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711 f Do Not Fill In <br /> —v �1 �� �1" STATE OF CALIFORNIA <br />' �Q101MALi� �, �JCiJ a5'8Cw 1372 THE RESOURCES AGENCY NO 158898 <br /> 1PHO With DWa DEPARTMENT OF WATER RESOURCES <br /> WATER WELL DRILLERS REPORT State Well No <br />' Qthtr Well No <br /> (T) OWNER (1 I) WELL LOG <br /> Namt. Delta Pum2 Co. Tatat depth 0 ft Depth sf completed well 137 !r <br /> Address—7.Q. Box 1927 Forms Drsnrbr by calor rhersrrrr st=e of material and sfrveturr <br /> Stockton Calif. 0-5 ft Top soil ft <br />' (2) LOCATION OF WELL Sand <br /> �.auntr San Joaquin Owners number 1f any 9-13 Clay <br /> T...Ah p Range and Sec[son not^t available 13-17 Sand <br /> Ulsrance from,lilts roads n(Iraads etc lac Ora e Daviner 12- <br /> 30 Cla <br />' 10000 Mc Kinley Rd, 30-45 Sand <br /> (3) TYPE OF WORK (check). —60 Clay <br /> New Well [X Deepening ❑ Reconditioning ❑ Destroying ❑ 60-75 Sand <br />' 11 destruction describe material and procedure in Item 11 -100 Clay <br /> (4) PROPOSED USE (check)' (S) EQUIPMENT 100-115 Sand <br /> Domestic (3 Industrial ❑ MunicipaI (] Rotary -1 115-120- Shale <br />' Irrigation ❑ Test Well ❑ Other ❑ Cable ❑ 120-135 Sand <br /> Other 1:1 135-140 Cla <br /> (6) CASING INSTALLED- <br /> STEEL OTHER I€ gravel packed <br />' SINGLE ❑ DOUBLE [ lC <br /> Gage Diameter <br /> Froin l o or of From To <br />' ft It Dsam Wall Bore ft ft <br /> 0 13 160W 11 102 JOY <br /> Size us.hoc�r well ting Sue of envd ea <br /> Uncr�bc i�sn( glued <br /> (7) PERFORATIONS OR SCREEN <br />' Type ut persoratiun ur name of screen hand cut w <br /> Pert Rows _ <br /> From To per per Size <br /> _ fr ft row ft in x in <br /> 122 137 <br /> (8) CONSTRUCTION <br />' Wa,a surs+cr sanitary seal provided? Yes ,'�l No ❑ To what depth 50f, <br /> Were my strata sealed against poitutaon' Ye• ❑ No❑ If yes note depth of strata <br /> rrom tr to ft <br />' Frum ft to ft Work started 8-10 ,9 76 Completed 19 <br /> xcthud w wiling Bentonite WELL DRILLERS STATEMENT <br /> 9 WATER LEVELS' This well was drilled under my 7urisdictron and this report is true to the best <br /> ( ) of my knou ledgt and belief <br />' Depth it which water vas first found (f known ft <br /> ,tandrag levet befure parfurapnK__if kio-n fr NAME Hennings Bros . Drilling GO. , Inc. <br /> handing level after perforating and developing 38 ft (Person firm or corporation) (Typed or printed) <br /> (10) WELL TESTS'' yy.y Address 2500 W. Rumble E 95350 <br /> d..Was pump int ma .pide? Yes ❑ N. If yes by whom? Modesto , Calif. <br /> it gal ems with it drawdown atter hit [SIGNER] I <br /> s y., (Well Driller—)of water Was a chemical analysis made' Yes 0 Nis-"Eli <br /> Was elertrsc tog made of well' Yet ❑ No�] 1f yes attach cape License No 90!3 ----Dated /-10 19_Z6 <br /> SKETCH LOCATION OF WELL ON REVERSE SIDE <br />' DWR 188 (REV 9681 .M7a aou Talp Or osp <br />