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" 9 ORIGINAL Re Oriyinal, Duplicate and Triplicate with the SHEET 2 t DIVISIOd OF WtTER RESOURCES P. O. BOX It,'9 r� BACRAMENTO S. CALIFORNIA WATER WELL DRILLERS REPORT Do Not Fill In --. - -- __ : - ' -- State Well No.. -'--__-_'__`--._--- (Sections 7076, 7077,7079,Water Code) Other Well No. I Region---------------- ----` (7) P'e fz'i&41s4 tit _ Type of perforator used------------------------------------------------------------------------------ ------------------ ------------ Perfd(d,1cI .. -------------ft. to----------' ft, Hole size-----'---- -----------'-------No. of holes_---------------------------- - ---- -_ ------- , » --- --- ---- ------- -------------------- ---------------------------------- ---------- ----- -- --- -- „ , - ------------ , „ - „ ------------------------ =------ ---------------------- - „ --—------------- ------------------------ ----------------------- „ „ » » „ - --------------- » » --- -- --------- -------- - ------------------- ----------------------- „ » » r l (8) Water levels: (9) Well pumping test: I i 1 Depth at which water - Date of test-------------------By whom first encountered.-____-____.____--_-17-----_-ft. Depth to water when test started ---------------------- --------------------------------ft. 'I Depth to water G.P.M. at beginning of test----_---------------------.------------_- ----- before perforating__. ____-_-____-ft. Drawdown from standing level______---------------------------------------- ----------ft. Depth to water G.P.M. at completion of test----------------- _-_____ after perforating------------------------_-----_-------_.fc. Drawdown at completion of test---------------------------------- -------------------ft. Note any change in water level while drilling Length of time tested----_---------------------- ---- -_____--._____-._.___..._.___--_ -------------------------------------------------------------- Temperature of water------------------------------------ ---------------------- Was gas present in water? ❑ Yes ❑ No � I CI (10) General: Was well gravel packed?-----------------------------------Size of rock ____Thickness of pack ---------------------------- ----------- Was - ` a surface sanitary seal provided?____ -------------------------------------------------------------- Were any strata sealed against pollution? ❑ Yes ❑ No If yes, attach detailed description. iStrata sealed------------------------.___-------------- .____-________------------------------------------------- Was analysis made of water? ❑ Yes ❑ No If yes, attach copy. '- Was electric log made of well? ❑ Yes ❑ No If yes, attach copy. _ If well abandoned, was it plugged and scaled?------------------ -------_---------- .._________-_-__.-_._-____.____________ _ jMethod of plugging and sealing---------------------- --------------------------------------- (11) Location: _ (12) Time of work: - North Section No------------------------------ Work started dace 3715=51_Completed date__3_-15-51 Township-------- ----=------------- Date of this report._-3-27.=51------- ------------------ ------- i Range----------------- ------------ Base &Meridian_----------_----------- WELL DRILLER'S STATEMENT: t Show location of well in Sec- This well was drilled under my jurisdiction and this tion, thus (X) report is true to the hest of my knowledge and belief. Distances to section lines from Stockton Armature & Motor Works well, N-or5____ Y_____ -ft. QSIGNEuf --------- ----- ---- - - . and or/W-_ t.---^`-'_`-_f u•dl n.m.. `7/ '0 7 Show location of nearest - Bye____ i��- -- --°r:__- -- ------- known well, thus (0) License No.-67 ------50 ._Classific C-57 ation.._.________ I MILE Distance to nearest known , well--------- ----------ft. Dated---- ---- --- '?- , 79_3.7 O.W.R. FORM No. 246 REGIONAL WATER POLLUTION CONTROL BOARD COPY :asu a-.o.oM coin :.o