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STATE OF CALIFORNIA Do Not Fill In <br /> THE RESOURCES AGENCY <br /> ORIGINAL DEPARTMENT OF WATER RESOURCES l��7 <br /> 2 91366 <br /> File with DWR WATER WELL DRILLERS REPORT Sure Well No. <br /> Ocher Well No 73-369 W <br /> (1) OWNER: (11) WELL LOG: <br /> Name joeTonl depth IAAf,. nepah nr comDle[ed well f,. <br /> Address Formuion: Dmrribe by rplor,rbe.Wrteq sizr o/m.mriul,aWd aburfure <br /> (2) LOCATION OF WELL: an <br /> Cou.,y San Joaquin Dw tuber.if any — <br /> hroyAm r,,1 law- <br /> To—hip,Range,aid Section T-2—N -7—N qaae — <br /> PLanAellgravel <br /> Dbunce from cries,roads,railroads.em. — <br /> 36 hmwn al ay <br /> 6001 East of Sibly "16 48 xlanA <br /> (3) TYPE OF WORK (check): 48 11P hrown 01jay <br /> New Well m Deepening ❑ Reconditioning ❑ Destroying ❑ 112 — <br /> 124 brittle clay <br /> 1 f destruction,describe material and procedure in Item 11. — 136 sand <br /> (4) PROPOSED USE (check): (1) EQUIPMENT: 136 - 160 brown f-1-gy <br /> Domestic ❑ Industrial E] Municipal ❑ Rotary ❑ <br /> Irrigation ❑ Test Well ❑ Other ❑ Cable C 168 — 176 hard e,11LY <br /> Breeder hou • I Other ❑ 176 - <br /> (6) CASING INSTALLED: 180JA4 <br /> a .. <br /> STEEL: OTHER: If gravel packed 184 — 192 fine coarse sand <br /> SINGLE] DOUBLE ❑ 192 — 200 brown tails <br /> 200 204 sand <br /> Gage Diameter 204 — 248 brown clay <br /> From '1'0 or From To <br /> ft. 208 1 Dia.. I Wall Bore ft. fa 24 256 brittle cls <br /> 0 8 12 256 - 280 hard brown cls <br /> 0 12 12 280 - 288 brittle Clay <br /> 288 - 292 black sand <br /> sire nr ah. .r wdf ring: <br /> 8x4x4rt 2 <br /> D.,rnbe;oi.r Buttwel <br /> (7) PERFORATIONS OR SCREEN: <br /> Type of Perforation or name of ares. <br /> FerL Rows <br /> Fr. To Per per Size A Proper well seal was installed on this <br /> ft. ft. row ft. in.xin. well and I am not responsible for anyone <br /> removinx or altering the seal or casing <br /> (8) CONSTRUCTION: <br /> Wa.a mrface,a.inry peal provided? Ye. EX No ❑ To wh.r depth 2 ft. <br /> Were any..peau.salad against Dollo,io.? Ye,❑ No❑ If,...note dep[h,d urav <br /> Fmrn fs.m ft. <br /> From f[.m ft. Work sorted — 19 73.C.Roplrusl 7.24 19 73 <br /> Method or real{. <br /> cementing WELL DRILLER'S STATEMENT: <br /> (9) WATER LEVELS: of <br /> This me11 war drilled under my jurisdiction and this report is true to The best <br /> 0 myknasoled eand belief. <br /> DeD,h at which a as firs, found, if k.own 9 8 ft. <br /> Standing level before perforating, if known f[. NAME Jo <br /> hn Panere <br /> Spindling level after perforating and developing ft. (person,firm.or corpon.ia.) (Typrd or to W,d) <br /> (10) WELL TESTS: Address 11935 S, Van Allen <br /> Wu pump lest made? Yes ❑ No ❑ If yes,by whom? Es a o <br /> f- 95320 <br /> Yield: gal./min.with ft,drawdown af[er h... [SIGNED] <br /> CIO ( 11 Driller <br /> Tempa or v Was a chemical analysis made? Yes ❑ Na ❑ A <br /> Was dzc clog made of well? Yes ❑ No ❑ If yes uch copy License No. 120724 Dated 8-2 — 19-73 <br /> SKETCH LOCATION OF WELL ON REVERSE SIDE <br /> DWR 188 (BEV.9-nB1 zneW-asp a-pee sow TBie Do osv <br />