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ORIGINAL <br /> WATER W LLL DKILLZR6 t[rrYVL�1 Ceti it us rasa lav F <br /> Fde Original Duplacale and Triplicate with the (Sections 7076,7077,70711,mater Cade) <br /> DIYISIOM OF WATER RESOURCES Sate Wel!No <br /> P o Boz 1079 STATE OF CALIFORNIA--DEPARTMENT OF PUBLIC WORKS <br /> SACRAMENTO CA41FORNIA DIVISION Of WATER RESOURCES�-6 ReWell No <br /> egiolOn— <br /> � 1 <br /> 1) DRILLER- (person, firm, or corporation) (8) LOCATION OF WELL <br /> Name STOCKTON AR-YATMET R• Caanty Je <br /> Address 646 SOTJTH CALIFORNIA STREET R F D at Street No <br /> STOCit N, CALIFORNIA <br /> OWNER <br /> Name Mrs. Helen Veyers McCann-- <br /> Address 1049 Buena Vista (9) WELL LOG <br /> Stociton, California Total depth of well 140 fr <br /> Formation Mention site of water gravel— <br /> ft to fr Q <br /> (2) Proposed Use (Check) Equipment l <br /> Domestic ® IndustnaI ❑ RotaryE22 35 Brovm Sand <br /> Cable <br /> Irrigation ❑ Test Well ❑ Dug Well ❑ 35 52 Blue Clay <br /> Municipal ❑ Other ❑ Other 52 68 Grgy Sand <br /> 68 72 Blue Cl <br /> (3) CASING d 72 77 Gr Sand <br /> 8Qe of S in 12 -brigs rasing left to well 77 87 Blue Clay <br /> 87 91 Gray Sand <br /> 91 129 nlue Clay <br /> 129 136 Gray Sand <br /> 1366 138 Blue Clay <br /> Type and sae of shoe or well nag 138 140 Gray Sand <br /> t) PERFORATIONS <br /> ype of perfaratnr used _ <br /> Perforated ft to ft holes per sn <br /> Diameter of perforations in length in , <br /> (5) WATER LEVELS <br /> r♦� <br /> Was e[ectnc log made of well? El Yes No If yes attach copy <br /> Depth at Which wait was first foond 27 fr <br /> Standing level before perforating ft <br /> Standing level after perforating ft <br /> Note yaar observation of any change to water level while drilLng <br /> Y as a surface sanitary seal provided? <br /> (6) WELL PUMPING TEST' Work started —28 I9 52 completed 5-28 l9 5 <br /> Capaetty gal/min ft draw down Date of Report J,11Y 3C to 5 <br /> WELL DRILLERS STATEMENT <br /> Was well gravel packed' This Yell was drilled umh r my Its7esduteas and this report is true to the bars <br /> . dere any straw sealtd against palluttan' of my knowledge and belief <br /> Attach <br /> Temperature W21 a chemical analysts made' ropy I$ICVCD]__ S�CKT,,— AFMIA �E &.60TOR WORKS <br /> 4Cetl Duller <br /> If abandoned was well capped? <br /> i r <br /> (7) TYPE OF WORK (check.). License No kZUQ_ ___ _ Cl3sstficatton—�7 <br /> New well Reconditioning of well ❑ Dated _ __ f a 19 <br /> Deepening existing well ❑ 46370 1 31 20N otttrt©s+•0 <br />