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1 <br /> wwri :luiv NU t <br /> ORIGINAL CHE(WATER WELL DRILLERS REPORT <br /> File Ongfnal,Duplicate and Triplicate with the Do Not F111 7x <br /> REGIONAL WATER POLLUTION <br /> (sktaont 7076,>oyy,rays,mater Carlo) N� 34964 <br /> � <br /> CONTROL BOARD No— STATE OF CALIFORNIA g qqyq----���� State Well lVo._ _ <br /> rlarrrf rbpraprfafe aoa►bn} /a� _ �^ <br /> Other Well No <br /> i 1) OWNER. (I <br /> I) WELL LOG: <br /> Name H_ �_ RT1,TlrNT•,_1.,E <br /> Total depth <br /> fr AddD Pith of rotepleted well ress 2rJp [�Qlln t f' C111b Blvd. Formations Detrr?be by color,cbarectrr,' o1 aare1er4l,rad rlrrr?on <br /> ,Stockton Calif. ft m ft <br /> (2) LOCATION OF WELL. <br /> nou Owner a number,if,any— <br /> T11 lip <br /> Blu <br /> ---�- 7 Gra y sa rad <br /> (3) TYPE OF WORK (check) 75 7 I'lue clay <br /> 93 1 C� s nd <br /> New well <br /> Deepening ❑ Reconditioning ❑ Abandon ❑ C'9 118 <br /> If abandonment,describe rnateraol and procedure to Itrm 11 X1116 C1�t <br /> (4) PROPOSED USE (check) �--- 12 GrLt saad <br /> (5) EQUIPMENT: _ Blue C19 <br /> Domestic ® Industrial [❑ Municipal Rotary ® X35- 1 ,11.0 GrLiy sand <br /> Irngation ❑ Test Well ❑ Other ❑ Cable [] <br /> Dug Well [) <br /> (6) CASING INSTALLED IE gravel packed <br /> SINGLE ❑ DOU13LE�—I—I Gag <br /> From or Diameter from to <br /> Et to Et tlDtaen Wall of Bore it It <br /> Type and size of shx at well tins Size of smelt <br /> Describe ieent <br /> / <br /> (7) PERFORATIONS. <br /> 'type of perfontt,need <br /> Sim-' of ptrfoauana an length by — <br /> Frocm ft to ft Pert per row ~ <br /> Aiwa it. <br /> (S) CONSTRUCTION: ---�-�----- <br /> W as a anrfaco santnty sett pcoladtd? ❑ Ye] ❑ No To what depth It. <br /> wen any etrau toiled aysanat pollatton? ❑ Yea ❑ No If yet,nota depth of strata •• <br /> Fromft to « <br /> Method of Sealing <br /> staxited <br /> (9) 'PATER LEVELS:""-- r WELL DREUXR STATEMENT tied <br /> Depth at which water wits first foundw L �.`Z t 71MTbft titin auof dulled ander tray jarJid'enou artd fbrr report is true to t&beat <br /> _ <br /> "--radiuss beforeeel before perforaUna y rt014age acid Lelkf�• eft <br /> adeng le>eI after pesfontangIJW� I <br /> f n�. (Person,farts or eorporataen) <br /> (lo) WELL TESTS• 646 South Ca 1Lfornia Sts <br /> Was,a pump an raadtt ❑ Yes ❑ No If yes,by wham} St xktan..�-Ij for <br /> Yield tial/man with fit draw down after bsa [S�i'T$al <br /> Tempontism of water Was a ehemtal anal 67850 Tau <br /> ynt made? 0 Yet ❑ No LApMu No. _ Dated <br /> WAS electric lag anadt of well? ❑ Yes ❑ Na 19—.. <br /> 97689]$e SOM Oaa IN©atPO nwR F <br /> opM NO 246 tREv 3 $4 <br />