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%ftr 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. 270830 <br /> Notice of Intent No. State Well No. <br /> Local Permit No.or Date Other Well No. <br /> (1) OWNER: Name Paul Me er <br /> Address 24940 Sowles Rd (12) WELL LOG: Total depth 225_ft Completed depth Et. <br /> from ft to ft Formation(Describe by color,character,size or material) <br /> City AcamDo ZIP <br /> 0 -4 top soil <br /> (2) LOCATION OF WELL (See instructions): 4 - 12 tough brn clay some coarse sand <br /> County—San .10aQuin Owner's Well Number 12 – 20 coarse saridV clay <br /> Well address if different from above 20 — 65 brn sand red—brn silty clay <br /> Township 4N Range 7E section 11 65 - 77 coarse sandy clay and gravel@67 <br /> Distance From cities, roads,railreada fences,etc. well is 35 ft 77 - 83 soft sand la <br /> SE from home east of driveway, 18 ft 83 - 90 cobbles an cla <br /> north of so. Prop line 90 _ 11`11 soft t stCarcv clay and cobbles <br /> 101 - 140 silt cla with avel o— <br /> (3) <br /> (3) TYPE OF WORK: – vin 5 <br /> O New Well P9 Deepening ❑ 140 _ 149 cla rocks? <br /> v Q 6 Reconstruction ❑ 149 si ela and navel <br /> Reconditioning ❑ 163 a br la <br /> �r Horizontal Well ❑ 170 — 1 soft <br /> Destruction ❑ (Describe 17 — 180 med b _ <br /> destruction materials and pro- 1 183 e C and Crumbl Cla <br /> cedura in Item 12) y <br /> (4) PROPOSED US 83 - 19 22 d brne s <br /> e brn cla s <br /> Domestic _ S t brn sand brn– <br /> Indust en blac -C <br /> Kti <br /> Industrial S <br /> L`cL1UEwAy O ❑ 196 - red and caving <br /> Tat r ❑ 2 g cla <br /> n Munici ) ❑ - 21 o sand cla Cj <br /> i7QQrwOOtY er 1 _ se SOUsand & a avel <br /> WELL LOCATION SKETCHbe) — <br /> (5) EQUIPMENT: GRAY CK <br /> Rotary ❑ Reverse ❑ No <br /> Cable ❑C Air ❑ Poobore <br /> Other ❑ Buck <br /> (7) CASING INSTALLED: (8) PER TI _ <br /> Steel ® Plastic ❑ Ty of 'm or size of Q _ <br /> From T i Gage or T t – <br /> ft f i Wall t size <br /> (9) WELL SEAL: _ <br /> Was surface sanitary seal provided? Yes (X No ❑ If ya,to depth 50 ft _ <br /> Were strata sealed against pollution? Yes ❑ No ❑ Interval ft _ <br /> Method oFsgling Work started 19 Completed Nnv I <br /> (10) WATER LEVELS: WELL DRILLER'S STATEMENT: <br /> Depth of first water,if known ft <br /> Standing level after well completion 116 ft This well wns drilled under my jurisdiction and this report is true to the <br /> hest of my know d and belie f ��' <br /> (11) WELL TESTS: Signed / !s!`l/l/S <br /> Was well tat made? Ya ❑ No If yq by whom? (W Il Driller) <br /> Type of test Pump ❑ Bailer ❑ Airlift ❑ NAME - Thayer Well Drw aIn"" <br /> Depth to water at start of lat_N. At end of tat ft (Person,lino,or m ration)(Typed or printed) <br /> Discharge-gal/min after-hours Water temperature Address 7487 E L1Ve 6 rd <br /> Chemigl amlysis made? Ym ❑ No ❑ If yq by whom? city IU(h ('a. ZIP 95240 <br /> Was electric log made Yes ❑ No ❑ If yes,attach copy to this report License No. 391 542 Date of this report <br /> DwR tea ffl v. 12416) IF ADDITIONAL SPACE IS NEEDED, USE NEXT CONSECUTIVELY NUMBERED FORM <br /> as 96355 <br />