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STATE OF CALIFORNIA , <br /> ORIGINAL THE RESOURCES AGENCY Do not fill in <br /> File with DWR DEPARTMENT OF WATER RESOURCES <br /> WATER WELL DRILLERS REPORT No. 370409 <br /> Notice of Intent No. State Well No. <br /> Local Permit No. or Date 90-330/2331 Other Well No. <br /> (1) OWNER: Name Delta Pumps (12) WELL LOG: Total depth' 292 it. Completed depth 270 it <br /> Address 646 S. California St, from ft to ft y <br /> Formation(Describe b color,character,size or material) <br /> City- Stockton, Ca. ZIP 95208 0 - 5 'Ibp soil clay A <br /> (2) LOCATION OF WELL(See instructions): 5 - 7 Broom sand <br /> County San Joaouin Owner's Well Number 7 - 27 Brown clay - <br /> Well address if different from above -1�48AShley 27 - 30 ffiOWn sand <br /> Township Lodi Range Section 30 - 42 Brown clay I ---77-- <br /> Distance <br /> Distance from cities,roads,railroads,fences,etc 42 - 47 Brown sand <br /> 47 - 54 Brown clay <br /> 54 - 62 ffiown d <br /> 62 - 22 Brown 172 1 � <br /> (3) TYPE OF WORK: rr-- 127 Ib7,own tt5e <br /> New Well XX Deepening ❑ 127 - 157 C <br /> Reconstruction ❑ 157 - I& Br sand same fine <br /> Reconditioning ❑ 161 Browly Cl <br /> Horizontal Well ❑ 170 - 1 own <br /> Destruction ❑ (Describe 1 - 252 d shale <br /> destruction materials and pro- 265 Br <br /> cedures in Item 12) <br /> (4) PROPOSED US . -92 Br la d <br /> Domestic Pr1V. _ <br /> Irrigation <br /> Industrial ❑ _ <br /> Test Well O ❑ <br /> Muriel ❑ _ O <br /> O er <br /> WELL LOCATION SKETCH ice) <br /> (5) EQUIPMENT: GRAV CK: <br /> Rda,y M Reverse ❑ No <br /> Cbl. ❑ Au ac <br /> ❑ et of b <br /> ,� i <br /> Other ❑ Bucke men - <br /> (7) CASING INSTALLED: (8) PERFOkATIW _ <br /> Steel ❑ Plastic [R Ty d 'on ar stTa of <br /> From T i Gage or t - <br /> It. f Wall t. size _ <br /> 07L724y 1 160 225 _ <br /> (9) WELL SEAL: - <br /> Wamrfacemnitarysealpmvided? Yes No If yea to depth 100 ft <br /> Wemstratnxakdagainstpollution? Yes ❑ No ❑ Interval It - <br /> Mcdodofsealing Bentonite Workstarted 19_ Completed------q-A—19-3D <br /> (10) WATER LEVELS: WELL DRILLER'S STATEMENT: <br /> Depth of first water,if known it This wU ruas drilled under my Jurisdiction and this report is true to the <br /> Standing level after well completion It best dqnWowledge and belief. ///7///f <br /> (11) WELL TESTS: Signed iA� �l�.r� J 6Z,,e �.le� eBkkPr. <br /> War well test nude? Yes ❑ No ❑ If yes,by whom? (Well Dller) <br /> d <br /> TypetatCo. .Co <br /> Pump ❑ Bailor ❑ Airlift ❑ NAME CalWatel Drilling Inc. <br /> Depth to water at start of test_it At end of test ftfmt,or corporation)(Typed or printed) <br /> Discharge_gai/min after_hours � Wata temperature Address Address 300 S. I�P TZb1 <br /> Chemical anafyusmade? Ya ❑ No ❑ Hyea bywhow? City Turlock, Ca. ZIP 95380 <br /> Was electric log made Ya ❑ No ❑ If yes,attach to this report License No.321252 Date of this report 9-25-90 <br /> OsvR see MEV ta-eel IF ADDITIONAL SPACE IS NEEDED. USE NE%T CONSECUTIVELY NUMBERED FORM ve]ss <br />