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qi.'+...T �� ��� .^r f �. � �..� -� • rte. .. . <br /> lOINAL LOC TION NOT CHECKED,,1 <br /> T' ! <br /> "IML bepliulesidTripiitea'rwHk the WATER WELL DRILLERS REPORT Do Not Fill Ix p[ <br /> HIIhiiOM OF�tTH (9.eti.ai.sore,aura,aqy'wour ad.) <br /> J1•a.row tori STATE OF CALIPORMIA—DrEPARTMENT OF PPUU�B(LIC WORKS State Well N ! <br /> — rAGRAMSMIQ S.eALIF01MIA DMS Of WAYR R �UI�VL.i / <br /> +.nY a rel ..wv d► R4on ... _ <br /> L DRILLER: (Person,firm, or corporation) 8 <br /> ti { ) LOCATION OF WELL: <br /> -.09KTrO�Nhv��dt�TxnllyR�E & MOTOR wom co„a <br /> L Adclre=64.6 SOUTH CAI C vl KA S'M' A F.V.ar stmt No. <br /> STOC Rs C <br /> OWNER: ' <br /> N'ame S'jkh "gam <br /> Address1934 South Grant <br /> L Stockton, Calif orn—ia (9) WELL LOG: <br /> Total ei mall 120 <br /> Foestatifati Mention da of wrier snv.E— <br /> (2) Proposed Use (Check) Equipment ft.m fr. <br /> L Domestic Industrial ❑ Rotary 3 2.711 Y -111MIV MAY <br /> Irrigation ❑ Test Well ❑ Cable <br /> Municipal ❑ Oiher Dug Well ❑ 40 BIJ .Clam <br /> L ❑ Other ❑ .. , <br /> (3) CASING. <br /> 78ft. of 6 iw 14 lb/S&. cuiat Taft is Vali o Umd <br /> .. .. .. .. .. .. .. .. <br /> Land do of dyne or wall ria ,e • 't •, `• <br /> ,(4) PERFORATIONS: •• ., u. <br /> s of .. <br /> x <br /> rerfensxd fc. to ft. bolaw .. <br /> ^.1 <br /> ------------ <br /> L <br /> .. <br /> N <br /> A®atrr ed perfo:atspr,r n •, .. ,• .. <br /> ia. tb " f rltti A T 4 ifLl' FLIM V <br /> (x) WATER LEVELS: . <br /> L Dqnk'B'at dfxeue lot made of wdl? ❑ Yes ❑No If yes,attach copy. .. �. <br /> at wblcb raotr vu Sr.r fonad <br /> St-ding W— ratinb a " <br /> t <br /> Sandia?ind after pufontia ft. <br /> NOW ytasr ebaayat m of Any,donne in mater teed wldla drillint ' <br /> frF ab a-what naitary rad peorided? <br /> L (6) WELL PUMPING TEST: work apfroed . .� j <br /> capacity tf Cesap4fxd 1— Ip <br /> tai./tea' ft.dram down Dau.of RWwt .. <br /> . I4 <br /> 1 ret eked? WELL-DRIx.LER"S STATEMENT: <br /> am"sated fret Irtioa? Tbls W011 Sr drilled WNder my jurjrdjrtjou and <br /> of y fhir report is trxr to the brat <br /> kneudedae swd belle/. <br /> re wa,a A wtca:"ade soda} Arrack <br /> 0w"VA a i Wrll DP1ller <br /> (7) TYPE OF WORK (check): xp <br /> Vv —.jr ct n-___ :, . . .. — License No..62850 �• <br />