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-, <br /> ORIGINAL TION NOT TCI�ECi EDL) <br /> WA`T'ER WELL DRILLERS REPORT <br /> Flle Original,Daplleaie and TripUcale with the (seetsoa,7076,7077,7072,V liter Code) <br /> DIVISION OF WATER 1tE3QURCE3 State'%ill No- <br /> r O box 1076 STATE OF C^UFORNIA^DEPARTMENT OF PUBLIC WORKS Tr t <br /> DIVISION OF WATER RESOURCES Regr wr�Il No <br /> SACRo'"RHT0 IS CAL-1iORN1A <br /> Region .�a <br /> r <br /> 1 <br /> DRILLER, (person, firm, or COTporatlon) (8) LOCA'T'ION OF WELL <br /> ., me_SMUTON AR?4ATM & WTOR WORKS c 1 my <br /> Address 61+.6 ,,SOUTH CALIFORITIA STMET ——- x F D or <br /> STOC TOIL, CALFOR A <br /> OWNER <br /> Name Sikh-Temple <br />` Address1930 South Grant (9) WELL LOG <br /> Stockton, California Total depth of well 1.20 <br /> Formatio. 'Mention size of water gravel— <br /> (2) Proposed Use (Check) Equipment It to fr <br /> Top Sol, <br /> Domestic Industrial ❑ Rotary [� -S 27 XPj I aer_Cljay <br /> Cable ❑ _— 7 1,O Br omm Sand <br /> IrrlgatloC3n Test Well ❑ Dug Well ❑ 4f1 61 Blue,C_&y - - - <br /> Municipal ❑ Other ❑ Other ❑ -- h71 75 Gray Sand <br /> 75 11.E jilue -Clay — <br /> (3) CASING L JkQ Brown Sand <br /> aa6f O ft of an IL/ga cas,n left ,n well <br /> WIN&Type and ize of shoe or well ring <br /> - L <br /> (4) PERFORATIONS <br /> c <br /> re of perforator used t <br /> Igrforsted it to fe holes per <br /> Diameter of perforac,om ,n length to - Wses J t 1 -_10 <br /> i. r•---�^—— - <br /> (5) WATER LEVELS <br /> Vt/at cleetrst Log made nE v el]� F_) Yes ❑ No If yes sttsch copy <br /> Dapt)a at which water was first found - _ — 32 ft- <br /> Siaad,ng letd before perforattug ft sr 1; A� n,. <br /> , <br /> Sctndtng level liter Perforating ft <br /> Note your objervatiAn of any chantte to water level xh,le drMing <br /> 123 a surface san,tari seal provided? ' r <br /> (6) WELL PUMPING TEST- Work started 19 Completed <br /> Cagac,ti gal/m,n is draw down Date of Report 19 <br /> WELL DRILLERS STATEMENT <br /> dl gravel pealed? This well was drilled aerder my jurtsiliata 1 siltd tbis report es rr11e to The best <br /> re ani straw sealed sganet Pollution? of my kNowledge acrd belief µ -Y <br /> Attach r}��/� r�tr���77 ��y����,��^^T)r��i pp�� ��yy��{{ nnD <br /> peraturt Wu s ci,cmted anelyat snadar copy-. t$iGTfCD] S1LRS.+KTON t�1-t713A TURF SS MQTYP! 'WEEKS <br /> If a6anslonad was wall capped? lGrJf Drfflu <br /> $Y_cd <br /> �(T) TYPE OF WORK (rbeek): Lwons AT- — <br /> New w ell fig R--1.--- r — - - <br />