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STATE OF CALIFORNIA Do Not F911 IM <br /> THE RESOURCES AGENCY o 70 214 <br /> ORIGINALDEPARTMENT OF WATER RESOURCES — <br /> File with IDWII State Well Nu — <br /> WATER WELL DRILLER$ REPORT <br /> ;,U F 1 Other Well No, 5 �� <br /> (1) OWNER (11) WELL LOG <br /> Name Total doth 12FAft Utpth of completed -01 !t <br /> Address BP97 W. Grantlirin Bei. br b} rolm rbarerlrr s+tr of nrnlc r+al and Nrur( rr <br /> it n+ f, <br /> (2) LOCATION OF WELL <br /> County O-ner s number If an} <br /> To.nshlp Range and Seerton <br /> DISLAnCe from Cines roads ratlroads ctc <br /> of-Tracy, So n d <br /> (3) TYPE OF WORK (check).'It 4"`>f?:. 45 M A' " <br /> New Well fk Deepening ❑ Reconditioning ❑ Destroying <br /> if destractrws,describe material and procedsre in Urn; 11 69-49 Clay <br /> (4) PROPOSED USE (check) (S) EQUIPMENT <br /> Domestic PEI Industrial ❑ Municipal ❑ Rotary k] 5"29 clay <br /> Irrigation ❑ Test Well ❑ Other ❑ Cable ❑ <br /> Other ❑ <br /> (6) CASING INSTALLED <br /> STEEL X OTHER If gravel packed <br /> SINGLE ® DOUBLE <br /> 9A_I rig Clay <br /> Gage Diameter <br /> From I u or of From To qnnd <br /> ft 1t Diam Miall Bore ft ft <br /> tj,5 6 — <br /> Clay <br /> Sts ut sho r well anti Sve of eravd <br /> Ue sit be w n1 <br /> (7) PERFORATIONS OR SCREEN <br /> Tv pe ul }terl..rauws Cir name of screen <br /> Perf Rows <br /> 1 rom To per per Size <br /> ft tt row ft in x an <br /> -- - it <br /> Watar Cade Sec <br /> 13/52 <br /> 82 8 <br /> (B) CONSTRUCTION <br /> Was soil ace santran sial prn+tded� 1cs To Cj Tu-hat depth ft <br /> We,am .eau salyd acatnst P1111111.­ 1 r+© No © if vis nam depth of stn(a <br /> 1 ru ft tt it <br /> 1 rom it is ft Work started Cir 19 completed lY <br /> method.,1 salintiBAntnnitp, WILL DRILLERS STATEMENT <br /> This well uas drilled under airy lransdictron and lbrt rrporl n tray to for bet/ <br /> (9) WATER LEVELS of any knoitfrdg+ acrd brlrrf <br /> Depth rt which water was first found +f kno 1t <br /> %tand,nq Isvrl before perforating if 1,no-n ft NAM , �''D <br /> (1'rrson firm or corporation) (Tt hid ur frrrrrrd) <br /> eta ndrng level after prrforating and developing it <br /> (10) WELL TESTS Address <br /> jdllkhr <br /> ump trst made? )es ❑ Na If vet by whom? <br /> t RA I— with it drawdown it,, hrs [SICNEOI <br /> (I <br /> rem pin torr of watu Vf ata rhsmtrrl analyst cordes let Cl No /]� <br /> Was elecinr lug made of arils les ❑ Nu if yes roach cops Lkccnsc No .!6327 Dated— �-�- - 19� <br /> SKETCH LOCATION OF WELL ON REVERSE SIDE <br /> t)WR 180 (REV 9 60i 2517V 959 0 60 DOM TRIP QO DSV <br />