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r) el f R <br /> ORIGINAL <br /> Filole with pyyrR <br /> WATER WELL DRILLERS REPORT Do Nat Fill Ix <br /> 1tls <br /> (Sectt.aa 7075,7010,?Oils 70 2,�wger Cad.) <br /> THE RESOURCES AGENCY OF CALIFORNIA N•O 4� 40 <br /> lV <br /> DEPARTMENT OF WATER RESOURCES state Wal No 7 <br /> Other Wel(No <br /> (1) OWNER (11) WELL LOG: <br /> Name ]).Cam ora-Campora Gas Service Total depth 1$0 <br /> Address 2 rt Depth of compieved well fr <br /> Mari osa Rd. Seo c ton C a 1 Formation Drirrsbr by rotor rberrrtr, „�,o�sa,trrrer end uHactarr <br /> surface ravel Of, to ft(z) LOCATION OF WELL' hard an 1 <br /> cou-San Joaquin <br /> bwaer s number tf any gravel <br /> Township Range and seetaaa rp MR.I S-RA9. E 30 <br /> t� ala p <br /> Dmaisce from C,uft roads raalro.at etc Qn Mari osa R . East oCla �rae <br /> the fronta a road and W. o onS. si clazr <br /> (3) TYPE OF WORK (check). ravel 9 <br /> New Well Deepentng ❑ Reconditioning ❑ Destroying ❑ Cla <br /> It de11rre17t'0n,describe matertal and ocedure sx Item l I ravel <br /> 85 87 <br /> (4) PROPOSED USE (check). (S) EQUIPMENT. QA <br /> Cl a 67 98, <br /> Domestic ❑ Industrial ❑ Mtuueipal ❑ Rotary g gravel <br /> 100 <br /> Irngatxon ❑ Test Well ❑ Other Cable ❑ ala <br /> Other eravpl <br /> (b) CASING INSTALLED. clay <br /> U.S. STEEL OTHER If gravel packed blue <br /> SINGLE DOUBLE ❑ r V ]. <br /> Gage Diameter r v <br /> Fromk10 <br /> or of From To S d <br /> ft Deur Wall gore ft. fG <br /> If 12 <br /> 35 1-80 <br /> Sear of shoe or wdl ring 5�ze of gravel <br /> Describe joint T�lelded <br /> (7) PERFORATIONS OR SCREEN- 32t factory <br /> Type of perforation or"ams of strata <br /> Perf Rows <br /> From To per per Size <br /> ft ft row ft in a in <br /> 14 <br /> t 1 61 n...rlin Sinn- <br /> (8) CONSTRUCTION <br /> Wu s surface aaninry seal provided? Yea ❑ No 0 To what depth ft <br /> Warr anv strata sealed a;tainee polludna? Yrs 0 No L;f If yet rsoee depth of atrara <br /> From fr to fe <br /> From fe to ft <br /> Work started ]9 ,Completed 9 i <br /> Method of:earn WELL DRSLLER'S STATEAENT <br /> 67 <br /> (9) WATER LEVELS- This well was drilled under my jurisdietton and this report is true to the best <br /> Depth at which water was first found if known Uf my kxotvledge and belief <br /> fe <br /> Standing level before perfon4ng if kaora ft NAME Joe Machado <br /> Scandtoq level after ft-tfor-tsng and developing ft (Perwo firm or eorpmagon) (Tyyed ar priatrd) <br /> Alko) WELL TESTS: Addre. 1511 E. Hardin fP a <br /> 1 t pump tela mads? Yes Q No Q If yes by whom? Sto CktOII l <br /> d rsl/min with ft drawdown after hn. SIGNAD y •L <br /> Temperature of water Mas a chemical aaalyais made? Yes Q No Cl {Mdf Dnttrr} <br /> Woe eieeenc log Rada of well? Yea 11 Ne d If yes attach copy1513 "3 <br /> License No <br /> SKETCI•f LOCATION OF WELL ON REVERSE SIDE <br /> nww <br />