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-.' .Y .,.-..�� ___...�,...._:. �..._.-�� _..—�..,...,.....�._�........o.�.�•._w_�+trt`'f,'^�"Y�Tz�tf• 4�� v .L r,4�T �.�e •mss __._ .• ._... _�_i.... �-.,_....�.�._�� <br /> STATE OF CALIFORNIA, �, Do Not/]Hill In <br /> ORIGIMAI, THE RESOURCES AGENCY NOW 2 L <br /> oyth <br /> one MowIt DEPARTMENT OF WATER RESOURCES <br /> WATER WELL DRILLERS REPORT State Wen No <br /> Other Well No <br /> (I) <br /> OWNER- (Z 1) WELL LOG <br /> ' Name Lewislea i clay <br /> Total depth 188 It Deprh of completed yell ft <br /> Address 1 D Loomi S Rd. Formation Drsrrlbr by calor,el r vier srseof reeirriol and ttr.etart <br /> Stockton Calif <br /> It to ft <br /> (2) LOCATION OF WELL- rr <br /> County San Joaquin owaer s number if any <br /> Township Range and Sect[on r <br /> Distance from cities road, md,osds c,toomis Rd H <br /> 3a 99 16-40 <br /> ' L m + West of _ <br /> (3) TYPE OF WORK (check)• _ <br /> New Wdl Ex Deepctuag D Reconditioning [1 Destroying C] _ <br /> ' <br /> If dertrurtrors,describe material and procedure in Item 11 _ <br /> (4) PROPOSED USE (check): (S) EQUIPMENT: <br /> Domestic ® Industrial ❑ Municipal ❑ Rotary ® _ <br /> Irrigation ❑ Test Well ❑ Other ❑ Cable [] <br /> ' Other ❑ _ I <br /> (6) CASING INSTALLED _ <br /> STEEL R OTHER If gravel packed S <br /> SINGLE RP DOUBLE Q 1 00-115 <br /> _ <br /> Gage Dtamcter <br /> Froin 1 u or ofFrom To <br /> ft It Diam Wall Bore £t ft <br /> 'Sha <br /> —a <br /> Site of allot or well ring Size of gravel <br /> Uescnbe W. <br /> (7) PERFORATIONS OR SCREEN <br /> Type of perlora non or name of screen <br /> Perf Rows <br /> From To per per Size rAn K Ir- C <br /> Ft <br /> ft row ft in z in <br /> ' 75 , _ Sac <br /> (s) CONSTRUCTION_ <br /> ' Wst a surface son teary seal provtdedi Yes No F1 yTo what depth' It <br /> Weir sni s[ra[a aeaied agunae pollv[tonl Yn❑ ho� If yes note dep[i+of ttrara <br /> iron+ IT to It <br /> Frain fr to IF Work warted 19 Completed 1g <br /> Merho'1 of ieai'ogBeritonite WELL DRILLERS STATEMENT <br /> (9) WATER LEVELS, 7hls well was drilled under my lurudirtron and this report is Irne to the best <br /> Depth ar which rarer war first found [f!noun It of my knostrledgr and belief <br />' ),sanding level hafore perforating if known ' It NAME Henningsing C o In <br /> ]tand[ng level after Pgritiratinx and developing 90 ft (Person firm or corporation) (Typ'd ar}rtnled) <br /> lo) WELL TESTS: Address 2500 We Ru b <br /> as pumprear made, Yes Na !f Yea SY�w'homlM a d <br /> [ <br /> Jld Ral/min with fr Jra wdown after his [SIGNED) <br /> --r <br />?T,dmp*r,E.ee of waterVf/as a chemical analyns m:de? Xw ❑ No (Welt Drilf") <br /> Was tleetne iog made of we111 Yes Cl No If yes attach copy License No-29D—!l ,_,.DaEO , 3 9 <br />' SKETCH LOCATION OF WELL ON REVERSE SIDE <br /> -W. In a <br /> _ ■>'af�aw i-Oat fOY Tt[Ir i�1'Od* <br />