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STATE OR CALIFORNIA <br /> ' ORIGINAL THE RESOURCES AGENCY Do not fill in <br /> File with DWR DEPARTMENT OF WATER RrESOURCES <br /> WATER WELL DRILLERS REPORT No. 250593 <br /> ra oAftf Intent No. State Well No. <br /> I Al <br /> Permit No.or Date -72�.__ N <br /> Other Well No � �� <br /> (1) OWNER: Name. Bk ZanOni (12) WELL LOG: Total depth_ 220 ft.Completed depth. 7 it <br /> Address 1624 Rivulet RC1. from It. to ft. Formation(Describe by color,character,size or material) <br /> City_ - - Stockton, ZIP 952U 0 8 <br /> (2) LOCATION OF WELL(See instructions): 8 — 15 SanC1 <br /> County San Ioaguxri Owners Welf Number 15 - 17 Cla <br /> Well address if different from above 7439 N. Pershing 17 - 20 Sand <br /> Township Stockton Range -0 cr Section 20 — 55 May <br /> Distance from cities,roads,railroads,fences,etc 55 — 58 9md1 <br /> 58 65 Cla <br /> 65 - 87 Sand <br /> 87 - 115 Blue . <br /> (3) TYPE OF WORK: 115 — 125 Qay <br /> New Well N Deepening ❑ 125 — 127 <br /> hind V <br /> Reconstruction ❑ 127 — 5 1 i3 <br /> Reconditioning ❑ 175 0 Blue <br /> Horizontal Well 190 — 2WN) PrownsAV^ <br /> Destruction Q (Describe 2 — 2 <br /> destruction materials and pro- <br /> cedures in Item 12) — <br /> (4) PROPOSED U5 !r <br /> Domestic Pr V. _ <br /> Irrigation <br /> Industrial ❑ _ <br /> Test Well � ❑ a <br /> Munici ❑ _ Q <br /> O er <br /> WELL LOCATION SKETCH < nom) — <br /> (S)EQUIPMENT: !I RAV CK:notary XX Reverse (j \ No Six <br /> C2ble ❑ Al ❑ t2lame te of bore N <br /> other ❑ Backe ed rom r <br /> (7) CASING INSTALLED: (8) PEO TI _ <br /> Steel ❑ Plasita ElTy of Fn on orsirsoE 0 — <br /> From f)' . Gage or t <br /> ft F I Wal) t. size — <br /> 0 20 160 195 - <br /> PVC <br /> (9) WELL SEAL: <br /> Wm surface sanitary seal provided? Yes IR No❑ If ym to depth - 1.00 —ft Were strata w2ted against pollution? Yes ❑ No❑ Interval ft — <br /> MohariofseaBng Work started 19,,.., Completed_ �I= <br /> (10) WATER LEVELS: WELL DRILLER'S STATEMENT. <br /> Depth of first water,if known ft This melt was drilled under my jurisdiction and this report is true to the <br /> standing level after well completion ft best of mJ 1a1 dg !te <br /> (11) WELL TESTS: Signed �1 <br /> W as well test made? Yes ❑ No❑ If yem by whom? (well Dr/,,er) <br /> ' <br /> 4o, <br /> testPump❑ Baller ❑ Air lift Q NAME illb3ij Ga. <br /> owater2tstartoftest ft. At end of test ft. 300 S- <br /> ge gal/min after hours Watertemperaturo Address <br /> Chemtral analysis made? Yet❑ No[3 If yes by whom? City _ 9211r1 cick t r`p, `LIP,- 3r3Q_ <br /> Was electric log made Yes❑ No❑ if yes,attacheopy to this report License No, Date of this report C/—c�PO"dp <br /> DWR ten IREV. 12-881 EK ADDITIONAL SPACE IS NEEDED, USE NEXT CONSECUTIVELY NUMUERED FORM 86 98355 <br /> 3 <br />