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tY1 In <br /> F <br /> IORIGINA- WATER WELL DRILLERS REPORT �►T0 118668 <br /> Do Not t F <br /> File Orlg-aal, Duplicate and Triplicate with the (Se,,-7076,7077,7078 water code)( , C�'7 W 111 <br /> REGIONAL WATER POLLUTION ✓ Stace Well No <br /> NTROL BOARD N.--5-- THE RESOURCES AGENCY OF CALIFORNIA Vrj,Well No <br /> OWNERT (11) WELLLOG. [(7 <br /> Name VALLEY TO.IATO PR-1/D T T3 'lO. DIC• Total depth ( f 7�75 ft Depth of completed well572 it <br /> Address Formation Desersbs by color ebsracier sr_e of snsterpal s+rd struts., <br /> 0 it w 60 ,clay <br /> LODI, 0ALIF. 60 105 sand <br />' (2) LOCATION OF WELL- 105 150 fine sand & clay T� <br /> r, sA 5 e5aCa1 is 150 1 coarse sand <br /> County f).rner s number sI any— r7 f� <br /> R F D or Street No .C. ..�_l`t• l �` `( 1 f 5 2y-, gravel & c1ay____ --- <br /> r `' ._ 5 ti� `t` 200 231 shale & <br />' yl 1 I �. i f y (-.l~ Irl n (S' 4.-r.l,� ✓a-igraYel_ <br /> 1r 1 t <br /> 2'31 253 sand L clay streaks <br /> 253 275 sand ?. male <br />' <br /> 225 300 fine aand <br /> 300 350 sand <br /> (3) TYPE OF WORK (check): 35Q 380-- ftlaY <br /> New well M Deepening Q Recondaaontng © Abandon Q _ 0 400 Sand un th al a;r strinaks <br /> I/abandonment,describe material and procedure in Item II 4oQ 1.1.78 itnrl <br /> (4) PROPOSED USE (check): (S) EQUIPMENT: 428 475 nl 3�r rLth n,-nrl Gtr-alta <br /> Domestic ❑ Industrial ❑ Municipal ❑ Rotary M] 65 IIAO efl w __-- <br /> Cable ❑ b�jo 510 1 min-1 —it., ^1 -v �� 1•S <br />' Irrigation (� Test Well ❑ Other ❑ Dug Well ❑ _�j 0 X35 —1 o-r y <br /> (6) CASING INSTALLED: If gravel packed ) <br /> 1 SINGLE ff DOUBLE Q GageV <br /> or Dsameter from to _5 Q �i�Q n1 iia <br /> From of Sore ft it <br /> fs to ft Dtsm Wa11 L�q..^ry•>> �,�JY <br /> 27� 0 592 <br /> ' Type and size of shoe or well ring Stu of gmel <br /> Describe point <br /> ' (7) PERFORATIONS: <br /> Type of Ferforater used saw p <br /> S1Ze oa 8 f perforations an length,by -"Ienhsa <br /> From ft to it Perf per row - Rows per it, <br /> 1 <br /> 592 22 2 <br /> (8) CONSTRUCTION: <br /> Vat a surface sanitary seal provided? 6 Yes ❑ No To what depth 6 0 it S= <br /> Were any wits scaled against pollutes.? ❑&es ❑ No If yes note depth of strata 1 "' r C-- <br /> From ft to it <br /> Method of Sealing Work started 11 f 3O -o6 19 Completed 1z/g/66 19 <br /> (9) WATER LEVELS WELL DRILLER S STATEMENT <br /> This well was drilled tinder my jurisdiction and ibis report is true to the best o/ <br /> Depth it which rester was first found it my knowledge and belie/ ❑p <br /> l,Q <br /> f ndrng tel Weirs per(arauag it NAME R03, �-�:JOl% �.7- S <br /> Il adtag le'el after perforaung fs (Perm. firm at eorparat,an) (Typed or prrwesdJ <br /> Address qt. 3 Bo-- 1060 <br /> (16) WELL TESTS 3, =—Z3Y—]-DI --,LYF. ^93307 <br /> Was a pump rest made, ❑ Yet ❑ No If yrs by whom, n <br /> [S[GN�n1 icc-qhallt <br /> Yield gal/mm myth it drag down after hn -— W'Is D'.11" <br /> rm <br /> Tprntute of water Gras a ch—cal analysts mads, LlY- [] No L1CtnSC No— 6�-- Diced_.._, <br /> Gas rirctnc IoR made of..r1S ❑ Yes n Na <br />