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Do Not F>:!! In �0RjQ1lVAi- WATER WELL DRILLERS REPORT �* Ffls Original,auplltaie and Trlpiltale wNh the �" (sect.ons 7071S,'7077,7or:,Q7ater Cede) lv • 6/2 J,18 r , State Wc11 No d, t`� r - - REGIONAL WATEFL POLLUTION STATE OF CALIFORNIA �� Other Well No_ CONTROL BOARD N.—J--- -- Appropraarr number) (1 I) WELL LOG: OWNER: 548 Name California "Water 5e C Total dcpti, 563 it Depth of easnpletea.ren Address 1"� �e $per ��, 0 Fnrmaaoa Dnrrt ie by calor rbA..rsn,nor of eAArrriAl,end rrrrrlMrr 0 it to 4 ft To Soz.1 Sar_ Jose Calf n, O Sand Cls ' (2) LOCATION OF WELL. 0 2 'I•a Sand a TT 52 60 �-� Sand & GrGravel a� county San Joaquin owner a number if any Station 60 g r, Yellow endCla ' R F D or Street Na jdeW• Corner Bonnie Avenue and85 ,o Fine Sand Ellis Street Stockton Calif. 90 8 y Yellow Sandy Clay 98 105Sand $ 5 Yellow Sari— e ITS 131 '° Fine Sand (3) TYPE OF WORK (check-): 131 6 4 Yellow Sandy Cla Hsrd Streaks Neer well ® ileopenm Reeondmonms ❑ Abandon ❑ Its F ne Sand & ❑ if abandonment,abandonment,describe anatersai and procrdxre an Item I 1 Blue Sand Cla 1v C a Sand Hard (4) PROPOSED USE (cbeck.) (5) EQUIPMENT. 15 mue Sandy Cl ay Domestic ❑ Industrial ❑ Municipal ® Rotary ®❑ Cable ''c Q and Irrigation ❑ Test Well [E:] 0th er ❑ Dug Well ❑ { C r l� Gravel Hard Streaks (6) CASING INSTALLED If gravel packed 5 298 Ir= Grevel ' SINGLE ® DOUr/BrL�E —1 r� [ Gagc Dsameter from to 298 31,E -, _ Blue GlaS Hard) _From Of, to I L ft 30Diam��lU Wall of Bare it ft rel/ 320 �y Sand 0 5/, 16 l,�G - — L 0 7 J 200E 3V5 5 ISlue S ander Clay - -- - 20i1 72x_ 335 350 5 Gravel ' 350 370 5 _Blue Scandy Cl (Hard) 37Q 385 '0? Sand _ 385 -- 24 o3 Blue Cls Gravel Streaks ' Type and star of shoe or well ring None Size of gtawel 5L16 __424_ �y�2 ryV Sand rk.crsbajoint Collared ,--4 3 2 442 11 Blue Clay J-42 4(-)6 Blue Landy Clay ' (7) PERFORATIONS Sand - Type of perforator used Factory Punched 474 qn 3 Size of perforataoae Louver to,length h7 2Clay Froml9 €t to 353 ft 6 Perf per:ow Row%per Et p GGrave (Bl�g [r'la Sire akS 35 52g 519 -5395 1311Io Sgndy 01 84 & GT` "el —�3- 51 9 -A--) San 442 5 A-3 5 rd streaks (8) CONSTRUCTION. ' War a surfaee sanitary seal provided? W Ya ❑ No To what depth 72 ft V are any strata sealed against pollution? ❑ Yee $1 No If yes note depth of strata From it to ft ' Method of Sealing Work startedj an. --)s-64 Complercd lei&1'G'Yl WELL DRILLER'S STATEMENT (9) WATER LEVELS This well was drilled under my ?urtsdreiron and fhrn rrport is true to the hes+ n ' Depth at which water vA,fir.t found Not Avazlable it arty knowledge and hrlwf candor=level before ptrloraunR n :1 it NAME WESTERN WELL DRILLING C0. ,LTD. weer prtforavng it Addrees :pcnon firm �r corp�ra,�un 7 ytted u, pr.Aredl �. d Box 47 ' (Io) WELL TESTS. San 'JO Calif. 95103 Was a rump tart made? CK Yet Q No If yes by whom? Driller _ ��__ _�✓--- .. �- [SIGNED] Yield gal/vasa :)'/.L With 20 ft draw down after hra - Well Driller April 2319 b4 Tcmyseraturr of water was m a chetul awlyuMade?nde? Cl it, No LfCerI3C O ^25182_ - Dated Was rlretne SDR made of well? Yes ❑ No °vasa 9 97 Nott qu1N A oro DWR 180 IREV E¢4}