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ORIGINAL VATER WELL DRILLERS REle IT Do Not Fill In <br /> File with �WR (Sections 7079,pogo, 7081, 7083, Water Code) <br /> N° 47759 <br /> THE RESOURCES AGENCY OF CALIFORNIA <br /> P` DEPARTMENT OF WATER RESOURCLI State W ell No <br /> � / ) Other Well No. <br /> 1_ l <br /> (1) OWNER: (11) WELL LOG: <br /> Name tT e(3u s A rro�r0 T.tal devth -L 1.0 Depth of e.mpl,ad well 1l y"1 it. <br /> Address 11r S . '-utter Formation: Dnr.ibe by Talon, rhe...t, , of umirrtel,and wnrl., <br /> Stockton . Calif, ton soil 0 Jr. '. <br /> (2) LOCATION OF WELL: Sand <br /> C....y ,an Joacuin Owv<r's number,if.ray C <br /> Townshiv.Range, and Sec,ion 1 N&I s • s 10 , 35 ,- <br /> Di—., btw. 4k5 r3 <br /> 1 blke:Ni of `, alk >r SlouUh lblk . . of <br /> (3) TYPE OF WORK (check): TUrriDike Rd . n <br /> New Well 0 Deepening. ❑ Reconditioning ❑ Destroying ❑ clay <br /> 7 I^' <br /> Il destruction,describe.naterial and procedure in Item. 11. sand 100 1 or <br /> (4) PROPOSED USE (check) : (1) EQUIPMENT: clay 105 <br /> Domestic 0 Industrial El Municipal ElRatary [ - <br /> Irrigation ❑ Test Well ❑ Other ❑ Cable ❑ <br /> Other ❑ <br /> (6) CASING INSTALLED: <br /> US STEEL: OTHER: If gravel packed <br /> SINGLE:? DOUBLE <br /> _ Gage Diameter <br /> t From 'ro or of From To <br /> it. fr. Diam. Wall Bore ft. fr. <br /> Li <br /> _3m <br /> _ J 110 81i I <br /> Sizr of shoe orwall ring: Site of.ravel: <br /> Demribei.ior -Fielded <br /> (7) PERFORATIONS OR SCREEN: Factory <br /> Type of pwf., id or mme of screen <br /> Pert. Rows <br /> From To per per Size <br /> fr. ft. row ft. in. stin. <br /> I I <br /> r : <br /> (' (8) CONSTRUCTION: <br /> Wa,a a.rr re nnirar 1 I y,ea provided? Yes*F� No ❑ To what depth ft. <br /> Were...an,a sealed .gains,p.11.6.0 Yes n No ❑ = If yes,note depth of strata <br /> - From ft. to f>_ /1'� <br /> From ft. to ft. Work rnrred et • 196 ,Com I,.d Gct . 14,9. 7 <br /> Method .f...tire WELL DRILLER'S STATEMENT: <br /> ( _1 (9) WATER LEVELS: This well was drilled under nay jurisdiction and this report is true to the best <br /> Depth , which w r ter fin,found, if known fr of any knowledge and belief. <br /> `JI Standing level beforeperforating, if known fc. NAME doe Machado <br /> Smvding level after perfuming and devdo i.g ft. (Petmn,firm,or corporuion) (Typed or Pnnerd) <br /> --1 (10) WELL TESTS: - Add...1511 E. Hardin <br /> „pte.ttn,de? Yes [] Nn ❑ Ifyo, bywMmi Stock on Calif. <br /> ev Ril.i min. with fr. drawd.wn after Ire. [SIGNED] <br /> _ T<moeramre of wuer Wm a chemical amlysh made? Ye, ElNo ❑ (Well Driller) � <br /> IWas electric I.g made of well? Yet ❑ No ❑ If yes, attach copy License No.1 513 53 1lated o c t 16 , 19-6W- <br /> SKETCH LOCATION OF WELL ON REVERSE SIDE <br /> iLl DWR 166 ,REV. 9.ss) S639L.f. 10-611.M Ta,,(D A..P <br />