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ORiC,f►wAL fO,41nal,Duplicate and Triplicate with the �S1►�i0il OF WATER-RESOURCES SHEET 2 !!O.■OX 1979 SACRAMCNTO S,CALIFORNIA WATER WELL DRILLERS REPORT Do Not Fill In (Sections 7076,7077,7078,Water Code) State Well No.-,'-_'__f�_ - -----__- Other Well No------_----------,_______------ '� Region--------------------------_ (7) Perforations: Type of perforator used------------Star-_ IXl - - -- ! No.ofhales22per 2rt.1 Perforated------------ b-----------ft. to---140-----------------------ft. Hole size_ ,> ,> Is T------ ------------if ---------------- - ---- ,> ,> > „ » ff ,> „ , „ „ „ ff ,r „ ff » ff ff n f> » » as (8) Water levels: (9) Well pumping test: Depth at which water Date of test_9/21/5_413y whom-----RA---L_.....Clark______________________ first encountered-_______________5_Q------------------------ft. Depth to water when test started.------------ Q---------------------------------------ft. Depth to water G.P.M. at beginning of test---------------------- ------------------------------------------ before perforating--------------42------------------------ft. Drawdown from standing level____-______-___41--------------_------------------------ft. Depth to water G.P.M. at completion of test--------------------$0________________________________________ aftererforatin ---------------------ft. Drawdown at completion of test_____________$Q-----------–-----------–------------ft. Note any change in water level while drilling Length of time tested_______________________________24_____ � _ours------------------------- -------------------------------------–---------laa------------------------ Temperature of water---------------------------63------------------------------------------- Was gas present in water? ❑ Yes -E] No (10) General: _ I Was well gravel packed?----------NA )--4:9i�e v ',lock-------------------------------------------Thickness of pack----------------------------------------- Was a surface sanitary seal provided?-------------------------------------- ----------------------------------------------------------- Were any strata sealed against,Pollution? 0-Yes, - j If yes, attach detailed description. - . �a;, Stratasealed–– – -----– —,-- =— �= ---------- =--------------------------------------------------------------------------------------------------------------- Was analysis made of water? ❑ Yes ® No If yes, attach copy. Was electric log made of well? ❑ Yes X No If yes, attach copy. If well abandoned, was it plugged and sealed?-------------------------------------------------------------------------------– :----------------------------------------- Method of plugging and sealing-------------------------- ---------- �– -- – -- – – -- -- ---- -- (11) - — – Location: in the City Of Stockton � (12) Time of work: North Section No-------? Work started date-9/5-/50____Completed date_9/zz�Q Township --- Date of this report----1411.-t 5 Q----------------------------- har trig Way Range----------� --------I---- Base&MeridianA�!D_-_0__"_ WELL DRILLER'S STATEMENT:- Show TATEMENTShow location of well in Sec- This well was drilled under my jurisdiction and this tion,thus (X) report is true to the best of my knowledge and belief. ' Distances to section lines from i lark Well Drill in well, N or - --- - �-ft.� ��iI�SiGNED�-----`'--------------------------------------------------g---C o-,--___--__ --- and E or X____ _ __ft.2300a +� Show location of nearest By -0tr known well, thus (0) License No...7666.2...Classification_S-!-t---57 1 MILE Distance to nearest known well---3-5Q------ft.• •::, Dated__lQ___/�- ---------......... , (]�S O.W.R.FORM No.246 REGIONAL WATEIR (POLLUTION CONTROL BOARD COPY 23972].SO 40M:UIN SPO