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ORIGINAL WATER WELL DRILLERS RE ALT <br /> Do Not Fill In <br /> _ File Original, Duplicate and Triplicate with the (suctions 7076, 7077, 7079 , water. Code) <br /> DIYISION OF WATER RESOURCES State Well No- ---------------------. <br /> P, o . eox 1079 STATE OF CALIFORNIA—DEPARTMENT OF PUBLIC WORKS <br /> - 1 SACRAMENTO =. CALIFORNIA DIVISION OF WATER RESOURCES <br /> Region..._ _ -..._.-.._....._-...__--....-...._...._.___. <br /> ' 1 ) DRILLER : (person, firm, or corporation ) ( 8 ) LOCATION OF WELL : <br /> Name ,s:T(l 1 T count' • - .. <br /> _ C ; _ CN F_ R' ' fT[1F.F Re td'1TnR 4.'lJ ^ug - <br /> Address 646 SOUTH CALiFORIdIP ST5FET R. F. n. nr sores no. g3-e d s <br /> `_.tCHTOid � CA LFCRI'IA <br /> OWNER : <br /> Name " 'r 0 T) GpIar io <br /> Address 35='6 Harvey ( 9 ) WELL LOG : <br /> Sto..-ton , California Total depth of well 120 <br /> Formation : Mention size of water grpgel— <br /> i ( 2 ) Proposed Use ( Check) Equipment <br /> 0 ft. to 3 ft. Top Soil <br /> Domestic Industrial ❑ Rotary ❑ 3 It18 " Yellow Clay <br /> ® 18 24 " Yellow Sand <br /> Irrigation ❑ Test Well ❑ Cable 2 <br /> Dug Well ❑ 4 42 Yellow Clay <br /> Municipal ❑ Other ❑ Ocher ❑ 42 It 52 ^ Blue Clay <br /> 52 It 67 '• Blue Sand <br /> - ( 3 ) CASING : 67 to 110 It Blue Clay <br /> 70 ft of 6 in <br /> .. 1L. lb./ga. rising left in well 110 .. 120 It Gray Sand Gravel <br /> It ft . .. <br /> It <br /> IN ft <br /> It It It it It <br /> No go <br /> ., ,. L <br /> .. 1 ., .. <br /> Type and size of shoe or well ring to <br /> 14 ) PERFORATIONS : <br /> ' e of perforator used <br /> Perforated - ft. to ft. holes per , <br /> It <br /> to t <br /> 41 91 1 1 <br /> It <br /> Diamear of perforations •, length <br /> I <br /> , 5 ) WATER LEVELS : It <br /> Was electric log made of well? J Yes J NO If Yo, attach copy. to <br /> Depth at which water was first found 18 ft. <br /> to to <br /> at <br /> Seanding level before perforating ft. " <br /> Standing level after perforating fr. .. <br /> Note vour observationof any change in water level while drilling _ to At <br /> Was a surface sanitary seal provided ? to It <br /> to to <br /> ( 6 ) WELL PUMPING TEST: Work started 5 _ 5 19 52 1 Completed 5- 5 19 52 <br /> T <br /> Capacity gal./min. it. draw down Date of Report June 2J , , l9 5� <br /> WELL DRILLER'S STATEMENT : <br /> - ' u'as well gravel packed ? This aveli was drilled :order uuy jurisdL lion and (his reporl is trne to the hest <br /> -.ere any strata sealed against pollution? of any knou•inlge and belief. <br /> was a cM1emkal anal Attach //[[ <br /> ,, . r..nperatare analysis made) copy [$IGSQ[n] .,.f(._ '� �..f.- J......... <br /> -- If abandoned was well capped ? - W ell Driller <br /> $Y --ST4Qi:'.T0t)_. 6€ ::.AT E &A <br /> ---- ------u==--}1 --------------- -- <br /> ( 7 (check) : - 6r"8 C 57 <br /> ) TYPE OF WORK License No.6r"850...�....5___...-_.....-..__...._....__Classifintion.... <br /> New well 13 Reconditioning of well J <br /> Dated-------- ._-_-----------_------------------ ---------.._____.____-------- -.-._---—__, 19-_._-..-_ <br /> Deepening existing well ❑ 463 . 0 7-51 sou culN 0 sec <br />