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4 <br /> n <br /> i4 <br /> I <br /> SrATC OP CALIFORNIA ' <br /> ' ORIGINAL THE RffWURC"AGENCY i Da not ../((l in <br /> Filo with DWR DEPARTMENT OF WATER RESOURCES <br /> WATER WELL DRILLERS REPORT Mo. 270819 <br /> ?' Notice of Intent Na <br /> State Well Na <br /> p'- Local Permit Na or Date <br /> Other Well Na <br /> (1) OWNER: NameKen l:Ord (12) WELL LOG: Total depth�fL Completed depth�ft <br /> Address P 0 BOX 5367 from ft to ft Formation(Deambe by color.chancier,Ha or material) <br /> city Stockton yip 95205 _ <br /> (2) LOCATION OF WELL(See instructions): 2 - 27 hQstly clay some Irrayel <br /> Cp m,, San Joaquin Owner$Well Number 2 - 43 sandy clay with gravcL_ <br /> Well eddrea if different from above 93N Hewitt Rd 4 - 7 1 <br /> Township 2N Rhnge BE Settion 36 70 78 brn clay <br /> - <br /> DWante from eltle,road,railroad;Ience,ate vrell 31 a X 20' �4 rocks anrl^clav <br /> North of house. 62' from Hewitt trianaalar 4 - 99 _tern clav <br /> ;shaped property on corner of Hewitt and co99 - 111 roc d cltiK <br /> ro alis roads _ 111 - 11 blac st e <br /> (9) TYPE OF WORK: 11 - 143 ilt some rocks <br /> New Well ®'Deepening ❑ 143 - 176 rse and and avael <br /> .1t'� Recomtmenan ❑ 176 - 2 s la a rocks <br /> Nrj„i'1 Reconditioning ❑ 192 7 bra el <br /> I" fforl:omal Well ❑ 207 brit cl <br /> CLD <br /> ctlon ❑ (Dtxribe 2 - 22 bl n — <br /> RF etion materials and pro- 7 240 <br /> s in[tem E - - — <br /> ROPOSED US . <br /> tic _ 'I <br /> on O <br /> ial O ❑ <br /> s ell ❑❑ <br /> �LOCATION SKETCHce) v - - 1�• <br /> I'u <br /> (s) EQUIPMENT: CRAV CK:.. - I; <br /> Rmary ❑ :Reema ❑. No I" <br /> it <br /> Glob IX Air dhero t }: <br /> Other ❑ Ruck ram - - } <br /> (7)CASING INSTALLED _ (el Tl ^^ _ �yg <br /> Steel ❑ Plutl< ❑ T d ran oralzed `l _ <br /> From D• Gageor t <br /> I, <br /> f - Wall t. size r, <br /> _ k <br /> (9).WELL.SEAL:- r <br /> Wu mdaoe nalsry amt prmMad? Yet Cit No❑ lfyeatudepth 5D ft - <br /> Wen+ran sdbf aE.irr polutbnt Yes ❑ No® Interval h. <br /> MuhedarslWE Workstartd— Ip_ Completed—JULY-11117-- <br /> (10) <br /> ompleted .hvlp11117—(10) WATER.LEVELS: - - WELL DRILLER'S STATEMENT: . -­ '- <br /> Depthdrimwater.itlname ft. rhk wit ons drilled under my fo, kffml and fhtr report k kw to the J'r <br /> SnIdllsEkvd aftmwdlmepbaen_ 122 ft best of my know! and 1 <br /> (11):WELL TESTS: ;f <br /> Signed_-" .. <br /> Wuwell hart me , Ya❑ NoM Nym•by wham? I e rll <br /> Typndta Pump❑ lbLder O Alriirt ❑ NAME Thay W S' <br /> Depth to"M at x,y of td_ft Mender not ft 748/ e I I I,{TYPdar pnmd) !:' <br /> Dbehagte <br /> a_PJ/n•In after._hem. Werrempemm� Addnm, <br /> Chvnlel wlya6 nude? Yea ❑ No❑ If yaw.by whom? City wu't 1'dllr yip 95240 <br /> wuekorle asci. Yea ❑ No ffyFon<h rmhbn Ueeme No._391542 ._DateoFINSTeport <br /> `'I owR rea may. ::ul IF ADOITIONAL SPACE IS NEEDED.USE NEXT CONSECUTIVELY NUMSEREO FORM M WSe <br />