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ORIGINAL STATE OF CALIFORNIA Do not fill in <br /> -. File with DWR THE RESOURCES AGENCY <br /> DEPARTMENT OF WATER RESOURCES No. 154237 <br /> Wmit <br /> f Intent No._ WATER WELL DRILLERS REPORT <br /> No.or Da! state Well No. <br /> other Well <br /> R: R.uphpn Al IMend-inger G- 00 <br /> k Addres1807" a.9n e r H e 1 g h L S from It. to ft. Formation (Desorihe by calor, chameter, size or materia►} <br /> city Stockton , Ca ip -95209 i <br /> (2) LOCATION OF WELL (sec instructions): - Hard Pan <br /> County Owner's Welt Number19 - <br /> Wall address it different from abov - 32S <br /> Townshi Range ectle <br /> 32 - 42 C 13 ,`✓ r <br /> Distance from cities,roads,railroads,fences,etc 42 -- 58 S a <br /> 58 - 85 Cla N shale <br /> 85 - 90 Sand <br /> 90 - 100 a & S a e <br /> (3) TYPE OF WORK: (} 10 5 S d ) <br /> Naw Well [X Deepening❑ <br /> Reconstruction ❑ 120 - '`'1 <br /> I <br /> RecondlWning 0 ' - <br /> Rorizoatal Well ❑ 1 j <br /> i Destruction p (Aescrihe j- ; <br /> destruclion materials apt <br /> ,procedures in ItemI lf� <br /> I` (4) PROPOSED ' <br /> Domestic172 _ n <br /> i Irrigation ❑ 11 � 1 ' <br /> Indush aE Q <br /> . Tit Welly e} - <br /> StocK� <br /> I <br /> Munrcioa <br /> WELL LOCATION SKETCH '11� © ' <br /> (S) EQUMNIENT: (8) CIiA'VI Z ACK: - <br /> I <br /> Rotary )] Reverse p Aro Si + j I <br /> Cable ❑ Air 0 D etCr of bo 9 <br /> Other ❑ Brre&et © \ t� - <br /> I (7) CASINO= INSTALL.[), ��,` (8)YERFORA �a <br /> Steel p PI¢slloCoa te' Type of pe q i or o of spree <br /> From Tom Dia. Gamma Fr To <br /> ft. fL 'I Well ft ;`� £t. i9 <br /> •, i 1 F <br /> a <br /> (9) WELL SEAL[ <br /> Was surfam sanitary seal provided? Yes R No [1 If yes,to depth.J-0ft. - I <br /> Were strata sealed against pollution? Yes 0 No p Interval & <br /> Method of aeaflrrg� e Work start 19 Completes t9 <br /> (10) WATER LEVELS: WELL DRILLER'S STATEMENT: I <br /> Depth of J%mt water, If known It. This well uw denied under rote furisdiotfon and this report is trrr o the best of my <br /> Standing level after well completion 22--ft. know nd belief, j <br /> (11) WELL `PESTS: Slctvwn <br /> Was woll test mode? Yes E3 No X3 If yes, by whom? (Well Driller) <br /> Type of teat Pump p Bailer❑ Air lift❑ NAmrs HFA I H O S�'J B RgO�$S, °�}DRILLING <br /> �R I L L I N G CO. , INC. � <br /> Depth to water nt afar[ of tea fl tt t„t C4� =E�t )' k~ Address __3 5 2( e" �^i4 dA! tri ^4�ed or printed) <br /> WE. <br /> e_r__ . gallmm after. noun Ir., athSr'temperature <br /> Ity MODESTO , CA ,,gyp 95356 I <br /> I � ' I analysts made? Yes {'� No}(] If Ya. by whom? �� � -Mc log madaP Yn❑ Ito If yes,a 'a 'copy to this report y "Laicansa No-_`2 9 n R 9 1 Late of this repo 4 i <br /> OWR 189 MEV.y-yet IF ADDITIONAL SPACE IS NEEDED. USE NEXT CONSECUTIVELY NUMBERED FORM <br /> t <br />