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LOCATIO $;1T <br /> �I. i9gg FIELD CHECIMD <br /> ORIGINAL WATER WELL DRILLERS .11-r ' '-'AY Do Not Fill In <br /> File with DWR (s tjo..707P.7090,7021,7092,Wa»r Codd N? 44388 <br /> _ THE RESOURCES AGENCY OF CALIFORNIA <br /> DEPARTMENT OF WATER RESOURCES state <br /> Other Well No. <br /> (1) OWNER: (11) WELL LOG: <br /> Name Ha Home Farms To..l d,eth L. Def,h at[.moleted ndl 1 1 <br /> Address P.0.Bx 319 Formation: D....ib,by ro(w,rb...ebr,rue of».»rid,and m.rbrr <br /> Lodi Calif ° f` <br /> (2) LOCATION .OF.WELL: top soil 2 <br /> count, San Joaquin o.n.:..embr,ir.°> Hard soil 2 <br /> _ Ta n.hi ,Ams,and srctien Sand 3V <br /> Div,...in.c id«.read.,railroad..st, 1 mile west of DeveirB clay soft 8110 <br /> rd on Tredway Clay hard lob 11 <br /> (3) TYPE OF WORK (check): Fine san 114 120 <br /> New Well 0 Deepening ❑ Reconditioning ❑ Destroying ❑ <br /> If delh»choe,describe material and pocedure in Item 11. <br /> (4) PROPOSED USE (check): (f) EQUIPMENT: <br /> Domestic [3 Industrial ❑ Municipal ❑ Rotary ❑ <br /> Irrigation ❑ Test Well ❑ Other ❑ Cable ❑ <br /> Other ❑ <br /> (6) CASING INSTALLED: <br /> If gravel packed <br /> STEEL: OTHER: <br /> SINGLE DOUBLE ❑ <br /> _ Gage Diameter <br /> From To or of From To <br /> ft. ft. Diann. Wall Bore ft. ft. <br /> 0 112 6 12 6 <br /> she.1.h»or.ell rin : 8 X 6 sue of.....1: <br /> D.«,ibt Ito., butt weld <br /> (7) PERFORATIONS OR SCREEN: <br /> T of f-f....i or cram.of.cr»n <br /> Perf. Row, <br /> — From To per per Size L <br /> LOC- <br /> ft. ft. row ft. in.x in. <br /> c e Sec <br /> none <br /> (g) CONSTRUCTION: N . OFFIGIAL USE , <br /> Wu.mrLce«.iuq r»I 9ro.idM? <br /> Y. 0 Ne To nh«depth !r. <br /> a.......W.'aims eollutienl Y'.0 N° If Ye.,note d<0.F of nota <br /> Work.nn.d 1 1 27 If 67 Completed 1 1 30 1f ' <br /> H..hod er».lin WELL DRILLER'S STATEMENT: <br /> This .11 was drilled under my )urisdiction and this report it true to rhe belt <br /> (9) WATER LEVELS: of my A..Iedgeand belief. <br /> h•, r <br /> nhith n n fin. sound,if b.onu p 8 L_ ` <br /> so.di. n <br /> Ines Want n , <br /> eti. if Is.... 28 ft. NAME A. J.1i e <br /> (Poon,Erm,or mrponnon) (Trer1 o.,rsal) <br /> s«.di. Ines at... dontin and d.vlo id ft. <br /> (to) WELL TESTS: Addne,,.1 880 N. Lwr Sac Rd <br /> 'sum » made? Tn21 He If a,b,whom, Our Own Lodi if <br /> '. 350 ole/min..nb 21 ft.dr.ndona.fter 6 hn. [Soto-.] d ,1i D ) <br /> — T®pnnre°(oder Wu.tbemtnl sJ .i.m.dd Yn ❑ Ne ❑ ////)7 �) <br /> W..el» c to mad.el.dl? Y« No CX If>n ouch m Liters» No. ata /c-( 4' <br /> SKETCH LOCATION OF WELL ON REVERSE SIDE <br /> um.-me w-».cru rel»m oar <br /> DWR ISS saw. •.es) <br />