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<br /> Y STATt OF CALIFORNIA
<br /> QUADRUPLICATE THE RESOURCES AGENCY DO riot ,111 ill
<br /> Use ft.comply with ),PA.T.,NrT C)F WATER HFSOURCES
<br /> loc.lwquirements WATER W 'LL DRILLERS REPORT N0. 299394
<br /> e of hiteia No til:dr Wr•II No
<br /> call'rnnit No.(-r f)ate_1Q_ Other Well No,
<br /> 1 OWNER: Na7H. JI IC...11. Cor- OI-r!ti c'rl 1211'ELL LOG: '1'.,taE dr Ih ft C nn I t i de rtL-fl.
<br /> Adtlr., 2175;ii_-L; 1!?r1 r',]fs B 3 <I.7 Jlr t Ce' .) Innu f!. to fl 1'orruatinrt L I]e •rila•1y tvaur,rhurur&•r,site nr m;ilrriall
<br /> C:ily�1"�JdLLJ. L'''•_� _ Y.IP �=S 1F, - - - - -
<br /> (2) LOCATION OF WELL(Sec-inslruetions): —
<br /> Sni .Inn,uiLn
<br /> Carunly l - - Ounrr's 1Vrli Nunrlw•r
<br /> Welladdlr sifdifferent:Tonrahrrvc_47Q7 'I'aci.fic Aye.j_7Cock—Ll,, 7 -
<br /> Township 2w Ilfst. Section z•rt
<br /> Disl7ua•c frurn cili7�•,mails,rail,nads,fruret rte. -
<br /> Pisa ent•r.e!. of Y,7cil:is .s7rt. and .1-larch Lit.
<br /> in Stockton
<br /> r (3) TYPE OF WORK:
<br /> \b� New well EF Derjwrriuti ❑ ----fit
<br /> - � .dr liecorlstrurtion f� j ���
<br /> -I � Rr•crnrliliuuing ❑ �, ��
<br /> i�
<br /> Ilarimntsl Well ❑ = � '. ,�G;. ., .
<br /> . _ .. ._# �. V.�V llrstruulinn [� {llrscriix - - �`�1`•f � .
<br /> f} �( destruction materials and peer V, NJ �-
<br /> cr 1,7res fl7 Item fzstA
<br /> (4) PROPOSEtry .: _
<br /> Danestie ��'I J
<br /> • ++ lllrin,clr!:71 f� ❑
<br /> Test Wen
<br /> (1 ter i ��t 4L'1.'.lp^, ��' �✓ - \ f
<br /> WELL LOCATION SKF CH < (` il>,'3 .•� \� -•,, �\_j_ - _-_
<br /> ISS EQUIPMENT.
<br /> ry hY N: Clt: ``\
<br /> .Rota ❑ i7rverac ❑ 7 Nn\ �
<br /> Si -
<br /> C file ❑ Air ❑ t ajnf Ixuc_. XVI. 'a T.'\�•..i 4
<br /> Other 8 Ei,lcl l+c`ar'ed iron-�.j��L\11 �7 t
<br /> - 171 'ING rNSCALLED (8) PE T[ONSr - _ -
<br /> Steel ❑ rl"ic Q �nt•r.eT'L! TYQcpf
<br /> Fron, T Pi 'Gage or l iTri7> 1 T;
<br /> ft. f I t Wall �ft� r.fi,�`\ `✓size _
<br /> 5 w., fi.ti3
<br /> (9) WELL SEAL: -
<br /> - _ Wax aur[arc sanitary Beal providetf? Yfi Yea In depth �fl. -
<br /> Werrrtratasr:fnEagainaprillulinn? Ye,a, No❑ Internal It. -
<br /> Aleilutlnlsraling aLIA VIA+-
<br /> (10) WATER LEVELS: WELL. DRILLERS STATEMENT:
<br /> Dejolt of fire crater,if kw*L3 ^y, _ it, nder /
<br /> Star-linRirwl after-ell cvmprrtiln— �}r„a• !. r�ft- 1.«SU f'1 y,t m if dgclled Id N-irJ.jurfadicfiar and tliCr report is true ra the
<br /> (I1) W!iLl, TI:.S•I'S: r
<br /> aa well ten made? Y-171
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<br /> SV
<br /> -- --- ` ❑ Nn F3- yea by.11"110 — - - - i Qirll Orl -- --- ----- ---------------
<br /> .. - '
<br /> Pump -- ....
<br /> lft❑ _ .��
<br /> PruI Ist
<br /> }� lr,• �' i
<br /> plhlnwatrrat start vE tr•s! ft. At eutd of leaf h_ rtsr,n,Ermsu tcZy,ntiun)LTyprrl or Printed) - - - -
<br /> `• gal/mill after - IMN:rs 7�'aterlemper3turr
<br /> . Chemical anal],i,made? Vex❑ No L !f pry by w1.uu,? Cafy
<br /> r
<br /> %Vasrledrirk>amade Yes�] No Ell-[I yr;altarhn><,ytothivr,rxt Li[Y�erx•No ---- _ 2� _Dale oflhisnyrrrl - - -
<br /> IF ADDITIONAL SPACE IS NEEDED.USE NEXT CON5E{.UTIYHLY NUMBERED FORM
<br /> OWR 1Pn IRPY.72•Ber 96 06755
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