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New ORIGINAL. WATER WELL DRILLERS REPORT Do Not Fill In File Original,Duplicate and Triplicate with the (sections 7076,7077,7078,'rater code) NO 78043 REGIONAL WATER POLLUTION Sate ell No. - � a3 STATE OF CALIFORNIA ""– �"""'-" 3 v- "ONTROL BOARD No J Other Well No.—_-----------------------_____.-____--- rt approprlale member) rr *ft./ (1) OWNER: (11) WELL LOG: eves Name SE:o n d �J i v t. A g r i s u l t u r a 1 Assn . Total depth 3/110 ft• Depth of completed well 3'*Q it. Address l7 ^_p ?^ r 2!`^4 Formation: Drreribe by ol-.char..ter,sire of m.tn?al.and:...hare. StUCk on , Ca_1 -L F ,2J1 n Et.to 2 ft. SSees ?.? 2 7� Slav (2) LOCATION OF WELL: 5 ?' S a n d County�- 1••1 1._^,^��1 n owner's number,if any— ?7 5 S �•1 3�� R.F.D.or Sweet No. l C5 i ] 9 n d\1 hard p a n ," \/P L�nn.3- ed on the infi_ld of the R=te ` inn 1 , 1 n=nr-1 ni1 3 ^.P= I rack u Soiith of Charter `N31 - -- F,3S+ Of Airport I Sanri 142 1 ;R 91 IIP 1 a (3) TYPE OF WORK (check): 1 u? kis r ri Yn a n New well ® Deepening ❑ Reconditioning ❑ Abandon ❑ 1 7 q a Clay If abandonment,describe material and procedure in Item 11. 19_6 t 2❑ S ghr-1 2 (4) PROPOSED USE (check): (5)" EQUIPMENT: ��c 2 4 1 " � Domestic �] Industrial ❑ Municipal ❑ Rotary ❑ ? 1g d Irrigation ❑ Test Well ❑ Other ❑ Cable Cl( ?31 272 S1=, Dug Well ❑ LT?—2 rN�r�e t= Q A (6) CASING INSTALLED: If gravel packed 2°� °_ =1 l t` 211 2?R or Viand Neel SINGLE DOUBLE Gas e — • Diameter f7001to -)�,•� From ft.to fc. Diem. Wall of Bore ft. ft. y 34 1V 250 .. ?� 37� 5-, 4a ' a 241 1— �11'C C13`t ss..s Three fo;-t --miiemt pluC i7 bo atom- ftx of nr Type and size of shoe or well ring`, X 5 Size of gravel: .. .. Describe joint ''4 01 r{e G-t •• •- lees (7) PERFORATIONS: Type of perforator used S`lo o milled Size of perforations 3 in.,length,by 5 7 in. •• .. From ft.m ft. Perf.per row Rews per ft. r 2nu0 230 9 3 273 283g � jun �dQ 3 ... (8) CONSTRUCTION: Was a surface sanitary seal provided? is Yes ❑ No To what depth n it. war .7 U Were any strata staled against pollution? ❑ Yes [ No If yes,note depth of strata ,. .. From rt.to fc. Method of Sealing Work started Completed (9) WATER LEVELS: WELL DRILLER'S STATEMENT: � This well was drilled under my jurisdiction and this repdrt is true to the best of Sees Depth at which water was first found 75 ft. my knowledge and belief. Co.-+ing level before perforating ft. NAME Clark "e 1�. V r 111 i n a C .iag level after perforating ft. (P�ny,hrm corperanu. T„sad or;win/rd) Address 202Q L.� . �harter Wa_y .r 10 'WELL TESTS: L a , f 9 5?,-16 ( ) Stockton , 1 ' W..a pump teat made? J3 Yes ❑ No if yes,by whom? P G Cx. E / Yield: 7 R gal./min.with d] ft. draw down.fur E . hr.. I SIGNED].__ ._"___.._.�!..__.. `-�-_—__ ___•__._ ---- t Welt DriHrr pp rr Tem -twe of water Wee a chem?ol analysis made? ❑ Yea ® No 7-6-16.02-_---,--, Dated__.__—.._.!'?�-1_8_......21 194)_5 ve License No._____ -------+ - Was electric log made of well? ❑ Yea [2f No 670211 5-67 SnM OUIN J�,9P0 DWR 188 (REV.3.74)