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a <br /> CONIFI'! ENTIA! LOG <br /> &Ltor �0 �' Seo. 13762 STATE OF CALIFORNIA DO Not Fill In <br /> THE RESOURCES AGENCY N2 9 �14 <br /> ORIGINAL DEPARTMENT OF WATER RESOURCES <br /> File with DWR <br /> WATER WELL DRILLERS REPORT Sare Wel1 Notts F--4J7— <br /> Other Weil Nd A/ l <br /> (1) OWNER: (11) WELL LO/G: <br /> Name Cat of Stockton Totai depth 262 fr, D.Pch.feomphtedwelE 6 (t. <br /> Address City Hall Fotmatim- btsrribe by rotor,rbarst-ler,i1 e of ararerml,sad rtrac?arr <br /> Stockton Californai 95202 0 5 it.to Sall it. <br /> (2) LOCATION OF WELL: 5 15 Clay <br /> ce..,v San Joaquin 0—e"s Aomber,if ony 15 21 -Sand <br /> Tovnshi ,RaoRe.and Settle. Victory Park 21 1 Blue 1 <br /> Listaecr from titin,mads,niErwds,tcc, <br /> Stockton, Ca 1 San <br /> 0 Blue Clay <br /> (3) TYPE OF WORK (check): 70 78 Sand & Gravel <br /> New Well 13 Deepening [] Reconditioning Q Destroying 0 78 112 Blue Clay <br /> If dr:trsletlors,describe waterlal and rocedurr in Item 11. 112 1 San <br /> (4) PROPOSED USE (check): (S) EQUIPMENT; 133 152 Blue Clay <br /> Domestic ❑ Industrial ❑ Municipal ❑ Rotary ❑ 1 2 1 2F Sand. <br /> Irrigation Test Well❑ Other ❑ Cable ❑' 1 1 Blue Cls <br /> Other ® 1 1 San <br /> (6) CASING INSTALLED: 1? 204 Blue QJgy <br /> STEEL-. OTHER,. If gravel packed 20223San & Vel <br /> SINGLE IX DOUBLE p 223 237 Blue Cls <br /> Gage Di,.,:... 237 244 Sand & Graye <br /> From TO or of From 70 2 250 Blue XJay <br /> ft, ft. Diam. Will Bore ft, ft. 2 0 2 <br /> 0 60 241, 3 1 30" 0 60 2 8 266 Blue ��Iay <br /> 1 <br /> 262 12 1 11 60 2r,6 <br /> z7o Sand <br /> _ 77���� 270 290 1 <br /> Siu.f aha or wdI ring: None 1Size of travel: 21 290. 302 <br /> 0earr16 ie6.1 Welded 302 05 --Blue rlqV <br /> (7) PERFORATIONS OR SCREEN: <br /> Type of onion tion or name of rcrtc. <br /> Perf, Rows <br /> From To per per Size <br /> fr. it. row fr, in,x in. <br /> t <br /> (8) CONSTRUCTION: <br /> 1925 a aerfsce ltaitarY 3921 provided? Yes 0 No 1.3 To what depth it. <br /> Wrt•.y•craw sealed apaime pellut:u.1? Yu❑ No M If yes• or.depth.f strata <br /> t' <br /> From it.to - fr. p <br /> k ran <br /> it,to it. Work started Map,lel9 8 .completed 19 Apr-?7-8 <br /> Method of staling• WELL MILLER'S STATEMENT: <br /> (9) WATER LEVEL; This rwil was drilled afuler ray jurisdiction awl this reporF is true to tfte brat <br /> JJ� of myAuatulrrlgrandbelief. <br /> Depth at which warm tray fin,found,if knew. 46 6 (r. <br /> r•, <br /> Stand'rAg level before l,gifer4cinxt�if known Et. NAME Clark Well & i ui111 <br /> Standing tevel after perforati.R and devela.-g ft. (Perron,firm,or corporation) (Tyjed or)rinted) <br /> (10) WELL TESTS: Y� Address Q <br /> Wig cm reit made? Ya M No Ef Ya,by whom? PG & E - Stockton, <br /> Im}; • vi.fmin.with ft.drawdown afw hes. [51C1tEDI <br /> rmperatute of water @7a.a chemical anal ala made? Ye,❑ No❑ f Well Drlltery <br /> 0 <br /> Was efectrie log made of well? Yea❑ No�{t If Ter,attach o.pY LicenseLicenselVu 76602 Date April 2v , !h ?8 <br /> SKETCH LOCATION OF WELL.ON REVERSE SIDE <br /> DWR 188 (REV.9-613) �:• f �(' rl <br /> 35119.99.def so 1A R7P A 15 <br />