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<br /> STAT[OF CALWORNIA Do Not Flll7*
<br /> Od01H/lL THE RESOURCES AGENCY
<br /> t o With D" DEPARTMENT OF WATER RESOURCES 1�j0 115166'
<br /> WATER WELL DRILLERS REPORT
<br /> OAWell Na14—��f W
<br /> (I) OWNER: (1 1) WELL LOG:
<br /> rTame John Demichelis Te,.Id.oth 92 r,. hofeen l.,.d..0 _372 ft.
<br /> Address 17306 E. Ayena
<br /> Escalon, Calif. q5720
<br /> ft. ft.
<br /> (2) LOCATION OF WELL: 92 128 sand '
<br /> c.r.,San Joaquin o.,w•.e.nbrr.ir... 12_ - 1-55 sand k gravel
<br /> T....L:, 5. ,_T-1-S R-8-E Sec_. 21 1-0 140 brown clair
<br /> rld of Avena 140 - 1 2 brittle clay
<br /> -m-fle Easto 'Rurrhy 1q2 - 164 brown clay -
<br /> (3) TYPE OF WORK (check): 1 - 168 coarse sand
<br /> 169 New Well ❑ Deepening E Reconditioning Q Destroyirtg ❑ 172 brown clay
<br /> 1 dn'rsetio,e,deuribr,welni.l e,rd rorrdrrr it 17r+r i i.
<br /> 172 — 17T sand
<br /> (4) PROPOSED USE (check): (s) EQUIPMENT: 17 — 180 brown clay
<br /> Domestic A0,Industrial ❑ Municipal ❑ Rotary ❑ 0 1SE brittle clay
<br /> Irrigation$] Tat Well ❑ Other ❑ Cable 188 — 2. 3 brown clay -
<br /> Ocher 2 296 brittle clay
<br /> (6) CASING INSTALLED: 29 - 300 sand & ravel
<br /> tTEfL: OTHER: If gravel packed 300 — 08 broarn slay
<br /> SINGLE g DOUBLE❑ 0 — �2 brittle clay
<br /> 324 348 brown clays
<br /> Gage Diameter
<br /> -V,P3b8 brittle clay
<br /> From fo or of From To
<br /> ft. ft. Diem. Wall Bore ft. ft. 3 _ 372 ra rBaZld �7
<br /> 0 1801 12 10
<br /> 164 12 L o
<br /> 12s X Gkx6Y, .C` -
<br /> bUttweld
<br /> (7) PERFORATIONS OF, SCREEN:
<br /> T.1 eerfo.s,
<br /> Perf. Rows Al proper well seal was inst"Illed on
<br /> From To per per Sire well and I am not res nsible for an
<br /> fc. ft. row ft. in•ain -altering or removing of the seal or
<br /> 12 1
<br /> 160 1/8x 1 casing,
<br /> 10" 00 268 16 x 1
<br /> (8) CONSTRUCTION.
<br /> w..s .rl.c.uuun.•,:pro.idd)
<br /> Y.C] },Io 0 To.h,t d,y h !,. _—
<br /> w..
<br /> Y.0 N.Cl I!•n.n .d..,h of, y ,g7
<br /> !t.
<br /> r to
<br /> 74 f,re ft. wofi.ur.rd1,,-4If .Cemfi.nd JP—1P V
<br /> hI.,L.ael..+liee WELL DRILLER'S STATEMENT: r•
<br /> Tbis well was drilled ruder my isrirdicfion dnd ibis report is fare to thr bet e
<br /> (7) WATER LEVELS: o/my irnowledgre.d belief. y
<br /> 60 p.pa1 et wL:cb vw s.first fo.cd.,f Leo.. ft.
<br /> Se..d�ee Ir.d b.fors .rrfen,iee, if k—. f,. NAME
<br /> .� !'- 1f4..,e,6r.n..r co.f.r.,,00) (Tyf•1«t.,.rrd) of
<br /> (10)"WELL TESTS: Address
<br /> 11935 S. Van. Aller.
<br /> �. Q .�
<br /> > W.,—V tesr:e.d.7 Yes 0 No 0 on
<br /> If t..,by.La ~ n r,,! w
<br /> y
<br /> SIGNLD ( J
<br /> wdl Dnl n)
<br /> Tn.p.+mn of.seer wu.ehea:ol..Jru.nd.> 44
<br /> Y. 0 No 0 T
<br /> V.,.{ee,rie los m.d.of.eil7 Y.0 No[� If r....,,xh coo. License No 2"724r
<br /> } SKETCH LOCATION OF WELL ON REVERSE SIDE y
<br /> own Ise ,.cv.e.t.r., n,aw„o. t,or,■,smr DM j
<br />
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