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STATE OF CALIFORNIA � <br /> Q.RIGINAL i THE RESOURCES AGENCY <br /> File with DWR DEPARTMENT OF WATER RESOURCES Do not fill £n <br /> WATER WELL DRILLERS REPORT N0. 3 O 4 3,4 9 L f <br /> f Notice of Intent No, <br /> State Well NO. <br /> LocalPermit No. or Date 93-0103 1/26/93 Other Well No. <br /> (1) OWNER: Name USA Petroleum CO (12) WELL LOG: Total depth 60 ft. Completed depth 60 ft.-,-., +: , <br /> Address 201 D from ft. to fl, Formation(Describe by color,character;size or material) <br /> City zip 90406 <br /> (2) LOCATION OF WELL (See instructions): — <br /> I <br /> County San Joaquin Owner's Well Number MW$ — See Bare hole TAgS <br /> Well address if different from above 2500 W. Lodi -Ave. Lodi CA - Attached <br /> Township 3N Range 6E Section 10 — <br /> Distance from cities, roads,railroads, fences,etc. 60 'S and 1 90 'W <br /> Of SW corner of intersection of Lower <br /> Sacramento Road & Lodi Ave. <br /> (3) TYPE !OF WOItK: ` <br /> SE'E' Figure 3 New Well'M Deepening ❑ — <br /> Reconstruction ❑ Ne <br /> — ! <br /> 1 <br /> Reconditioning ❑ <br /> hlorizontal-Wcll ❑ <br /> Destruction ❑ (Describe <br /> destruction materials and pro- t <br /> ccdures in Item 12) <br /> (4) PROPOSED US _ <br /> Domestic — I <br /> Irrigation <br /> Industrial ` O ❑ _ i <br /> Test Well ❑ <br /> Munici ❑ _ } 1 <br /> o ger itor <br /> T. <br /> WELL LOCATION SKETCH <br /> (5) EQUIPMENT: GRAY CK: <br /> Rotary ® Reverse ❑ c No Si. <br /> Cable ❑ Air ❑ met L of bort <br /> other ❑ tlucke ed rom i <br /> (7) CASING INSTALLED; <br /> Steel ❑ Plastic ❑ n c Ty of Fo 'on or size <br /> From Di . Cage or t <br /> ft. f Wali t. size - <br /> i <br /> See FirJaz J� 1 ,2,3 <br /> = , <br /> -.i <br /> (9) WELL SEAL: - <br /> Was surface sanitary seal provided? Yes ® No ❑ Ifyes todepth -5—SllTf ft, <br /> Were strata scaled against a aipollution? Yes — <br /> 8 E� l3 No ❑ Interval 3 0 —.5 Et. <br /> Method of scaling Tremmie Work started 2/8 19 _ 'Completed 2/s,. 18 I <br /> (10) WATER LEVELS: WELL DRILLER'S STATEMENT: <br /> Depth of first water,if known 'l ft, <br /> This well wased and mr tion and this report is true to the <br /> Standing level after well completion-5-0-00 $?n 2/8/93 <br /> ft. <br /> best of"Iy k11010,1 I nr an . .Agent- for;.Woodward j <br /> (il) WELL TESTS: Signed Drilling Company Ij <br /> Was well test made? Yes ❑ No M If yes,by whom? (Well Driller)' <br /> Type of test Pump ❑ Bailer ❑ Airlift ❑.' NA Woodward lling -Com an J <br /> Depth to water at start of test ft. At end of test ft. (Person,firm,or corporation)(Typed or printed) { <br /> Discharge gal/min after hours Water temperature Art ress' <br /> Chemical analysis made? Ycs ® No Cl Ifyes bywhom? M City Rio Vista CA .z1P 94571 <br /> --- ---­_ - - - — .. .-n !4' lr%7 7 _ <br />