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,...,.� . .. . . •. .. .. . . . ,. .,. _ .. ._, ,.. ....: . .. . . . ..-�nf.,...a'w.i'wra�i:re;a't+�sbl�lvaua-Y!'�,'traA'aYi'U!!L":�°�.A�6tilY':.le.lUl1..:ii.1 <br /> r4-e <br /> -• - - -' pal I.--j r'7 <br /> . QUADRUPLICATE <br /> Use to comply with STATE OF CALIFORNIADrn fl Do not fll in' <br /> local requirements THE RESOURCES AGENCY <br /> DEPARTMENT"OF WATER RE&WF-CESy O. 085313" ' <br /> ..NtKire of,fnimt Nn. NATER WELL DRILLERS AEFORV4%N <br /> . <br /> Laval Prnnit No or naM_(_�� X. <br /> Ti'(�tter Well No._� <br /> (i) OWNER: $011 Sugar Corporation t, <br /> Name (1.) WELL LOC:TIITotal tie tl 26 Depth o 1 20Ql` <br /> '�� — n ft.D hof error kted wet )`M <br /> _ ;Address 6 ft— ft. to k. Formation fthscribe by ")Mr, charncter• size or material) <br /> City. Tracy, Ua, _ <br /> 7.ip 0 TO soil , <br /> (2) L 53E1I�daOF��VI:LL (Sec instnlctions): - t C'z`'� cat <br /> Cramb' q sYa+ (hvner's Well Number ]11 - LCs?s $ e—$a y <br /> \yell address if different from above 3 Sa <br /> Ttmm <br /> a <br /> ? yshiP_ Rance Srclinn 7�a <br /> i Distance from cities,mods,rnilmndc,feners,etc Arbor Dr.=_ – <br /> i East of E0117 Dr. northers 3-e 12 - shale sires /, s x <br /> ti <br /> - �« rr <br /> - TIIy <br /> (3) TYPE OF WORK: / II <br /> Nerr Well X Deepening ❑ <br /> .. - Raonstnt tion D <br /> Retmnditioning ❑ <br /> Horizortai Well D <br /> ❑ (Dscrilte .. <br /> n <br /> - destntcun materials arsd <br /> Pntceslures in Item k= – i <br /> (4) PROPOSED b1 ') <br /> IAstnestic – zi i;'qYle� <br /> Iffication <br /> .. Industrial <br /> %%Pe 11 <br /> d. hT / [3 tm <br /> -.. <br /> ief <br /> cl <br /> 4rf <br /> • \YELL LOCATION SKETCII Other ❑ _ - �.. ...ar <br /> (S) EQUIPMENT: - (q) CRAV PACK: <br /> ItntarY' ❑ Rr4erse 1� 'c No Stz ^ \ # <br /> Cable ❑ ❑ <br /> w a -�,e.!`£, Y:: <br /> Air ,'.. r of bore _ $ .. <br /> ?t Other DBucket Q mm tr ?d_ <br /> \ _ Z)••. <br /> (7).CASI\C INSTALLED: (8) PERFORA_ I : sere -`''• <br /> sRei❑ -• Plastic Co • e Type of pe:.Sr.zDt or wze of sctee <br /> N <br /> i From <br /> To Dia. Ca r Ft6 � To <br /> fL ft i Wall ft ft _ <br /> 9 — '4 <br /> (9)'WELL SEAL: r+ <br /> 1 Was snsface sanitary.sealrovided? Yes No <br /> n I= L] If yes.to depth_[ ft. <br /> . <br /> Were strata I sealtKl <br /> ,• 1,te•tMd. t' Pilutrm? Yi•, ] Nn ❑ cpmtev -s-_of saBne2�+ro-•COntFic � �k�YI�u �� <br /> i. <br /> Work sea <br /> WATER LEVELS: WELL DRILLERS STATEMENT:. � 1 <br /> •,Depth of`Gnt water, If:known _It. This tcell was drilled trader my iurbdirtfon a it report U Ince rn rh <br /> staraliaR Irvcl Rile nrll Completion 20 _It. knotoledge and bc.4 / <br /> (l l) WELL TESTS: SlcNeo � <br /> , <br /> -Wu "ll test •uade? • Yes Nn❑ if yes, by e'hnm? (Well Driller) ` - .. <br /> r.,Type rd hit -,Pump Bailer(] Air lilt D NAME$pnni nga nTant; T?rt i 1 t rr _T►�t <br /> Depth to —ter at start of test ft. At end of test ft - (J'Mun firm,or cntlwxation) ('tped nr prriintedd)) - <br /> .-3525 Pelandale Aye.' - <br /> I�iseharge 4 -.L--gR1/min after hnun Water tempemhue Add - <br /> Chemical aoal)•sis made? Yes ❑ Not if Ci Modesto C9. - <br /> yes, by uhrrn't ty--- * <br /> Was electric lug made? Yes❑ NoM If s'es•attach copy to this rrp•rt License No Date of this rcpumpy-78 <br /> _ <br /> ` DWR tett (REV.7.76) IF ADDITIONAL SPACE IS NEEDED, USE NEXT CONSECUTIVELY NUMBERED FORM " <br />