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ORIGINAL STATE OF CALIFORNIA Do not fill in <br /> THE RESOURCES AGENCY �{ <br /> File with DWR DEPARTMENT OF WATER RESOURCES No. 227024 <br /> al Intent Na WATER WELL DRILLERS REPORT State Wall No. <br /> Permit No,or Date $ 'Other Well No=,S�Q�1915en L <br /> LO <br /> eights "aintena q2 ` sL' G: 4 <br /> i) OWNER:OWNER: Nnm Colonial eib � � Total dcptl�.��ft.Depth of camyleted we - <br /> Addret 1702 6cotts Ave fmm ft. to ft. Formation (Describe by color, character, size or material) <br /> city �!tockton, Ualif a Z;P 0 - <br /> (2) LOC�TION OF WELL See insiructioris): 2 4 - 2- 5 <br /> County, an s $ ]11 ^,•Owners Well m <br /> l Nuber ' <br /> Well address if different from abov 36 84 L la `�' <br /> Township_ - Rang Sectfa 84 148 lug C kd <br /> Distance from clttos,roads,railroads.fences, i= a3♦ s iCie 1. - 1_ 63 d <br /> p sand <br /> Paloma St. opposit b'in Vablo156 _ 18 ` cla <br /> 1 fi,4 sand <br /> , glue c lay <br /> (s) TYPE OF WORK: j n an arave <br /> Now Wpll I)eepening ❑ 4t` S9 tO <br /> Reconstruction ❑ blue <br /> Ra.•onditioning ❑ �' - •+ B blue <br /> Horizontal well E3 C I ay <br /> &V0 Destruction [] (Describe <br /> © �j destruction materials ON <br /> tl9 C <br /> procedures In Item _ y <br /> 1 (4) PROPOSED $] w ue ,n:.;s� " <br /> fl <br /> Domestic Luec y- <br /> �� IrdgaHon�e� w * 410&fv DIRwmarrd <br /> industrial 0 <br /> Ss Well ❑ <br /> 5 ou �� over- was lastalled­e& <br /> WELL LOCATION SKETCH ' Other 0f <br /> 1; removing ef fzh- <br /> ' (5) EQUIFMENTt (6) GRAV PACKS <br /> Rotary ❑ Reverse ❑ <br /> Cable ' Air Q '<, 1 o er of bore <br /> Other ❑ Bucket ❑ <br /> (7) CASING IMMALL151)g'�,.� (81 PE <br /> Steel Plastic 0 Cone Typo of pe, orrrize of sere (� <br /> From TDia. C cior �, To <br /> ft. g,, 'in. Wali f.�'�ti ft. i •� sizb'' = <br /> 30 281" $2: <br /> 268 10 <br /> 232 9 <br /> <�rf <br /> 1. <br /> (9) WELL SEAL; y?� <br /> was surface sanitary coal provided? Yes 51 No ❑ If ycs. to depth_- _50 ft• - <br /> Were strata scaled againstpollution? Yes{] No Interval. ft <br /> Method of scalingC@Y1�1k0 Works 18 co-pi 19 <br /> (10) WATER LEVELS: WELL DRILLER'S STA ENT: <br /> Depth of first water, it kno This well r d nder Turf tion a th' epert is true to the bent of my <br /> Standing level after well completion & hnnwfedg nd b r <br /> (11) WELL TESTS: SISN • <br /> was well test made? Yes ❑ No If yes, by whom? (Well Driller} <br /> Type of test Plump ❑ Bailer❑ Air lift❑ NAM iyDr <br /> Depth to water at -tort of test__ mit• At end of test„, ft 314IFEQ "L(trm,ole glpo�atfa�� �o�pFipted} <br /> a` -4al/ruin after hours Water tempam Ad C $ ��, C <br /> ��!f <br /> Id <br /> Yes ❑ No❑ IE yes, by whomP r�as electric log made? Yes ❑ o (] If yos,attach copy to this reportcense No,_,33,114f this repart� ��J" <br /> _ <br /> DWR 186 (REV.7.76) IF ADDITIONAL 5FACE IS NEEDED. USE NE)CP CONSECUTIVELY NUMBERED FORM <br />