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l�1I:.N <br /> Do Not Fill Is <br /> fiPT[OI CAI 1I004IA -0} i <br /> THE RESOURCES AGENCY NO 15529117-„ 4 <br /> 4I <br /> p DEPARTMENT OF WATER RESOURCES ;r..,. <br /> 1BM this <br /> espy hir Snt•W.11 No <br /> WATER WELL DRILLERS REPORT «her Well N 71 g <br /> OWNER: (11) WELL LOG: <br /> (I) 248 rr. D,.r\ r .Iw n 'J•i ri rs-;.,: <br /> Name Frank Machado r.r.ld...\d.nd.».dw...r.«.w..n..l.,.x✓...d rl..r..., l `y <br /> address 2 3 S. Union Rd <br /> Manteca C liL' 0 r Tovsntl <br /> 7_r� sand :Ar <br /> (Z) LOCATION OF WELL: rslwy <br /> 58n JOagstln o.. ..e.,. <br /> rw• [ es« WS R7E d <br /> D:.rr.r.L...,,,•..•..d....;Iad..n.Unio & P` <br /> E.of Unio 1 U' f <br /> 'F (S) TYPE OF WORK (cbeck): <br /> C7nd <br /> S, NrR W.11 LX DrRmn6 ❑ Aaondrioin6 ❑ Dnvern <br /> B (i <br /> I!dnl.vebn,tncdM w•Inid•nd n.ortd..r!n I/r.r I I. <br /> (4) PROPOSED USE (check): (f) EQUIPMENT: <br /> Domestic ❑ Industrial ❑ Municipal ❑ Rotary OCable C <br /> �yrvc= <br /> Irrigation ® Test Well ❑ Other ❑ Other 7.N <br /> (6) CASING INSTALLED: If gravel packed <br /> 6T[ELZ OTHER: _ t <br /> SINGLE DOUBLE 0 "• <br /> G[Be Dismnrr AM R"'1 �5 <br /> tram 'I'u or of Frem To .r.}Y; <br /> fl. II. Dhm. W[II Bore (I. ft. �— t:,:+ <br /> 0 1 <br /> � r <br /> ('�4 lir <br /> mup clay <br /> Un nh v^ valid <br /> (7) PERFORATIONS OR SCREEN: clay <br /> Finn_b3ze—sand- <br /> 7nf. Rovl r i:;: <br /> From To pr ar Sise <br /> e.a in. <br /> "- <br /> -1 21 Re . erf. 1 2 " <br /> 1 1 Ful—f o <br /> 1 Re erf 1 <br /> (S) CONSTRUCTION: <br /> .0°.v(w.u.inr•.nl p••iMl Yn �s O To^Fw"'A 52 A. <br /> .•n .n1.1= •Nll..u.l Tx \s❑ 11♦ •d.p�F el= _ <br /> n2fiC...UM Ia <br /> WELL DRILLER'S STATEMENT: <br /> q <br /> Yxu d.•L^[ tl r <br /> TLL —11 Rn Jrilbd v!n .ry ry.ndirrioR od YFiI nprl it rnr to rM bar <br /> (9) WATER LEVELS: n11RyA.wlda••ndMid. <br /> NAME e <br /> {nJ._ N•.I e.bn .J«.urt, if \... 'P.—.ie..••orwm.�) ITpAN«pwldl <br /> wai. Inel f— f—u....I 1.•d Addrnf <br /> (10) WELL TESTS: - <br /> Yte'14 I xl O•rl w1 <br /> .r ,r_ ... .1..�6.LobJ r..1_n.❑ v. 290817 6-10 , u� <br /> S f ..w• Licm c No Drl ' <br /> v nW I � r <br /> SKETCH LOCATION OF WF--I-ON REVERSE SIDE <br /> Dwr as ..e...-..- <br />