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STATE OF CALIFORNIA <br /> 'ORICJNAL THE RESOURCES AGENCY Do not fill to <br /> File with DWR DEPARTMENT OF WATER RESOURCES <br /> WATER WELL DRILLERS REPORT No. 2 9 n o r+ r <br /> n <br /> of Inlcnt No tilate Lvtll No <br /> Local Period No or Date WZIR3 Other 14 ell No <br /> X2505 <br /> (1) OWNER Name (12) WELL LOG Total depth .126 f, completed depth AllteZ ft <br /> Address from ft to ft Formation (Describt hs color character size or material) <br /> CttvYY][AI _-ZIP <br /> (2) LOCA ]ONOF WELL (See instructions) — <br /> County -0A SIM—1111f1 Owners%%ell Number ' <br /> Well address If different from above <br /> Township ZS Range BE Sect ton — <br /> Distance from ettics roads railroads fences,etc <br /> Q� (3) TYPE OF WORK <br /> New Well 14 Deepening D — V <br /> Reconstruction ❑ <br /> Reconditioning ❑ <br /> Horizontal Well ❑ <br /> Destruction D (Describe <br /> by1�d� destruction materials and pro <br /> W cedures to Item 12) _ <br /> (4) PROPOSED USE/ <br /> Domestic ❑ <br /> Irrigation16 ❑ — J ` <br /> Industrial D <br /> Test Well ❑ _ <br /> Municipal ❑ — <br /> Other <br /> WELL LOCATION SKETCH (Describe) f _ <br /> (5) EQUIPMENT (&} YACK — <br /> Rotary ❑ Reverse ❑ Yes'9 No,❑ Size <br /> Air <br /> Cable El `Vet,, ` <br /> ❑ Diamerof beor�L <br /> Other 91 Rocket- -F-1 'Packed from to �• fe <br /> (7) CASING INSTALLEDD (8) PERFORATIONS f <br /> Steel ❑ Plastic I� nCrcte I❑ Type of perforation or size of screen <br /> From Teo `Din Gage or F'r-ria Tc> > 'S1ot — <br /> ft ft Ill Wall h - ' ft sire <br /> A - <br /> f+ J - <br /> (9) WELL SEAL <br /> Was surface sanitar)seal prrn idt d'� 1 es k No ❑ if yes to depth3r-45 ft <br /> Were strata scaled against]rrillntion? 1 es ® No © Interval:3+5—0 fl - <br /> Methodofsealing h'SWork started ly compleled lc} <br /> (10) WATER LEVELS WELL DRILLERS STATEMENT <br /> Depth of first water if kalm n 5.5 ft <br /> Thi,, Trull rnr lied urtdcr mr! 1urrsrTr nn rind this rcparl is tru< to !hr <br /> Standing level efter wt ll cnrnptt tion ft N st of ni ncr tadgi and 1x lie <br /> (11) WELL TESTS lugld <br /> "e]I lest made+ its El Nu IF yes hs whnm� {Well Driller) <br /> of test Pump ❑ Railer 0 Air lift ❑ NAME SPECTRUM E)/ RATION, INC. <br /> It,watt r at siert of test ft At t nd tit It st ft 11 Terson I i or voginrelion)(Typed or printed) <br /> Discharge gal/nun afttr hoar Waurt(mptraltrc Addrtss 2825 E MYRTLE STREET <br /> Chemicalanalysismade� lis ❑ No If)csb) shoinr (its STOCKTON CA J]P 95205 <br /> Was t leclrtc Irig made les ❑ No ❑ If yes attach Cop)to this report Lict nu No 51226B Dat( of this report <br /> DWR 168(REV 12-86) IF ADDITIONAL SPACE IS NEEDED USE NEXT CONSECUTIVELY NUMBERED FORM 86 96355 <br />