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01-STATE OF CALIFORNIA Do Not Fill IS ' <br /> F THE RESOURCES AGENCY <br /> ORIGINAL < W:'; i gra 1. !fL ePARTMENT OF WATER RESOURCES ® 57178 <br /> F96 with DWR Va•cer 0",a, -Gee e Vhf a R WELL DRILLERS REPORT State Well No-Amok <br /> r'` <br /> Other VPeil AId/ <br /> {1} OWNER: f�j l�(tz, to ook!4 � 0.r, (11) WELL LOG: <br /> NanIC'�r"-R,-n-Dom—PQ4- -SAVA 0'� 0 t 1A {.:0 i Total depth +{96 ft. Depth of completed well 196 ft. <br /> Address a Harney Lane Formatioat Describe by color,character,site of material.and slrnrtnre <br /> O 9 � s ft.to ft. <br /> (2) LOCATION OF WELL: 0 J-s 4 top soil <br /> Covaty San Joaquin. Owner's number,if any r�r� 4 H 6hard -T)--n <br /> Township.Ran re.and Section "{ " `") !""E See, 22 6 32 hard sands-bone <br /> Distaneefrom cides,roads,railrosds.etc. South side of Harney 32 56 brovmclay <br /> ane I mile ',fest of Clements 6 N 84 hard sandstone <br /> (3) TYPE OF WORK (check): 84 104 sand &; gravel <br /> New Well ff Deepening ❑ Reconditioning ❑ Destroying ❑ 104 140 brown brittle ells <br /> if destruction,describe utaterial and procedure in Ilesn 11. 140 -+ 156 coarse black sand <br /> (4) PROPOSED USE (check): (S) EQUIPMENT: 156 w 164 brittle cls.' <br /> Domestic [5 Industrial ❑ Municipal ❑ RoLuy ❑ 164 J96 <br /> Irrigation ❑ Test Well ❑ Other❑ Cable 'El 196 2 sand & gravel <br /> Other ❑ <br /> (6) CASING INSTALLED: <br /> I <br /> STEEL. OTHER: IfgIayel packed <br /> SINGLE ffl DOUBLE❑ <br /> Gage Diameter <br /> From ' '1"a or of From To <br /> ft. fr. Diam. Wall Bore ft. ft. <br /> 0 1-64 8 12 <br /> r' 12 12 eondu to r n e <br /> Star of shoo or adl ring: Y x 2 Size of gr—d- <br /> Describe Joint ButttP ell _ <br /> (7) PERFORATIONS OR SCREEN: vlatfir coda Sac.l <br /> Type of perlorasion or name of screen <br /> Perf. Rows <br /> From To per per Size <br /> ft. ft. row ft. in,xin. <br /> i <br /> (s) CONSTRUCTION: CCii <br /> wit-4 sotGct sanitary 1031 provided? Yea:& No 0 To what depth -JR ft. <br /> Were joy strata sealed againstpollution? Ya No If yea,note depth of strata <br /> From It.to fr. <br /> From ft.to ft. Werk started •-i 2 1972Completed w25 i9 <br /> 72 <br /> Afethod of soling Ise• oemont WELL DRILLER'S STATEMENT. <br /> (9 WATER LEVELS: This writ was drilled under my jurisdiction and this report is trnr to the best <br /> ) 20 ft. of my knotrdedge and belief. <br /> Depth at which water was fine found,if known T <br /> Standing level before perforating, if known ft. NAME John LPanero Jr <br /> Standing revel after perlontina and developing ft. (Person,firm,or corporation) (Typed or printed) <br /> (10) WELL TESTS: Address 11935 S. Van Allen <br /> Was Pump rasa nada? Yes® No❑ If pas,by whom! ''l1 e <br /> al n 0 , Cali f.---99320 <br /> tide Aal./min,with fr.drawdown after hr.% $roNED] a <br /> Temperature of water Was a chemical analysis made? Yes 0 No 0 (Welt Driller) If <br /> r7 <br /> { Was alectrie log mado of well? Ya 0 No 0 if res,attach copy License No 11 _2 1 hared -3N`50 t, 19_...22 <br /> SKETCH LOCATION OF WELL ON REVERSE SIDE <br /> DWR IBS :REV.9-68) 23179.950 s-aa soca Tritr aD osp <br />