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Do Not,Fs11 In <br /> ORIGINAL WATER WELL DRILLERS REPORT ND 119281 <br /> File Original,Duplicate and Triplicate with the (Section 7076,7077,7079,Water cede) <br /> REGIONAL WATER ]POLLUTION Scue Well No_�_—_ - --- <br /> -!7 - - <br /> CONTROL BOARD No THE RESOURCES AGENCY OF CALIFORNIA Other Well No - <br /> !aggrgrigir n -b r <br /> qT OWNER. (11) WELL LOG <br /> Total depth ft Depth of completed well 0 it <br /> Name CHARLES MORRIS <br /> Address RT• � BOX- 00 Formation Dnrnbr by rotor rbanrtrr,rs:e of mrfrrsal and rhaNvrr <br /> it to it TOE SOIL <br /> VERNALIS CALIF. 28 QLAX <br /> (2)/ OCATION OF WELL• 28 ND <br /> —;-4 SAN JOAQUIN owner t number if any— LAY <br /> R f D arstreetNo MILE EAST OF MC ARTHUR 60 FINE AND <br /> AND <br /> T <br /> (3) TYPE OF WORK (check): <br /> New well i& Deepening ❑ Reconditioning ❑ Abandon ❑ <br /> It abandonment,describe material and,procedure in Item I I <br /> (4) PROPOSED USE (check)• (S) EQUIPMENT- <br /> Domestic $] Industrial ❑ Municipal ❑ Rotary <br /> Irrigation ❑ Test Well ❑ Other ❑ Cable <br /> Dug Well ❑ <br /> (6) CASING INSTALLED- If gravel packed <br /> SINGLEX3 ✓DOUBLE❑ Gage <br /> ^� <br /> or Diameter from to <br /> FromO it to (r7 O it 6 Diam 12 Wsll of Bore it ft <br /> 1011 56 <br /> Type and size of.hoe or well ring site of gravel PEA <br /> Deseribe lotnt WELDED <br /> s <br /> (7) PERFORATIONS D Eelel ; <br /> X <br /> Type of perforator used r y V <br /> S1Ze of perforations 11 11. in len[th by sa <br /> From 60ft to 0 ft Perf per row Rows per ft <br /> (8) CONSTRUCTION <br /> Was a surface sanitary seal provided? TQ Yes ❑ No To what depth (t <br /> We"any strati sealed against pollution? [] Yes ❑ No If yes nate depth of strata <br /> From ft to it <br /> Method of Sealing CLAY Work started / itis 14 Complered i9 G <br /> (9) WATER LEVELS- WELL DRILLER'S STATEMENT <br /> This well was drilled under my jurisdiction and this report is trsir to the best of <br /> Depth at which enter war first fond it my knowledge and belief <br /> St.ndmg lave]before perforating it NAME HENNINGS BROS. <br /> dmg lesd after perforating ft (Person o eo ranoq.1, (Typed or prinird) <br /> Adareaa RT. d 3, 2 dam ttUMBLE — <br /> 10) WELL TESTS: MOUST09 CALI <br /> Was a pump test made? ❑ Yea LNo If yes by whom? <br /> [SIGNED].... 'Lf __�.L'a...i. r>`1�: I---•--.-� _ <br /> Yield gal(mm with it draw down after hriW f Aller �+�+n <br /> Temperature of water Was chem-al analysts made? [] Yea No License NoJ-1.L _»F'�+Dated ...h1 _ 19_.66 <br /> Wu electric log made of well? ❑ Yes No <br /> ��'��'TTTTTT ansa 11 93 gxM autn aro t)WR 188 tn[V 3 sal <br />