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>n, p <br /> ORIGINAL STAYS of CALIFORNIA <br /> THE RESOURCES AGENCY <br /> i•. File with DWR DEPARTMENT OF WATER RESOURCES DO not .JIII in y <br /> WATER WELL DRILLERS REPORT Mo. 270819 <br /> Nalee of fntent N. <br /> LoaState Well N. <br /> Permit Na or Date Other Well No, <br /> (1) OWNER: Name Ken Lord <br /> Addrea P 0 Box 5367 (12) WELL LOG: Total depth—ftCm �_ <br /> npleteddepthft <br /> y city Stocktonzip 95205 from ft to it. Formutlon(Describe by talar,charmer,a w or material) <br /> (2) LOCATION OF WELL(See instructions): 2 - 2Z ha=qtly c7 ay s„^c:e ttrayel <br /> CountySan Joaquin Owner*;Well Number 2 - 4 1, <br /> Well.ddreu if different from abnye 93N Hewitt Rd - 7— I and cobbles glow to drill <br /> To mhlp 2N - Range 8E Section 36 1'0 <br /> DiNanm fmm dtiea,rmdu,railrovd&fencer Ste Well Si a X 20, - 4 rocks R <br /> North of house. 62' from Hewitt trianazlar 4 - 9 ern cla <br /> 'aha d ro rt on corner of Hewitt and co 99 111 rockeand c <br /> Iroads,' _ 111 - 11 blac t <br /> one <br /> (3) TYPE OF WORK: 11 - 143 ilt am* rocks <br /> New Well a Deepening ❑ 143 - 176 rse and and avael <br /> Recomtrucnon ❑ 176 - 2 s la with rocks <br /> ❑ 192 7 brn clRorfmnt.l:vdl ❑ 207 - brit claDestruction ❑ (Describe 2 22 bladestruction materials and prc- 7 240dars In Item E(4) PROPOSED USDomesticIrrigation <br /> Test Well ❑ 0- <br /> unld ❑ <br /> O er - l <br /> WELL LOCATION SKETCII ihe) v <br /> M <br /> i (5) EQUIyMENT: GRAV CK <br /> '« Raary ❑ Rewrr_❑. No <br /> ` Gbb IX Air <br /> '- ❑ a d bore C <br /> 0,hm ❑ puck run' - <br /> (YI C INC INSI'ALI.E6 ,.._ <br /> Steel ❑ PIaRI< ❑ a T d tt,lttd _ f <br /> From D' Ga eor <br /> g t <br /> ft f ' Wali t sive _ <br /> �r <br /> (9) WELL SEAL: <br /> Wusvdaaw adtuy ad pmvMed7 Yo IR No❑ ffyeiwdWh 5O (t - <br /> We AnitarsleL umatpaliutsm? Yn ❑ N.5d Interval IL - <br /> MwhWdseal4q trona Wmkstarted 19— Completd July lIS2_ <br /> ., (10).WATEII.LEVELS: - - - WELL DRILLERS STATEMENT: - a¢ <br /> Depthdnne water.l[knmm ft. <br /> S..di.16wl dw wellmmPWbn_� (e This fell uns drilled ndn my.JuA•dlet(-m and this report 4ru <br /> te to tha �.+ <br /> 1 SLA- bht of my knoff and / , <br /> (11)'.WELL TFSTS: Signde - <br /> W."Abeat ' Ya ❑ N.0 Ifyg by rh.? 1 • II�� y <br /> TYKdeat lump ❑ &Iier❑ Airlift ❑ NAME3�.. <br /> Deµheo water ar.e:.ndtae_ft. At endof I. It 748.1P• apn(.[gp1(Typd or primed) 1 <br /> D4durge_gvl/a•in.he.__heun Waierien.pe.owro Address / VA V8K !(Q <br /> Chemhwiwlyn,, ue? Yu❑ No If yes bywhami City LOCLI Callf. zip 95240 <br /> Wudees.k I.,rude Ya ❑ N. CI I( er.ataeheop eeahbro Lim.Na. Dib6o6hbreport <br /> own rm inpv. :-^.aai <br /> IF ADDITONAL SPACE IS NEEDED. USE NHXT CON9eCUTVELY NUMACRID FORM y •tl9 ' <br /> y ,1 p8 <br /> 1 p8H9Hrr <br /> M <br /> hl+ - <br /> 41,r , <br /> t <br />