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STATE OF CALIFORNIA Do Not F:ll In <br /> ORIGINAL THE RESOURCES AGENCY NO 157646 <br /> File with oWe DEPARTMENT OF WATER RESOURCES <br /> l WATER WELL DRILLERS REPORT Stare Well No <br /> f'�' I {a nr <br /> Other Well Na 26-121 W—— <br /> 1„� <br />' (1) OWNER (1 I) WELL LOG <br /> Name G e or e Wetherell Total depth 171 <br /> 1 fr Depth of compinrd well 170fr <br /> Address 1771 7 S . Airport Way Formation Drs—be by rofor cbaractrr rs=e of material and structure <br />' Manteca Calif . 0-12 ft to Sandft <br /> (2) LOCATION OF WELL- <br /> C.aunty San Joa uin owner s number if any _ <br /> Towmhrp Range and Section 1[77 1 tS R6E <br /> Distance from titres roads railroads etc S. A lr ort Wa --kmi <br /> North fo Hwy 120 west side -76 TYPE OF VTORK (check) — <br /> New Well N Deepening ❑ Reconditioning ❑ Destroying ❑ <br /> ---- <br /> If destruction describe material and procedure in Item 11 <br /> (4) PROPOSED USE (check) (f) EQUIPMENT 97-11 01 Cl <br /> Domestic Industrial ❑ Municipal ❑ Rotary ® 10 —105 Sand <br /> Irrigation ❑ Test Well ❑ Other ❑ Cable ❑ 105-119 Clad & shale <br /> Other ❑ 119-125 1 <br /> ' (6) CASING INSTALLED 125-151 <br /> STEEL OTHER If gravel packed 1 —171 Gravel sand <br /> SINGLE ❑ COUBLE ❑ C <br /> Gage Diameter <br /> From to or of From To <br /> ft ft Deam Wall Sore ft ft <br /> 0 170 6 160 11 100 170 <br /> 5[re al shoe ur well nag Sue of¢ravcf <br /> bird sey-e— <br /> ' ll2 rrsbe}Len[ ue <br /> (7) PERFORATIONS OR SCREEN <br /> Type of perturauur,or name of screen <br /> ' S'erf Rows <br /> From To per per Size <br /> ft fr row ft in x in <br /> 16F 170 <br /> r <br /> (8) CONSTRUCTION <br /> Wi,a.urtace sanitary sea,provideds Yes M No Cl To what depth ft <br /> Were any stnu,ealtd aRa-s'pollutsrsns Yes ❑ No❑ If yes note depth of strata <br /> ' From ft to ft <br /> Frum ft to ft Work started 6-15 ,9 6 Completed [9 <br /> method of.calms Rpntnnitp WELL DRILLER S STATEMENT <br /> 9 WATER LEVELS- This cell was drilled under my )urrsdection and this report rs true to the best <br /> ( ) of my knowledge and belief <br /> Depth at which water was first found if known fe Inc <br /> Standing level before perforating Rennins Bros . Drillin Coiang if known ft (Person firm or corporation) (Typed or prrntrd) <br /> ' )tand[n ,eves after paforannR and developing ft <br /> (10) WELL TESTS IAddress 2500 W. Rumble Rd <br /> Was pump test modes Yes ❑ No If yea by whoma <br /> Modesto. a 1 f <br /> Id R,1/min with ft drawdown after hn [SIGNED] <br /> (Well Drz!!rr) <br /> remperuure of water Was a chemical analysts made? yes [' No r�t Q �t <br /> was efecrnc lag made of wells Yes ❑ No If yes attach copy License No-29081 tiDated j <br /> SKETCH LOCATION OF WELL ON REVERSE SIDE ( <br /> r � ft <br /> f]WR 168 IRrV 9 681 <br /> ._n 30M TrItP Or 135P <br />