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ORIG114AL WATER WELL DRILLERS REPORT Do Not Fill In <br /> File Original,Duplicate and Triplicate with the (sNO 48171 81►7.11 <br /> REGIONAL WATER POLLUTION eeslonr 707c,7077.7o7i,'Water Cada) F / <br /> CONTROL BOARD No-- - S STATE OF CALIFORNIA ince Weu No� <br /> ll ' —/1 '" <br /> (rarrnt spiroprlafe wwarber) 15' <br /> 7 6-- :3� C `_' Other WeNo. -- <br /> l I) OWNER• (11) WELL LOG: <br /> Name South San Joaquin Irrigation Dist. Total depth 120 ft Depth of completed well 120 fz <br /> Address Manteca, California Formatsont Derrnbe by color,cbarectn,rhe of asarnid awl strwrrwr► <br /> 0 ft to 6 ft To-o Soil <br /> A 16 Clay <br /> (2) LOCATION OF WELL- 16 PR <br /> Send <br /> te} <br /> coulity San Joaquin Ownersnumber tfaa7— 8 32 Clay <br /> 3 R F D or Street No r ___3_6 - S g n d <br /> S. E. Corner of No E. 4 <br /> 5A Clay <br /> of N. W. 7 of sac. zP 58 62 San . <br /> R. 7 R. T- 1 S. 70 Clay--- <br /> 70 <br /> Sand <br /> 72 4 Cla <br /> (3) TYPE OF WORK (check).- 84 P0 Set Sand <br /> New well ® Deepening © Reconditioning ❑ Abandon ❑ qQ 190 Clay <br /> if abandonment,drrcnbe material amd proeedurt m Item 11 Sand <br /> (4) PROPOSED USE (check)- (5) EQUIPMENT: <br /> Domestic ❑ Industrial ❑ Municipal ❑ Rotary ❑ <br /> Irngauoq,II TestWell ❑ Other ❑ Cagle <br /> U s'a Du Well <br /> (6) CASING INSTALLED: If gravel packed <br /> SINGLEX] DOUBLE Gage <br /> or Diameter from to <br /> From <br /> it to it Diem Wall of Bore it itQ 4R 16 10 <br /> 52 96 14 10 <br /> _ <br /> &4A>+ <br /> Type and size of shoe or well nag 11 Size of gravels l a J <br /> Desenhe joint We 1 de d <br /> (7) PERFORATIONS: <br /> Type of perforator rated Machine <br /> Size of perforations sa length by tar. <br /> From ft to ft Perf per row Rows per it. <br /> 196 <br /> (8) CONSTRUCTION: <br /> Was a surface sanstary ser]prowsded? ❑ Yet [] No To what depth it <br /> Wen tare strata sealed agausat pollatson? ❑ Ya ❑ No If Ter,ante depth of strata <br /> From ft to it <br /> Method of Sea1mg Work started 5. 19 Completed 19 <br /> (9) WATER LEVELS: WELL DRILLERS STATEMENT <br /> This well wart dulled under my)umidretson and this report is true to the best of <br /> Depth at which water wu fins fsmnd 8 ft my knowledge and belief <br /> Sraadsog lewd before perforstsng 1t NAME OB to rhe rg <br /> sedmx level after paforatmg ft {Pcaon nem ver corperatrual rTYDd or P—led) <br /> Address Rt. 7 Box 1 <br /> S (10) WELL TESTS: p <br /> Was a pomp test made? CXTeo ❑ No If lee by whom? Us <br /> Yield 1BOO 4O l0 [SIGNED) <br /> v ---» lreflD/1ltn — » <br /> gal/mss with ft draw dorw after hear —» --..---.� <br /> Temperature of water Was s chemical analysis made? 0 Yes Cl No License No.— ---87245 ».. Dated <br /> ` 21 elettrse to Xmode of wel[T 0 Ye ❑ No 93009 3 5450M QUIN 05p[ <br /> OWR Fossa No 246 t1rEv 3 54) <br />