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<br /> Do Not Fill I„
<br /> STATE OF CALIFORNIA
<br /> DISPLTHE RESOURCES AGENCY NO 149825
<br /> 9*ftl this
<br /> DEPARTMENT OF WATER RESOURCES
<br /> Efot,A1n fhls copy State VG'e!I Ko
<br /> WATER WELL DRILLERS REPORT VCL
<br /> Other <3i 3Yo7r�
<br /> .� y�
<br /> (I) OWNER: (l l) WELL LOG:
<br /> Name
<br /> Mrs. Paul Fr and Jrneh
<br /> ( Ave..
<br /> 41 ft. Tserrh of comolr trJ�dl__]�Q �_ Ir'
<br /> L,:r2 T
<br /> Address Southland Ave• Formreian: Dr,r.rLr hr roto•,cb.rrrlr•r u:r of rr.il 1,..d Will
<br /> Manteca Calif, - 0-5 it.to ft
<br /> (2) LOCATION OF WELL:
<br /> cm— San Joquin
<br /> Turnlhin,R-1 Ind sraiaa TIS
<br /> �D+in,ne.Gom airier.rardr,rrilrvadr.r L1
<br /> V t
<br /> (3) TYPE OF WORT{ (check)
<br /> New Well Z Deepening ❑ Ateonditioning [] DatroYing [] s
<br /> l Sand
<br /> 11 destrvrlimr,drtrribe material and prorrdure in Item 11.
<br /> (4) PROPOSED USE (check): (f) EQUIPMENT:
<br /> Domestic ® Industrial ❑ :14unicipal ❑ notary
<br /> frrigstion ❑ Test Well ❑ Other ❑ CahEc ❑ °
<br /> Ocher
<br /> (b) CASING INSTALLED:
<br /> �n
<br /> Trf£r+: If gravel packed
<br /> STEEL: o
<br /> 91NGL£ DOUBLE L5>•"
<br /> laaUx
<br /> l Diameter
<br /> From E'u or of From To
<br /> ft. tt. Diam. 1ti'211 bore fr. ft.
<br /> 0
<br /> =0 2 +
<br /> 5'• a1 r +r7:
<br /> fur ut rhw u .all rine: Pro
<br /> ,
<br /> I
<br /> Urn nM i,,,n,
<br /> (7) PERFORATIONS OR SCREEN:
<br /> r "of Hari+runm u of xreen
<br /> ^rrf. Rovs .
<br /> From To per prr Size
<br /> It. ft. rov ft. in.x in.
<br /> 120 1-40
<br /> I
<br /> I
<br /> (d) CONSTRUCTION:
<br /> mi.rr,.n,un,all nr„ridrdr Yn Nu c1 To r.hrt Ill
<br /> Kerr.n,x,n..r+led Ir in r,pallor&,nr Yr.[- \n r: If vn,near Jrn+h rd un.I
<br /> Krum fl.a fr' 1 ft.to r
<br /> er+m n.
<br /> �'nrk,r,•trd I. G .Cnm.lrtrd I.
<br /> Bentonite v:'E:1.L UA[LLFR'S STATEMENT:
<br /> slnlwJ of rerh^[ T/,nwrf! w+s dnllyd nndrr my jaritdit!inn nod tbi, rrporl i[ lr.r 1v the brit
<br /> (9) WATER LEVELS: of myknor,dillandbel
<br /> Uerrh Ie .hmh .,rr r„fir found.,f k— Ir. L }'1 ! I;
<br /> ,ar nd:nr L+rl brf..rr perfon+:nr, .f �n+.n fr- NAtlE 1•lennin $ Bros Ur Z1..i R CQy,IIIe,
<br /> I Prawn,firm,or cor+or.— T7,y r•prr.rrdl
<br /> sund,nr Lrrl d— m,fen,inl Ind de•d.ro�n, n-
<br /> (Ip) WELL TESTS: Addil 2 00 `d!• Rumble l
<br /> +Ir
<br /> tr,rr.b...hnm, Modesto Ca if
<br /> w',Dump int—d" Y', :_I h'a X
<br /> erl.'m,n.v,rh f, Jr,.J„•n.�
<br /> Yrrld ___I,
<br /> W.,a ahemic.t,eIA n,mala? Yr. '7, N..I {
<br /> s,.rlr.rn.lue madr�F•alta Yc, _ nr 1l.r ,ch con• Liceme
<br /> SKETCH LOCATION OF WELL ON REVERSE SIDE
<br /> a-ra Ill TRI.Or Oil 2�2
<br /> OWR tae nzv a.eo, 1
<br /> t
<br />
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