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MAY 1 1968 <br /> oalclNnL WATER WXLL DRILLERS REPORT Do Not FXIn <br /> Fele with DWR (Secuaeu r�aK Codi� tR rpt l �3 -='�.kT <br /> �Z4�L,.�A�e.�p�a s_a�x� s it� <br /> THE RESOURCES AGENCY ,'OF CALIFORNIA <br /> DEPARTME iIT OF WATER RESOURCES --4 Sues Well Na <br /> b �lOther Well No QIA107 1.7P <br /> ' 1 OWNER- (11) WELL LOG: <br /> Name G. Webster Total depth 160 fc Depth of completed well it <br /> ' Address 3040 S. Hi—way 99 Formation Describe by rolor ebarecter ssu of waterfel,and structure <br /> Stacktan 0 fr.to Adobe ft <br /> (2) LOCATION OF WELL. - 6 Brotm cla <br /> County San Joaquin Owner,nomher Lf nay 6 39 Brown semd. <br /> Township Rang end Seetsoa T1N, R7E, See. 8 It ala <br /> Dutaacefrom csttes roads raslresds arc}l. Ev oor. Munford rd. and 78 107 Sand & rravel <br /> ' Hi-way 99 frontage rds. 107 161 Brown clay <br /> (3) TYPE OF WORK (check)- 161 166 San & gravel <br /> New Well ® Decpcmng ❑ Reconditioning ❑ Destroymg ❑ 166 Brown clan <br /> TI destrgawn,describe material and procedure in Item 11 <br /> (4) PROPOSED USE (check): (T) EQUIPMENT: <br /> Domestic In.dustrlal ❑ Mumcxpal ❑ Rotary 91 <br /> Irrigation ❑ Test Well ❑ Other ❑ Cable ❑ <br /> Other ❑ <br /> (6) CASING INSTALLED: <br /> STEEL OTHER If gravel packed <br /> SINGLE" DOUBLE ❑ <br /> Gage j Diameter <br /> From To or of From To <br /> it it Durn Wait Bore fc it <br /> 0 116 6 .10 <br /> Sszt of shoe or well ri�nsg b 2 Size of gravel <br /> ft <br /> Describe losoc e 1 ded <br /> (7) PERFORATIONS OR SCREEN- <br /> Type of perforation or name of screen Ione <br /> Perf Rows <br /> From To per per Size <br /> ft fe rove it 1n xm <br /> -(8)-CONSTRUCTION: - - - - - - -- --- - - - --- — - - - --- - <br /> Was a surfact aanstary snl provided? Yet ❑ Ano� To what depth ft _ +, 1 <br /> - J M,1 4 r <br /> Were any swan sealed agssnsr pollunon t Its 0 No Q If ycs noes depcA of senca <br /> From ft to £t C <br /> From It to fr Work stirtedM& 1 1968 Completed M 1fU8 <br />' Method of staling WELL DRILLEWS STATEMENT <br /> 1'brs well was drilled under my ]urisdietm" and this report is true to The best <br /> (9) WATER LEVELS' of my knowledge and belief <br /> Depth ac whseh Crater was first found Lf known 74 it' T Smodsag level before perforztsa an <br /> if known fe NAME J. A. ��1��er e <br /> (Para,Erns or corporateaa) (Ty4rd or}rsssJrsl] <br /> Suridmq level after rforstmti and developing ft <br /> Address 72 Andrea <br /> (10) WELL TESTS: Well driller -Stockton <br /> ,nmo test model Yes � No 0 I yen by whom? r� <br /> ar 11 stsl)mla ►nth 12 fr drawdown*fur 2 hes. [SIGNEII } y ' <br /> (Wet Driller) - 4� <br /> Temperature of water Was s themscal saalyua mad*? Yu 0 No 0 - <br /> V--electr.e log made of wells Yes ❑ No ❑ If yea attach eo 7 Ucense No. 69686-- —Dated.- May 14 <br /> SKETCH LOCATION OF VWELL. ON REVERSE SIDE <br /> _ -- _ -- <br /> soul.990 10-95 eOM TRIP(Dkasr <br />