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'U,L,1, 1 4 1966 <br />'ORIGINAL WATER WELL DRILLERS REPORT Do Not Fill I?x <br /> Fil©with QWIL (Sections 7079,7080,7081,7002,Water Code) <br /> 1 THE RESOURCES AGENCY OF CALIFORNIA fff((( w ►-{ 4 <br /> Statc wc11 No 6,a^J fi O 7 3 <br /> 7E Z j� O <br /> . DEPARTMENT OF WATER RESOURCE /s <br /> b other well No- <br /> 1(l) <br /> o(1) OWNER "` " " (l I) WELL LOG: <br /> Name Fred rF-r-jeEO � <br /> Toeal depth 220 ft Depth of completed well ft <br /> EkAddress Rt a 3 Pox r 2 5 Formaucin Drscrwbr by color c1mracter,site o/esetersel sod sireetore <br /> Stockton Calif, it to fr <br /> r (2 OCATION OF WELL: 1 c0 d 17� sw d <br /> cont, S cL Joaquin Owoer s nomher if.cry 178 188 r ey c?E <br /> awntbsP Ranee and Sectio-T-2—K, L;-7—B 1 — 192 brown cls <br /> ittaacefrom ettia roads railroads ere Cora-1a-,- �jf „ 192 — 193 coarse sand <br /> Lane & aneijE '- n 193 204 grey cls <br />� <br /> 3) TYPE OF WORK (check): ' " 20 a- 216 b r c wn clay <br /> ewwdl ❑ Deepening X) Reconditioning ❑ Destroying ❑ 26 6 r 220 loose b. o-n sand <br /> If destruction,describe material and procrdure in Items 11 <br /> [:]4) PROPOSED USE (check) (S) EQUIPMENT <br /> I'DOYne$tic • ' <br /> ❑ Industrial Mumclpal ❑ Rotary ❑ <br /> Irrigation [j Test Well ❑ Other ❑ Cable El <br /> Other ❑ <br />�6) CASING INSTALLED <br /> STEEL OTHER If gravel packed <br /> SINGhEZ] DOUBLE <br />' Gage Demeter <br /> From To or of From To <br /> it it Diam Wall Bore fr— it <br /> Store of whom or-ell ring -�— Size of.noel <br /> ascribe point 'P11 <br /> (7) PERFORATIONS OR SCREEN. <br /> Type of perfonnan or name of screen <br />' Perf Rows <br /> From To per per Size <br /> fr it row it in x in <br /> t <br /> 8) CONSTRUCTION <br /> Was a snrfaee sanitary seal provided? Yet ❑ No O To what depth fr <br /> Were any strata sealed against pollorton? Yes© \0[-j If yea note depth of strata <br /> N. it to it TT <br /> tom fr to it Work stirtrZ/ 27((]] AFOSI• pleted ' Lray <br /> Q FX 66 <br /> Method of sealing WELL DRILLERS STATEMENT <br /> t.9) WATER LEVELS This weld was drilled under my ]urisdiction and this report a true to the best <br /> spth at which water was firs, found if known ftof my knowlyedge an7d brluf <br /> NAME J Jd tel L. Par_ero Jr, <br /> undifts level .free Perforshng and developing ft (Person firm w corpornton) (Tywd or prseted) <br /> 10) WELL TESTS Addresskt e 3 Box 805 <br /> AdOWmP tell made? Yet ❑ No [D if yes by whom? `�`�L'�' 9 1 ° 5� <br /> sal !mm wish it drawdown after hit [SIGNED) I, <br /> emperature of-sur Wu a chemical analyua made? Yea 0 No ❑ 1 /'� (Well Driller) <br /> as electric to made of w F 20724 �11 y. _ s 19 66 <br /> g dl? Yn ❑ N° ❑ 1f yea attach espy License NO T�ated Ap <br /> SKETCH LOCATION OF WELL ON REVERSE SIDE 1 <br /> IC)WR 168 1 REV 0 sal Gamer iso 10 is saw Tnir E—oor <br />