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! STATE OF CALIFORNIA <br /> t <br /> ORIGINAL <br /> THE RESOURCES AGENCY DO not ,fill in <br /> Ho with DWR DEPARTMENT OF WATER RESOURCES 256560 <br /> WATER WELL DRILLERS REPORT No. <br /> 10o6ce of Intent Na r ' State Well Na <br /> Local Permit Na or Date t9 1 Other Well Na <br /> (1) OWNER Name David Murry (12) WELL LOG. Total depth__M Cornpleted depth1_90 Ft. <br /> Address 7708 North Pershing Avenue from ft. to ft. Formation(Describe by color,character,size or material) <br /> City_ Stockton, CA _ZIP 20 0 3 EU-11- <br /> (2) LOCATION OF WELL(see instructions): 3 <br /> w is Hard <br /> County__San Joaquin Owner's Well Number 18 24 Coarse <br /> Well address it 'f e t iroin above z 32 Sandy Hard <br /> Rang Section Section 2 - 72 Brown Qlay <br /> Distance —27from citle&roads,railroads,fences etc `and <br /> 08-North Pershingvenue - 0 o Clay <br /> Stockton C& 95202130 - 1 B Sand <br /> 077-320-" 1 Blue Cly <br /> (3)TYPE OF WORK: 171,487 parse Sand <br /> New Well M Deepening D TQQ V Blue Clay <br /> Reconstruction D <br /> Reconditioning ❑ — <br /> Horizontal Well ❑ <br /> Destruction 0 (Describe — <br /> destruction materials and pro, <br /> endures in Itom 12) — <br /> (4) PROPOSED US . <br /> Domestic _ <br /> Irrigation <br /> Industrial <br /> Test Well ❑ <br /> Munfci ❑ _, O <br /> O er <br /> WELL, LOCATION SKETCI3 be) _ <br /> (5)EQUIPMENT- GBAV � <br /> Rotary X Ileverso El No i <br /> OYS <br /> Cable ❑ Air ❑ C'R e i bore — <br /> Other 13tw e c d rom <br /> (7)CASING INSTALLED. (8)PER O TI — <br /> Steel 0 Plastic 0 e! Ty of f on or sizeaf Q — <br /> From T IGage or t <br /> ft. f ii . Wall t. size _ <br /> (9) WELL SEAL. Cn <br /> Was surface sanitary seal provided? Yes M No ❑ if yes.todepth 5°- ft — <br /> i Were strata sealed against pollution? Yes ❑ No — <br /> ❑ Interval Et <br /> Methodolsealing Qemerit rout1Varkstarted 19, Completed d l9 <br /> (10) WATER LEVELS: WELL LLER' TATEMENT: <br /> Depth of first water,if known C ft This rues! drilled 1 d <br /> J. <br /> and t report is true to the <br /> Standinglavel oNr well completion it. best of m u e a <br /> (11) WELL TESTS: Signed <br /> Was well test made? Yes❑ No 14 If yes,by whom? 8 (WetlDriller) <br /> pe of test Pump ❑ Baiter O Air Hit [INAME Clark rk 011 <br /> r Inc. <br /> plh to waterat start of lest it. At end of test It. (Porson Eirm,or corporation)(Typed or printed) <br /> Discharge Address_ r. <br /> r& gal/min after hours Water Fca..'S--�,--�'hR�-1,-•�u <br /> Chemical analysis made? Yes Q No ® Uyes,bywhom? City StocktonCA zip 95205 <br /> Was electrie log made Yes© No 9 If yes,attach copy to this report License No. 37N a Date of this report 24 Jun. 91 <br /> t3WR tea IREY 12-8s) IF ADDrriONAL SPACE 13 NEEDED.USE NEXT CONSECUTIVELY NUMBERED FORM 86 96355 <br />