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r <br /> it <br /> QUADRUPUCATE STAT[OF CALIFORNIA DO not <br /> Use to comply with THE RESOURCES AGENCY <br /> ' <br /> local requirementsNo, 065085't, <br /> t, <br /> DEPARTMENT OF WATER RESOURCES <br /> aa1 <br /> x,rtim of Intent No. _ WATER WELL DRILLERS REPORT ,Into Well Nr <br /> Lrsal I•rnnit No.or Date other Well No. <br /> Ra Axton <br /> 1) OWNER. Name (12) WELL LOC: Total Jrpd 220 fc.Ihpth o(a rmplelnl"til 171' <br /> S. ae f V11Yr 'r• fn•m ft. In (t. Fonnntinn (Dea'nlx fiy c.+inr, rhamctm dre or material)'Pir <br /> Add --T <br /> _ 0 P I <br /> racy. a\ _Zip 15_ a30 y <br /> G <br /> s(2) DPELL (Sir inatnlctlom): <br /> Gmowner's Well Number—. 30 - 36 CIa <br /> Wel addms if different innn ol,.,e S <br /> Tuwsuhip Rankorraine - <br /> Disunce from citim nads, ailroad,,feme."c N. o ralAve. <br /> west sideUb - <br /> ti <br /> It <br /> ay _ <br /> acre <br /> (3) TYPE OF WORK: <br /> New \\'cllYE] Ia•el,enina ❑ <br /> Grave <br /> Rea+rolnration ❑ - a <br /> Rec,,nditMmina C - 22 Gre <br /> Horizontal%%'ell ❑ - ^^ <br /> D stmction C1 (Describe - 138 G P1 <br /> dlestroc-thm materials t <br /> pnnedures in Itern .. - <br /> (4) PROPOSED rave ` <br /> IN—tic - C A 1yy <br /> Irdilation� ❑ ra <br /> Indurtrial\� ❑ ,. - 20 CIa ►L i� <br /> T \Cell ❑ _ <br /> tier- <br /> Municrp > <br /> Y1•ELL LOCATION SKETCH Other ❑ - <br /> (S) EQUIPMENTt (6)�(CRAV ACK% - <br /> P., X) Ne,rrse ❑ 1 �] No Sire. <br /> Cable ❑ Air ❑ r rd ber1_6 - <br /> other ❑ Bucket ❑ n-- �r`—�fi 75 <br /> t7) CASING INSTALLED: (N) PERF I)R`1 • : - T; <br /> Steel❑ Plastic G, r Tm of IV a or zr ui semen 1 <br /> From To Dia. G1'all r Eft. (=• <br /> (L To <br /> (t i . <br /> c5 .• <br /> (9) WELL SEAL: .0 yy.. _ v�f'• cG!�\flCit <br /> W&s surface sanitar)•wal Provided? Yc,w] Vo ❑ 1! )r,,br drplh-. ft- <br /> _ <br /> Were ,trate sealed agiimO hdluhrm7 1'e1[] Nn❑ Inirr,.ci lt. __— <br /> t \lelhal uai <br /> ba "iinl <br /> (10) NATER LEVELS: <br /> \TELL DRILLFii'S STATE\lE\T: <br /> Ihptlr o/ hnt water, it kror"n --- Il. 'fhu u'rf! u'aa :Irillavl wufrr mV lunu(i<-fiun and Ihia rri.brt n fnr�!n ftp• Irr•H of roil <br /> It. krwuicdae and befiel. <br /> rndinQ le"I after"ell - <br /> (11) WELL TESTS: Su'nr:u — <br /> `^ It aa•,• I* "'"�"`-- HENNINGS BROS..i1M'CLING CO. . Inc.__ <br /> \Cad w<U teat mnar•? "' _ <br /> T)pe rr test rnr,,l, ❑ udder Cl err rot❑ XA\tE-- -- <br /> Depth lu Mater at start of test—!1 <br /> At r,.1 n4 ft 3525 `O'!�L'°A�1��(`L`f"A` .`)'"`1 primed, <br /> Vater Inu ratum— Addrr,s.— <br /> U„rL.rt(e eal',mn afna__-1,,.•n �x• MODESTO, CP, - <br /> ' es 2 �n it If )H. h)' "hnm: (err)'- <br /> (],emisal arab u, made:• 1' qp.q _Q 1,987 <br /> 1 Wa,e1-tdc k.e m.uie, Yet <br /> [') Vn II. ana<h,.qr. t..rhe. vp.rt Lia en.e Yn_L�1]1J---_.__U:.tr..(Ihr.n•p•otAp�.._. ._ <br /> OwR too tpty. -�a. IF ADDITIONAL SPACE IS NEEDED. USE NEXT CONSECUTIVELY NUM©FRED FORM <br /> I <br />