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7 <br /> STATE OF CALIFORNIA <br /> ORIGINAL THE RESOURCES AGENCY Do not fill tn <br /> Pile with DWR DEPARTMENT OF WATER RESOURCES <br />. WATER WELL DRILLERS REPORT NO. 257163 <br /> t ice of Intent Na State Well No. <br /> .J,...al Permit Nu ur Date Other Well Na 47ZV4Ya CE 39A <br /> (1) OWNER Name Kearney — KPF (12) WELL LOG Total depth 71 ft Completed depth 71 ft. <br /> Address 16 2 4 E. Alpine Ave- <br /> from ft to ft Formation(Describe by color character size or material) <br /> city Stockton ZIP <br /> (2) LOCATION OF WELL (See instructions) - <br /> Caunty San Jaaquzn Owner s Well Number —1A — 52o Attached <br /> Well address if different from above — <br /> Township 3N Range 6E Section 35 — <br /> Distance from cities,road& railroads. fences, etc T <br /> /d1 <br /> (3) TYPE OF WORK <br /> New Well W Deepening ❑ — <br /> Reconstruction ❑ "- <br /> See Enclosed Map <br /> Reconditioning El <br /> Horizontal Well ❑ T <br /> Destruction l] (Describe <br /> destruction materials and pro- <br /> ;\ N <br /> cedures in Item 12) V l <br /> (4) PROPOSED US _ { <br /> Domestic <br /> Irrigation <br /> Industrial ❑ \`/2 <br /> Test Well \V} ❑ �\ \ <br /> Muntcif;;�\qthV ❑ �\ — �,� ^ <br /> erPZ ureter �- <br /> WELL LOCATION SKETCH <br /> (5) EQUIPMEW GRAV)U-\ItA�CK <br /> Rotary ❑ Reverse ❑ 'WNo`�J /Sim+ /� <br /> Cable ❑ Air Elof bare �� ��\\ �'� <br /> Other Q� l3ieckey-y� ei�ed from tk �fr <br /> HO l lOW "tem Auger- <br /> (7) CASING INSI'ALLEa t i i (8) PERROVIATIOt45, j \ 1 — <br /> Steel ❑ Pfastrc e T of on size aF U — <br /> From o i D Gage or <br /> ft € Wall ♦ size — <br /> Al <br /> f3.0 70. SCh4 50.8 0 _, .020" - <br /> v <br /> (9) WELL SEAL <br /> Was surface sanitary sea]provided? Yes % No ❑ If yes,todepth 47 ft <br /> Were strata seated agi utst pollution? Yes [x No ❑ Interva]n-4':7 ft — <br /> Melhod of sealing started 19 Complet 13 <br /> (14) WATER LEVELS WELL DRILLERS ST-1TEMENT <br /> Depth of first water if known ft <br /> Sta»dm level after well completion — ft This well u as dr,, u i rzg jurisdtaton and :his report is true to the <br /> >K P 52- hest of my 1tTtowledgc.51 lx.lu f <br /> (11) WELL TESTS Signed• Pllr>n Way well test made? Yes El L1If vis,by whom? <br /> of test Pump ❑ Bailer ❑ ALtr Sift I] NAME <br /> to water at start of test ft At end of test ft (Pe n a rporatia y or printed) <br /> urge gal/min after hours Water temperature Addr <br /> Chemical arratysis made? Yrs ❑ No xx ff yes,by whom? City ZIP <br /> tr —C} <br /> Was electric made Yes C1 No XX If yes,attach copy this re <br /> to ihport LicenseNo O Date of this report <br /> DWR 186 PREY t2-aM IF ADDMONAL SPACE 15 NEEDED USE NEXT CONSECtMVELY NUMBERED FORM 86 96335 <br />