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ORIGINAL ATER WELL DRILLERS REIT Do Not Fill In <br /> Fila with SWR (Sections 7079, yoga, 7081 , 7083, Water Code) <br /> N ° 477 53 <br /> THE RESOURCES AGENCY OF CALIFORNIA <br /> P` DEPARTMENT OF WATER RESOURCLI state Well Nn/ other well No. <br /> ( I ) OWNER: ( 11 ) WELL LOG : <br /> Name J e cu s A rro fro Total depth 1l0 " . Depth of completed well it. <br /> Address 11; 2 6 3 . =utter Formation : Drimbebycodes, charortn , .,_eofvsdfrr,el, and rovers" <br /> Stcch_-ton , Calif , ton soil ft. to <br /> ( 2 ) LOCATION OF WELL: Sand <br /> county ° an Joacuin Owner's number, if anyclay 8 35 <br /> 'Township. Range, and Section 1 N&12 b& S 10 I) IIIP e% 1 nir <br /> 35 <br /> n;a ntefrpm mel , ,armaa. et ' 060 ^urn ike fid . btwa !k5 r3 <br /> 1 blk . ix1 of ' ; alk ... r Slouuh lblk . E . of b1lip 5.30, 1 <br /> ( 3 ) TYPE OF WORK (check) : ` urnnike Rd . n <br /> New Well 0 Deepening. ❑ Reconditioning ❑ Destroying ❑ clayI^' <br /> if destruction, derscribeurate.ial and procedure in lten n . sand 100 F <br /> (4 ) PROPOSED USE (check) : ( S ) EQUIPMENT : clay 105 <br /> Domestic 0 Industrial ❑ Municipal E] Ratary a <br /> Irrigation ❑ Test Well ❑ Other ❑ Cable ❑ <br /> Other ❑ <br /> ( 6 ) CASING INSTALLED : <br /> US STEEL: OTHER : If gravel packed <br /> SINGLE :n DOUBLE E] <br /> _ Goge Diameter <br /> 1 1 From To . of From To <br /> Li it. it, Diam. Wall Bore ft. fr. <br /> 1. <br /> _ .J 110 glt 12 <br /> Size of shot or well r Size of a Vel : <br /> Describe joint -sfelded <br /> ( 7) PERFORATIONS OR SCREEN : Factory <br /> Type of perforation or name of screen <br /> Perf. Rows <br /> From To per per Size <br /> fr. ft. row ft. <br /> 90 110 <br /> I I <br /> (' ( s ) CONSTRUCTION : <br /> I Was a surface sanitary seal provided ? Yes +F!l No ❑ To what depth - ft. <br /> Were anv strata sealed against pollution ? Yes n No ❑ = If yes, note depth of strata <br /> - I From fr. to A_ <br /> From ft. to ft. Work started Ct • 19 D , Com lemd Oct • 141,. 67 <br /> Method of sealing WELL DRILLERS STATEMENT: <br /> _ 9 WATER LEVELS: This well was drilled under nay jurisdiction and this report is true to the best <br /> ( 1 ( ) of any knowledge and belief. <br /> I I <br /> Depth at which w as first found, if known (e. <br /> Standing level before r perforating, if known it. NAME Joe Machado <br /> Standing level after perforating and developing fr. (Paton, firm, orcorporation) (Typedorprinled ) <br /> 1 ( 10 ) WELL TESTS: Addresr1511t . Harding 1J2. <br /> wp star Yes made? Y ❑ NG El If yom <br /> Yes, Stock on , Calif . <br /> ail.;m w ith ft. dr.wdow after63. [SIGNED] <br /> _ Temperature of water Was a chemical amlvsis made? Yes ❑ No ❑ (well Driller) <br /> Was electric log made of well ? Yes ❑ No ❑ If yes, attach copy License No. 1513 53 Hated 0 e t 1 E 6,., 7r7 <br /> I 19_u {- <br /> SKETCH LOCATION OF WELL ON REVERSE SIDE <br /> iLI DWR 166 IRFv. s, ss ? 56391.95010-63 Sox TRIP (DD osR <br />