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STATE OF CALIFORNIA Do Not Fill In <br /> `A THE RESOURCES AGENCY 70347 <br /> ORIGINAL DEPARTMENT OF WATER RESOURCES 1��T0 <br /> File with DWR <br /> WATER WELL DRILLERS REPORT 5tate Well No <br /> a <br /> 10 r Other Well No� <br /> {I) OWNER (11) WELL. LOG <br /> Name ' <br /> C o C. CUNNINGHAM Total depth156 ft pep[h of completed well 84 It <br /> Address P. 0, BOX Formation Dnrrtbr by color cbaracler cru of arAursil Aad srrnrinre <br />' CALIF. 5 6 0-14 ft to Clay <br /> (2) LOCATION OF WELL 1402Sand <br /> Lountr8,nn jnqnjjjnOwner s number tf.— 2 Gravel & Sand <br /> Township flange and Sectra: T3 S R 5E 8 12 54-58 Clay <br />' Distance from cities roads railroads e[r 10 I N. of Durham Rd. 58-61 Gravel <br /> on Hwy 6"A-72 Clay <br /> (3) TYPE OF WORK (cbeck) 2-82 Gravel <br /> New Well$J Deepening 0 Reconditioning © Destroying [] 2-110 Clay <br /> 11 destrnciron descrrbe material and procedure in Item 11 110-115 Sand Fine <br /> (4) PROPOSED USE (cbeck)- (5) EQUIPMENT 115-152 Clay <br /> DOmeStIC ® Industrial ❑ Municipal ❑ Rotary a --- 152-155 Sand Gravel <br /> Irrigation ❑ Test Well ❑ Other [❑ Cable ❑ :L1515-156 Clay <br /> Other ❑ <br /> (6) CASING INSTALLED <br /> STEEL OTHER <br /> If gravel packed <br /> SINGLE] DOUBLE <br /> Gage Diameter <br /> Frain !u or of From To <br /> ft tc Dram Wail Bore ft ft <br /> 84 6 12 10 0 84 <br /> ]axe ut shoe ar —11 rine Size of crave[ ea <br /> De,,rsb.tion. we e <br /> (7) PERFORATIONS OR SCREEN. <br /> Type of PerlaratrUa ur name of screen d1 of <br /> Perf Rows <br /> From To per per Size <br /> tt ft row ft in x in <br /> 2 23"5E178" <br />' (s) CONSTRUCTION <br /> WAs a surface.amtary sol provided" Yes Xl No ❑ To what depth 0 it <br /> Wer ,trio sealed aRaansr pollution" }rs ❑ No C If vis note depth of strata <br /> trrum ft to ft <br /> prom ft [o ft Work started 9 Completed 19 <br /> Method tit B entenitp, WELL DRILLER 5 STATEMENT <br /> (9) WATER LEVELS This well was drilled tinder M-1lunsdirtton and this report a trite to the best <br /> a of env knowledge and belief <br /> Dew s <br /> Depth a[ which water firs[ found rf knorn ft <br /> handing ievel befure pertoratrng tf known ft NAME Hennings Brost, Drilling Coe Ince <br /> (Person firm or corporation) (T�prd or printed) <br /> s[mdinr 1-1 after perfora tine and developan¢ ft <br /> (10) WELL TESTS Address 2500 W. Rumble Rd. Modesto Cal. <br /> pump tis[made" Yes ❑ No If yes be rho." <br /> Id r;al /m.n with t[ drawdatvn after his 1516 NL;D� <br /> i r!Drtllrr� r � <br /> remvera[ure of water as a chemical ana15316 made" ]es ❑ No ❑ +'� <br /> W.,riect—lug made of well" 'i's copy �G—..--D.,ted June 22 , l9� <br /> ❑ ho ❑ If tis anach co ].[Cense l�to <br /> SKETCH LOCATION OFF WEL,L�ON REVERSE SIDE <br /> DWR 160 REv9619i assrp 990 ase sown TRIP QD 0S,, <br />