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ORIGINAL STATE OF CALIFORNIA Do not fill in <br />,le with DWR THE RESOURCES AGENCY <br /> DEPARTMENT OF WATER' RESOURCES NO. 060032 <br /> Of IntLnt No—_11a151— WATER WELL DRILLERS REPORT <br /> Mae Well No <br /> r7 <br /> t�c <br /> nat No or Dtte—, 8_-L5U Other %Vr,ll Yo <br /> OWNER ,,11i4e Del Aueh Cons `t CO (12) WELL LOG Tool depth 81 ft Depth ,f Lonipleted war 78�ft <br /> 1% from ft to ft Formition (Describe by color ch trkLter ane or Materia]) <br /> t' - Z,p 95376 <br /> 3) LOCATIONF WELL 0 _ 3 fine sand <br /> t o,mt, S n Joaquin (See tnstrtu trans) <br /> Owners '% - <br /> NL11 Number 3 10 Sandstone <br /> tIl iddre%% if dttftrent from ibovc 766 E Frisbee 10 - 14 sand ,1 <br /> viiship 111nf a SeCt,,, Lot #21 1 - bO gray clayrown sari y clay <br /> I�ntan,r fnnu cities roads r,ilmads fences etc - <br /> 50 - 58 tour kand <br /> 58 - 71 liqht\ iyd dark gray clay <br /> -- small rock <br /> (3) TYPEOFWORK 71 73 f ne and course San <br /> New Well A Deepening ❑ 73 79 gray clay <br /> Reconstruction ❑ <br /> Reconditioning ❑ t _ <br /> Horizontal Well 0 �1 <br /> r] Destruction C] (Describe �\ <br /> ly destruction materials and <br /> Procedures in Item JX" l - r <br /> r�sr re 4 (4) PROPOSED USE- - <br /> a] Domest,L _ <br /> �Q Irrigation ❑ _ <br /> t(- Industrial ❑ <br /> Test Wel] ❑ _ <br /> t Stock ❑ - <br /> Municipal 0 - <br /> WFLL LOCATION SKETCH Other ❑ - <br /> QU1PMENT (B) GRAVEL PACK <br /> Rohtr, Ex Reverse 0 Yes CX No ❑ Size 14tk pea <br /> e C] Air t <br /> tMer <br /> ❑ Diameter of boree p Bucket C Packed}rum 550 to 81 ft <br />,7) CASING INSTALLED t 8r PERFORATIONS <br /> el [] Plastic Concrete ❑ Tvpe of perforation or size of screen <br /> From To - Dia Gage-0 r From To Slot - <br /> ft ft In I W31I ft ft s ze _ <br /> 61 u <br /> ir�y pit <br /> ) WELL SEAL <br /> is surf,ice samtary sell prnvided' Ies q( No D If yes to`depth 50 ft - <br /> ere strata sealed tl,ainst pollutign" Yes ❑ No Interval - <br />�[rUrud of sea]rn• bentonite cement m11X «ork started i 19 Completed. I9 <br /> 0} W A.TER LEVELS WELL DRLL.LER S STATEMENT ` <br /> 11th of first water if know ft This mcI] u.a.v drilled unde mrl aur adwtron d this report tv true to the beat n/ m,r <br /> Standing; level -ifter ,xell completion. ft knowledge and belief <br />(It) WELL TES'T'S SIC\BD <br /> is WL 11 test made' Yes)C] No ❑ If yes hs wham J a Driller) <br /> pL of tcat Pump v Bailer ❑ qtr ]aft <br /> n�S and qprvicp, Inc. <br /> lvi)th to water tt start of test ft At end of test "—ft (Person fimt (ir Lorpi kr t4on) t Tv ped or printed) <br /> IJist h tree O-3�ga]t xntn atter—V-_houry W tier temperature �ddm,s P.0, BOX CAQ <br /> Antioch . <br /> t t <br /> A to clysis made' Yes ❑ No X] if ves by whom> Glt,-_ .. - - Anti oeh s Calif. z, 94509 <br /> U eler_tnc Ino m tde? Yes ❑ Nor if,e. ttt ich enpv to this report License No 342893 .Date of this report 11/16/70 <br /> 188 IREV 7 7e, IF ADDIT]ONAL SPACE IS NEEDED USE NEXT CONSECUTIVELY NUMBERED FORM <br />