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LGINAL STATE OF CALIFOR N3A <br /> Do not SII in <br /> UJI— THE RESOURCES AGENCY <br />"i!i>t DWR DEPARTMENT OF WATER RESOURCES NO. 153736 <br /> IntentNn WATER WELL DRILLERS REPORT state A%ell .o <br /> Lfrcal Permit NO or Date Other %%ell Yu!MN V(SalC�f+ <br /> OWNER sere CITY OF LODI (12) WELL LOC Total depth 350 it Depth of completedAe 3i, 50 it <br /> t,ddn-as 221 W. Pine Ste _ fnmm It to it Formation (Descnhe b% color character size or matenal) <br /># Lodi# Ca. zip 45241 0 - 7 top soil <br /> LOCATION OF WELL (See Instructions) 7 - 18 brown Clay <br />,.Runty--San JositILLi Owers %A ell Number 21 16 - 21 coarse sand & fYne grave <br /> Aell address if different from above 21 - 29 brown Clay <br /> thepRange Q tQE .�Sechn 3 29 - 40 red. fine sand <br /> race from cities roads, railroads, fent*. etc 52 A. East of 40 53 4rqwn clay <br /> Lower Sacramento Road & 120 yards North of 53 - 56 med. coarse -s—an-a' <br /> Km St. City of Lodi 56 - <br /> rp n clay <br /> 2 - mede coarse sand <br /> (3) TYPE OF WORK. 148 178 \ coarse sand & grave o <br /> tr New Well X) Deeperanr: ❑ 178 191 brown clay <br /> o <br /> 52 Reennstruchon ❑ 191 - , ,196 blue.C ay <br /> CN Reconditioning ❑ 1 - 209 brown clay <br /> rz 1lonzontal cell Q 2M - 221 coarse sand & small gravel <br /> Destruction ❑ (Describe f21 - 230 brown cls <br /> CH 'D destruction materials and <br /> procedures in Item 12) 230` - 233 mad. sand <br /> (4) PROPOSED USE, 233 - 242 blue Clay <br /> im' a 01 Dnmestrc ❑ 242 = 244 mad. sand <br /> •-� Irrtgahnn <br /> El244- 247 blue -clay <br /> lndustnal ❑ 247 - 251 med, ine san <br /> Elm St. Test Nell ❑ 251 - 273 ue san y clay <br /> Stock ❑ 273 - 278 brown sandy c ay <br /> Municipal pg 278 _ 292 Eilue clay <br /> WELL LOCATION SKETCH; I Other - ❑ 292 - -30ine sand <br /> EQUIPMENT (6) GRAVEL PACK MIS, 0 - -318 fine sand to P grave <br /> F) ❑ - Reverse ;] Yes t No ❑ stzebland 5 310 _ 339 blue clay <br /> able ❑ Air ❑ Dtametcr of bore 32" - - med. 111e san <br /> St ❑ Bucket p Packed fro .97 in 350 f, 1 343 _ 3bU blue Cay <br /> CASINO INSTALLED 'f (8) PERFORATIONS: ` <br /> louver <br /> tee] ❑ Plastic ❑ Congrete 0, Type of perforstion or size of screen r -� CASING SET <br /> m Tom Dia Gang Or F ,, To Slot 0 - 140 20nID x blank <br /> fL` ,n Wall rft <br /> l fl �vslze' 140 - 320 20"ID x Full Flo 1/16 parf. <br /> 50 145 350 320 - 345 20"ID x std parf. 1 Ifs <br /> 345 - 350 2011ID x 4 blank <br /> WELL SEAL <br /> Vas surface sanitary seal provided? les K] No ❑ If yes to depth 57 _ft - <br /> strata sealed against pollution? Yes ❑ No ® Interval _ f. <br /> ad of sca Work ata 199-5— Complet 1$ <br /> 10) WATER LEVELS WELL DRILLERS STATEMENT <br /> first water if kan-Am R This UWU war drilled under my fur(sdretran and flats repari ra rrae to the beat of my <br /> of <br /> level after maell completm ft krwtwWge and belie! <br /> JR WELL TESTS SICK <br /> gas well test made2 les M NO ❑ If ses by whom (well Driller) <br /> ype of test Pump $] Bader ❑ Air hft �y NAME BTS s therS Inc* <br /> Water at start (if t 3est —ft At end of test a!! .♦ (P firm,or corporatton) (T%rmd nr pntHed) <br /> QOfl al/nun after 24 amours Water temperature Address 86-50 C. Lacey Blvd. <br /> .,oal .ttadfo <br /> Hanrlysu made 1 ars )] No [31f ?es, by whirr? City— f 'Ca_. 93230 <br /> V <br /> electric <br /> keg made, les © No N if Nes attach cop) tR this report t License No 280310 Date of thr> retro 5j13 8rJ <br />)0t <br /> tee (RCV 7 7e) IF ADDITIONAL SPACE IS NEEDED USE NEXT CONSECUTIVELY NUMBERED FORM <br />