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• 11 Do not fill in <br /> STATE OF CALIFORNIA <br /> ORIGINAL THE RESOURCES AGENCY No. 174566 <br /> File with DWR DEPARTMENT OF WATER RESOURCES <br /> WATER WELL DRILLERS REPORT State Well No o�E37�� <br /> e of Intent No <br /> Other Well No�S <br /> Permit No or Date <br /> (1) OWNER City 0 f <br /> Manteca (12) WELL LOG Total deptl�t Depth of completed well ft <br /> Name <br /> 1 0 O 1 �(. Center from Et to ft. Formation (Describe by color character size or melena <br /> Address 9 5 3 3 6 - <br /> City tlanteca Cd Zip <br /> (2) LOCATION OF WELL (See instructions) <br /> County Owner's Well Number <br /> Well address if different from above <br /> 7ownship�1 f a � flange Sectio — <br /> Distance from cities roads railroads, fences etc _ <br /> (3) TYPE OF WORK JULY 22 , 1985 <br /> New Well X�7 Deepening ❑ <br /> Reconstruction ❑ - 1[ELL TEST <br /> Reconditioning ❑ <br /> Horizontal Well ❑ <br /> Destruction acribe P i f Lu�ti �tenlsand RPt GPM <br /> procedures m Item 12) — <br /> (4) PROPOSED USE - 7 1 5 0 4235 7 4 t <br /> Domestic ❑ I ! <br /> Imgation ❑ - 1550 3 612 6 8 1 <br /> Industnal ❑ — <br /> Test Well ❑ - 1350 3121 651 <br /> Stock ❑ - 1150 2533 58 ' <br /> Municipal Ex _ 1050 2267 5 3 ' <br /> WELL LOCATION SKETCH Other ❑ <br /> (s) EQUIPMENT (6)it <br /> PACK r00f 1 9 - 950n 19739 50 ' <br /> Rotary Reverse ❑ Yes 1Gt No ❑ S""11 0 1 / 4 481 <br /> Cable ❑ Air ❑ Diameter of bore /� 4 5 1 <br /> Other ❑ Bucket ❑ Packed from_n�to�t• _ 750 1 5 1 0 <br /> (7) CASING INSTALLED (8) PERFORATIONS 650 1 1 8 4 411 <br /> Steel Plastic ❑ Concrete 0 Type of perforation or size of screen = <br /> To Slot S t a t i c 2 7 1 <br /> From To Dia Gage or From ft sue <br /> ft £t in Wall ft <br /> 1 16 140 180 FUL—FLO STANDING 141 <br /> 205 265 UL—FLO <br /> (S) WELL SEAL _ <br /> Was surface sanitary seal provided"' Yes 91 No C3 if yes to depth 00 No ❑ Intervale lg� <br /> Were strata sealed against Pollution? Yes ❑ Ig R� Completed <br /> Work s <br /> Method of sealln <br /> (10) WATER LEVELS WELL DRILLERS STATEMENT <br /> no This well was drilled under my iunsdtetion and this report is true t he best til <br /> Depth of fiat water if k <br /> 14 ft knowledgeon eIief <br /> Standing level after well comPleUori SIGNED <br /> (11) WELL TESTS (Well Driller) <br /> Was well test made;' Yes No (3 If yes by whom" I(E��N t� <br /> Type of test Pump] Baser ❑ it NAME <br /> (Persoa, firm, or corporation) ('rYPed or PaGS nted) <br /> c At end of test��t 3 5 <br /> Depth to water at start of test--ft--ftDorsa E E Addrea Discharge gal/mm after--hours Water tempera A10 D E 5 T P <br /> City � <br /> cal analysis madea Yes ❑ No X3 RfTyTsAlGFf,&° License NoqnBj <br /> ate of this repo <br /> Was electne tog made2 Yes 0 No If)es attach copy to this report <br /> DWR 188 (RIEV 7 lei IF ADDITIONAL SPACE IS NEEDED USE NEXT CONSECUTIVELY NUMBERED FORM <br />