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STATE OF CALIFORNIA Do Not F:II In <br /> THE RESOURCES AGENCY NO 9i64 <br /> 4 <br /> ORIGINAL DEPARTMENT OF WATER RESOURCES ��1�, <br /> � _�f. <br /> � <br /> A <br /> File with >owll WATER WELL DRILLERS REPORT scste welt Not/ / <br /> Other Well N / G� <br /> I <br /> (1) OWNER (1 I) WELL LOG <br /> Name State o f California Tara[dxpth ft Depth of completed-11 241 ft <br /> Address Formarsan Dercr,br by color ebrractrr t,=e of nctrretl and structure <br /> fe to ft <br /> (2) LOCATION OF WELL 0 60 <br /> Clay <br /> c...tySan JoaquinQv s number +f any 0 <br /> Turrn.hip Range and Secrwn 85 <br /> D+s nnce from c+ue, road. ra+lroada em 2 134 Sand-- <br /> Cornell & T <br /> ndn _ 4- 148 Clay <br /> (3) TYPE OF WORK (check) 148 150 Sand <br /> New WelI ® Deepening ❑ Reconditioning ❑ Destroying ❑ 1550 157 Clay <br /> I/destructarra describe material and procedure in Item 11 157 160 S <br /> and <br /> (4) PROPOSED USE (check) (S) EQUIPMENT 160 174 C 1 a <br /> Domestic ❑ Industrial ❑ Municipal ❑ Rotary ® 174 176 Sand <br /> Irrigatlon ® Test Well ❑ Other ❑ Cable ❑ 126 186 Clay <br /> Other ❑ 186 167 Sand <br /> (6) CASING INSTALLED 157 196 <br /> Elay <br /> STEEL OTHERIf gravel packed 196 241 <br /> SINGLE (N DOUBLE ❑ <br /> Gage Diameter <br /> From1 v or of From To <br /> ft It Dram Will Bore ft ft <br /> + 5 0" _ 250___Z_8! <br /> 12 241 12 241 <br /> e+ze ut,hoc..r will rine <br /> 114 P l a t e 5,am os e 1 <br /> Urxrifir>.+tns <br /> ..Welded <br /> (7) PERFORATIONS OR SCREEN <br /> rvpr of pertrrrartun..rn aft louvered & ful-+flo <br /> Perf Rows <br /> From To per per Size <br /> ft ft row f ,n r an <br /> 181 199 <br /> 199 217211 4 <br /> (s) CONSTRUCTION <br /> �»a wrtxe.antury teal prwrdeda Yes Fa No �, Ta that depeh 53 ft <br /> +%r +uu Baled axmns[pollut ani Ye. It yrs noir depth of+tnu <br /> .rum ft co f[ <br /> rr..m (s ro 1t u"ork srarced 19 Completed 19 <br /> 12 <br /> \%ELL DRILLERS STI�TE\IENT <br /> Merhu.l ,I ell nx <br /> This uell uas Jrr!!,d under my rrtrrsdtrttou and this ..part is late to for best <br /> (9) WATER LEVELS tlmyfrrurtlt,lr �+,l1,[tr[f <br /> Depth ac which ..it, — qrn found it kn.­ <br /> 0° 7 <br /> �eand+ng I.vrE Lcfurc perForatrne iF known tt \\\IE Clark Well & Equipment CO <br /> (Penon 5rm or eorporat.on) (T)ped or printed) <br /> xand+ne I.vel a[ccr ocrfonttne and developing (t <br /> (Io) WELL TESTS �dtress 21724 East Charter Way <br /> u as pump[e+[made) Ye. \o ❑ 'If ye. by vhoms PG &E StocktQn . CA 95206 <br /> . d 00 xa]Im+n with se drawdurn arcer hn [SiGVEDI . D <br /> � rmrtt DrrurrJ <br /> mpe-cur"c of rater ltln hemsoal analvv.made) Yes i Pin <br /> eI—tn, loe made of+vena Ye. If yes attach.ory L1.en5e No_,,,7 6 rn 7 --Dated Sept.. 26 197-2— <br /> SKETCH LOCATION OF WELL ON REVERSE SIDE <br /> rine aso a as sosa era+.pD os► <br /> DWR 188 4REV 9 88, <br />