <br /> on Hw 61-72 Cla <br /> (3) TYPE OF WORK (check) 2-82 Gravel <br /> New Well g] Deepening ❑ Recondtoontng ❑ Destroying ❑ 82-110 Clay <br /> If destrrecfxon,describe material and procedure rsr hent 11 .110-115Sand Fine <br /> (4) PROPOSED USE (check) (S) EQUIPMENT 115-152 Clay <br /> Domestic Industrial Municipal Rotary [� 2-1 Sand & Grave <br /> Irrigation C] Test Well Other r] Cable ❑ ^l 6 Clay <br /> Other El <br /> (6) CASING INSTALLED <br /> STEEL OTHER If gravel packed <br /> SINCILE-tj ROUBLE ❑ <br /> Gage Diameter <br /> From i u or of From To <br /> ft it Dtam Wall Bore ft ft <br /> 84 6 12 10 0 84 <br /> Size u1,hoe s,r well ring Sire of gravel pea <br /> Ue,uib.i.rnl wee <br /> (7) PERFORATIONS OR SCREEN <br /> Type of nrrturauun or name al screen dlat <br /> —ry Perf Rows <br /> I rnm To per per Size <br /> ft ft row ft in x In <br /> 2 2 311 X-17811 <br />' (S) CONSTRUCTION <br /> Wa,a,urlace s,ni,a,y seal provided? Ye,M No ❑ To what depth 0 f[ <br /> Wert a-,u ria haled against pollution) Yo, ❑ No❑ If ves note depth of strata <br /> Frnm ft to ft <br /> From ft m it Work stoned 9 completed 19 <br /> Netlwd of seakmg 11 Pntenite WELL DRILLER'5 STATEmrNT <br /> (9) WATER LEVELS This well wax drilled under my jurisdiction and this report is tare to the best <br /> 1 of my knowledge and belief <br /> Depth at which water was first found if known 1t <br /> Standing level before perforating if known fr NAME Hennings Bros. Drilling Co. Inc. <br /> Standinglevel after (Person firm or corporagon) (T)ped or prinrrd) <br /> per forannq and developing fir <br />' (10) WELL TESTS -Add ..s 2500 W. Rumble Rd. Modesto Cal. <br /> pump test made? yes ❑ No ❑ It yes by whom2 <br /> lJ gal !min with ft drawdown after hrr, [SIGNED] <br /> Cpr <br /> ematurr of water E1Was a chemical analysis made? Yes 0 No a'� (W,11 Drilla) <br />' Was ekc[ric log made of well! Yes ❑ No ❑ Cf}es at[ach copy License No..116-32- Dated- JIMP 22, 19 2 <br /> SKETCH LOCATION OF WELL ON REVERSE SIDE <br /> OWR IH$ REV 96Bi 23170 93098930M TRrP 0005x• <br />