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MAR 1 1 1966 <br /> + ORIGINAL WATER WELL DRILLERS REPORT Do Not Fill In <br /> Filo With DWR (sections 7079,7080,7081,7092,Water code) <br /> 51 <br /> tHE RESOURCES AGENCY OF CALIFORNIA � �0 44 <br /> DEPARTMENT OF WATER RESOURCES Stdte Well No.� �71 -�-3 <br /> 3 <br /> 1 <br /> 10.0 7236 ` e <br /> Other Well No. 122 <br /> (1) OWNER: (11) WELL LOG: <br /> Total depth 209 fc. Depth of completed well 203 ft. <br /> Formation: Describe by color,character,size of material,and structure <br /> Surface ft.its 0 4 ft <br /> (2) LOCATION OF WELL: Silty Br clay 4 19 C? <br /> County San Joaquin Owncr't number,if any Ivied & soft grey ala 19 78 M <br /> Township,Range,and Section T-3- NR 7 E Sec 33 Brittle sandy Br olay 78 87 <? <br /> Dbunce from<itin,road,,raflroaa,,t[t. i North of Dirt Br sand 87 89' .0 <br /> Nff Corner of Alpine Rd de Mile roeld Hard grey clay 89 91 •�12 <br /> (3) TYPE OF WORK (check): 600 Ft Test side Al ine Rd <br /> New Well ® Deepening ❑ Reconditioning ❑ Destroying ❑ Silty Br-olgy91 103 �7 <br /> ifdesirnction,describe ntaterialand procedureinitens11. X@0d Plied grey clay 103 124 <br /> (4) PROPOSED USE (check): (S) EQUIPMENT: Silty Br o1qy 124 128 e) <br /> Domestic ❑ Industrial ❑ Municipal ❑ Rotary :P] Br sand 128 '134 w <br /> Irrigation M Test Well ❑ Other ❑ Cable ❑ Soft sandy Br clay 134 137 <br /> Other ❑ Soft Br clay 137 140 19 <br /> (6) CASING INSTALLED: Br sand 140 143 .ta <br /> STEEL: OTHER: If gravel packed Br ala 143 145 y <br /> SINGLE® DOUBLE ❑ Dir Br sand 145 148 �a <br /> Gage Diameter Sandy Br ola 148 150 <br /> From To or of From To Course Br sand 150 153 do <br /> ft. ft. Diam. Will I Bore ft. ft. Br clav 153 156 zf <br /> 166 " 12 B r clay 156 165 'y <br /> Br sand 165 167 ev) <br /> Brittle sand Br c I Lxy 167 176 <br /> Size of shot or well ring: Size of gtaVil: y 175 6 1`J <br /> Describe joint t <br /> (7) PERFORATIONS OR SCREEN: mica 186 194 <br /> Type of perforation or name of screen 9 <br /> Perf, Rows r sand 199 209 TO <br /> From To per per Size <br /> ft. ft. row ft. in.s in. ?, <br /> 1 � 1 L IL!f-i f• t ! <br /> (8) CONSTRUCTION: 1 <br /> Was a surface sanitary seal provided? Yes ❑ No Ey 'To what depth ft. <br /> Were any strata stated against pollution? Ye,❑ No JX If yes,none depth of strata <br /> Fra. it.to it. <br /> From ft•to ft. Wark started 9123 19 66 Completed tSZ2 19 66 <br /> Method of staling WELL DRILLER'S STATEMENT: <br /> (9) WATER LEVELS: This well was drilled ender nsy jurisdiction and tbis report is trite to the best <br /> of my knowledge and belief. <br /> Depth at which water was first found,if known fr. Sall Joaquin Pump Co — <br /> ,tor—Standing Ievtl before p<rfo[atiog, if known s6ft. NAME <br /> Standing level after performing and developing rt. 500 E ICet-�j man° oration) (Typed or printed) <br /> (10) WELL TESTS: Address <br /> :mp test made? Yes 1] No QC If yes,by whom? <br /> gal,/.in,with it.drawdown after hit. [SIGNED] <br /> Temperature of water Was a theminl aoaly,is made? Yea ❑ Na ❑ <br /> (Weu Ditties) <br /> War electric log made of well? Ym ❑ No ❑ If yet,attach copy License No-720.51 Dated-4/4/68 19_ <br /> SKETCH LOCATION OF WELL ON REVERSE SIDE <br /> DWR 188 (REV.9.65) 56D91.950)o.e5gem TRIP 0Aosr <br />