Laserfiche WebLink
ORIGINAL STATE OF CALIFORNIA Do not fldl ere <br /> THE RESOURCES AGENCY <br /> File with i�WR DEPARTMENT OF WATER RESOURCES No. 097943 <br /> orof latent Na WATER WELL 1 MJMRS REPORT state well No <br /> pormll,Nn, of Date 81;67 re�jy erg <br /> � �Q—�/l L`+46 �" � Other Wall Nos F=-� <br /> (1) OWNERt riei„ Ken Ford (12) WELL LOG. Total d..6,—1U U Depth ai completed wee t <br /> Adsims ; 7460 Fie Orford from IL to It Formation (Describe by color, diameter, size nr rilaterhtl) <br /> oil <br /> City Stockton, a _ rjt <br /> (2) LOfATIQN OF WELL (Stec insfsactlonz) Sand <br /> Cmmty 4A oaquin Utivaet+a SYall number 5^ 1 <br /> Well address If different from above_— 21 — 30 sand <br /> Townsllr�_ .- R^air .atl36- 33 Glav <br /> Distance from cities,reads.milroads,(ancrod,etc Morse Ad <br /> Lodi, Calif. 49 - <br /> s <br /> a <br /> (3) 'TYPE OF WORK, and <br /> New Well 9 Deopeninll❑ <br /> G Accoastraclioa 0VV <br /> r� Aecomlltwning 0 -- <br /> 10 t;90W Hurfxarmtl Nell 0 — <br /> �� Destrection M (Descdbe <br /> fattuation materials <br /> �pD i7r procedures is ItSm <br /> (4) PROPOSED <br /> Domestic <br /> Trrifrotion s <br /> � Indostnol 0 <br /> 'Van 11 <br /> ' 31ae <br /> MRAiCfp <br /> WELL LOCATION Sx9TCf1 other ❑ <br /> (3) EQIIIpb1ENT (a) GRAVANFACKI al-I and not "034 <br /> Ratnry Reverse [} 1$ No Sia <br /> E <br /> Coble ❑ Air ❑ or of bore f�5 O <br /> Other ❑ 11Mkot 0 50 18 t <br /> (7) CASING INSTALLED t {61�SIiEOHA �3t <br /> �tocl 0 Plastic Xo n Type of p ze of scree <br /> From To,, DIA r F To - <br /> ft. ft >m Wall ft - <br /> 0 18& 160Fv 1 1 <br /> (9) WELL SEAL. <br /> Was surface rarutery creel provided? Yes(x No 0 If yes, to depth,,,, 50—k <br /> AYere strata seated ngalnst polIatfon4 Yes 0 No EM Interval- . ,—„k. <br /> Method of sealin Works IB Com Ieto 19 <br /> (10) WATER LEVEL& WELL DRMLER+S STATEMENT <br /> Depth of,first water, if kaanrn This well tear drilled under m r rind is a th report is true ra she best of my <br /> Stendmrt level attar well eantpletl knowledge and Irl <br /> (11) WELL TESTS t Silo r� OA <br /> Was wall fast made? Yea O No( If yen, by whomP Well Drill l <br /> Type of test Fwnp 17 Bailer❑ Asir lift❑ NAMg4 Tue- <br /> Peh to Avatar at stmt of At end of test-------ft r► sill.rie3lealgt'fira gr�or�or�l e�rp <br /> �igo mal/min aftrr km•rs Wat" tampentrtra Address •J r+��! Air c)ilE3 Q <br /> 4' MnI e)talysta r S&? Yes 0 No 0 If ym by who Is oily DakdAlFs. <br /> *Yas eltxdno ken snadep Yee No 0 If)es attach to this ort I,fcerrse Ata 3 3 1 � to of that ro sr 4•{13/81 <br /> • owpt tai!(REV 7,751 II?ADDITIONAL SPACE IS NEEI3ED USE NEXT CONSECUTIVELY NUMBERED FORM <br /> A <br /> �� 1 <br />