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UADRtPLICATE STATE OF:ALIFO__^.NI%RIJR� '��' <br /> � �g`�� Do not fill in <br /> Jse t0 comply with THE RESOURCES AG / <br /> cal requirements DEPARTMENT OF WATER 128696 <br /> WATER WELL DRILLERS REPORT '���� <br /> Q <br /> ;o[ice of Intent No. p+�`- �C��iEe` /ell No <br /> ^al Permit No. or Date �� Sp,N � A1A e��Other Well No. <br /> �) OWNER: Name T & T 1RITCKZNG -- RV1J1 (12) WELL LOG: Total depth2 ft. Depth of completed weJ ft. <br /> Adress11396 N. hMTY 99 TARNTI from ft. to ft. Forniation (Describe by color, character, size or material) <br /> LODII CA Zip - 2 Topso <br /> LOCAW1%(0T"ffPLL (see instructions): Clay e <br /> ,ounty SA <br /> Owner's Well Number — 12 an <br /> :11 address if difFerent from above 12 - 37 av <br /> ­rnship Range Sectio 3 - _ S amt <br /> e &Z t� <br /> )istance from cities, roads, railroads, fenees, etc. — `"'�•rJ `'`- <br /> RRONTAGE ROAD - 1 MILE NOTH8 M - 61 Sand;;,. <br /> TOAD - EAST SIDE 61 - 7 0 Clay. <br /> and <br /> (3) TYPE OF WORK: /,--' 'Clay <br /> New Well JY, Deepening ❑ 0 Sand,& Shale - <br /> Reconstruction ❑ ` 80 —\\ ). <br /> . 1 Sha le <br /> Reconditioning ❑ �`\ — '\ <br /> 04 . <br /> Horizontal Well ❑ �-+,� — 87,Aa6d)) <br /> Destruction ❑ (Describe — ��?.L - <br /> destruction materials fid <br /> procedures in Item - 9 Shale ah' <br /> (4) PROPOSED 99 06 S le/ ay <br /> Domestic \0,7- <br /> 0 10 N\ S +. G-,\ an <br /> ` Irrigations Q <br /> Industrial `+ \�:/ 118 sari& <br /> ks\ell ❑ \\ — 1 & Send <br /> stne \\)121 - > Saud Coarse <br /> p 136 <br /> WELL LOCATION SKETCH Other ❑ 1 S rid <br /> 7 <br /> �) EQUIPMENT: (6)��[GRAVEL\PACK: �\'x 1 Iy ay & S le <br /> Rotary $ Reverse E] 1TcsX N�'❑ si—Bpje ,� \/) 160 Sand &. Shale <br /> ble ❑ Air ❑*`•\�Di Peter of bore-14^ \ 165 Clay <br /> her ❑ Bucket ❑ +P CiCied175 Sa rid <br /> (7) CASING INSTALLED. �` (8 j'PERFORA4f IO \\ "-1 — 20 C la e <br /> <<^el Plastic 01Concrete+.[(.� h <br /> Type of perfatn o\xize of screeu `� 201 — 2 4 Sand Fine <br /> From To Dia. Gig'"r F o`\ To SI-J 204 - e Snns <br /> ft. fq(,�>in. Wall f ft. siz§ 208 - Clay Shale <br /> D \\\,9P6t - <br /> (9) WELL SEAL: <br /> as surface sanitary seal provided? Yes*. + No X If yes, to depth ft. — <br /> 'ere strata sealed against pollution? Yes ❑ No ❑ Interval ft. — <br /> Method of sealing Work started 19 Complet iii T 19 <br /> 110) WATER LEVELS: n WELL DRILLER'S STATEMENT: <br /> epth of first water, if known (2 ft. Phis well was drilled under m <br /> knowledge '✓ jurisdiction and this report is true to the best of my <br /> anding level after well comand belief. <br /> Et. K f• <br /> (11) WELL TESTS: SrcNED <br /> Was well test made? Yes ❑ No X If yes, by whom? 7tt ��+ BROS- <br /> Well Driller) T /. 3 <br /> ;pe of test Pump ❑ Bailer ❑ Air lift ❑ NAME FrENNT}Q�IS BROS- DRILLING C0.4TNTC . <br /> epth to water at start of test ft. At end of test ft 352 Person firm, or corporation) (Typed or printed) <br /> Discharge gal/rnin after hours Nater [emperahue Address Pelandale Avenue <br /> Modesto,"hemical analysis made? Yes ❑ No [X If yes, by whom? City Calif.C - Zip 95350 <br /> las electric log made? Yes ❑ No EX If yes, attach copy to this report I License No. Date of this report 6--22.-78 <br /> DWR 188 (REV.7-76) IF ADDITIONAL SPACE IS NEEDED. USE NEXT CONSECUTIVELY NUMBERED FORM <br />