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LOCATION NOT 614t! <br /> 1"L WATER WELL DRILLERS REPORT Da Not Fill ll is <br /> .uriQiaal,NOW*and Tripiicats with Itis (satmita 10,16,7077,1018,water Cade) N? 18702 <br /> REGIONAL VATRR PODUTIQN <br /> S""W,arNp <br /> CONnOL BOARD No STATE OF CALIFORNIA <br /> • (I«Int 01eay►twse Sambre) / other Wer11�a,���Jf � �3 <br /> r OWNER. (11) WELL LOG: <br /> Name eter- Total de-Prh 122-- it Aepth of eomphzed well _ <br /> Addres 1 g'51 Pock Lane _ Pormanoa Detrrsbe by calor,Aw.rser,the of materiel end structure <br /> _Y stoc:kton, uali=. ft to ft <br /> Ton s4 3.2- <br /> (2) <br /> 1(Z) LOCATION OF WELL: ula <br /> Caunty San Joaquin proper,number if any-•- 8 sand <br /> R F D or,treet Na -7 951 Pock Lane0 la <br /> 0 11 brittle san <br /> SAC. ho ;a � iL <br /> the jty of �, ktQn ula ar an <br /> 96 111.E clay <br /> 114 122 Sand & ave <br /> 122 Clay <br /> (3) TYPE OF WORK (check): <br /> New well Y3 Deepening © Reeond,uonuns © Abandon © L <br /> If abeMd0nrners3,destrxbe Mdterral and procedure sn hero I I Y D f rt 0 0 <br /> (4) PROPOSED USE (check)- (5) EQUIPMENT: �e Ons• <br /> Domestic IndustrlaI ❑ Muruc2pal ❑ Rotary ❑ <br /> Irngation ® Test Well ❑ Other ❑ Cable 13 <br /> Dug Wel ❑ - - - - - - - - - - <br /> (6) CASING INSTALLED• If gravel packed <br /> SINGLE 2g DOUBLE Gabe - - - — - - - - - -or Diameter from to <br /> From it ro it num. V7all of Bare fr Fc <br /> AAMLo io <br /> 12 <br /> Type lnd lite aE Shoe at weld ringx Size of gravel <br /> Detcrabe loaac J d <br /> (7) PERFORATIONS <br /> � Y C <br /> Trpe of perforator used <br /> SMe of perforations in length by to T T <br /> From f, to ft Perf Per raw <br /> (S) CONSTRUCTION. <br /> s f, <br /> War a surface set»nary real provided? © Yea RNo To what depth Is <br /> �r r +� 34 O{'l{„ <br /> 'mare any strata sealed saaaaac pollprwa° Q Yea No 1f ys,# note depth of stria <br /> From rt to ft w �� <br /> Method of Sealing _ Werk started6r71/4] 19 Completed � t9 <br /> (9) WATER LEVELS: ^Y --- WELL DRILLER S STA•I'EMENT <br /> Tim urell was drilled under my jurisdiction acrd this report is tate to fbe best of <br /> Depth at wh1d,water Mm 6tst faced 5 G 't it my biowledge and MW _ <br /> oe 3evel bt(orr puforatro{ W f ft NAME Clark Well Drilling too. <br /> o. <br /> l+nl-fret perforanaR fe {Pswp firm ur ronmrscw"„ er"'Afet!) <br /> Address Charter WaY <br /> (10) WELL TESTS: J Stockto 6 La1i90 <br /> tris a plump teat mach) Ya+ X Na If ria hr Whetai _.._�-. <br /> Yuld tai/=As with it draw dote-after bra, r - Welt Dtlmev f <br /> Tarnperattvt of tinter Was 4 ellemrul seal us 0 N <br /> audtt Yes r^� . !6602 ;` 17 <br /> r CJ V L1CCRt!NA — f� <br />