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6RICHNAL STATE OF CALIFORNIA Do not fill to <br /> _ THE RESOURCES AGENCY o. Op00 <br /> with DWR DEPARTMENT OF WATER RESOURCES NN OO 55 <br /> WATER WELL DRILLERS REPORT State Well No <br /> e E ���� <br /> 'vf Intent Na Of Q <br /> Permit No or Date Other Well No <br /> (1} OWNER Name Pa c Pgper Board Products (12) WELL LOG TMRI dept}_ .ri25 ft Depth of completed welL-5-21-5—{t <br />� <br /> Address <br /> Boo Church St. Y from ft to ft F'nrmatinn (Describe by cnlar character 417e or matenal) <br /> Cr ty Stockton Ca.95201 zip 0 - 2 heavy top soil <br /> 2 - 20 Med. brown cls <br /> (2) LOCATION OF WELL (See Instructions) 1 e c la <br /> County S ri n n sin Owner a ��el]Number <br /> 54 sof lue cls <br /> Well address if different from above <br /> Tom nship Ring Sectio <br /> ray sand <br /> Distance from cities roads rrilrov1% fences,etc 34 Mlle West of 1-5 - <br /> and % mile south of Church— 751 north of Main le blue cls <br /> Santa Fe tracks. <br /> cnnAv blue els <br /> (3) TYPE OF WORK rse graysand <br /> \ew wen Deepening ❑ h rd blue els <br /> Reconstnittlon ❑ 160- 166 se blue sand <br />' Reconditioning O 166- 178 o1ue C1a <br /> Honzontal Nell ❑ 78- 18gray sand <br /> Destruction ❑ (Describe r 21 soft bl Clayk <br /> pdestructionrixedures materials 12• 220 soars Sand & gravel, S �` <br /> procedures to item <br /> (4) PROPOSED 22 n2 sof b clay ravel, ane <br /> Di,mettit ` 232 7 r sand (blue) , g <br /> 1rricAtinn� \ - ocks <br /> Industnal O $I 266 blue clay <br /> "ell ❑ 2 coarse blue sari <br /> Stix 2SSt 2 soft blue c ay <br />' 275_ g me blue sandclay <br /> Moro", <br /> ❑ toughblue clay <br /> WELL LOCATION SKETCH Other <br /> sandy ue c ay e. Brue sanl <br />' ReNerse No(5) EQUIPMENT (6) GRA PACK me u <br /> Rotnry 71 e san <br /> 3] [ Size <br /> e <br /> Cihle ❑ Air ❑ er of bore <br /> other ❑ Bucket ❑ i um <br />' (7) CASI\G INSTALLED IA) ERFORA S Jmed blue sand <br /> Steel Z]C Plastic [D C, i t Ty pe of pe n nr ze of scree ty 31& 324 <br /> 10 324 338 soft blue clay <br /> From To Dia G r F ft s 338 340 med blue sand W/sandy clay <br />' ft ft In Vali f <br /> � 344 351 med blue sand <br /> 351• 355 sandy blue c ay <br /> 355• 358 coarse bloe sand <br /> WELL SEAL 358• 368 soft blue clay <br /> (9) 36a 374 coarse ue sari <br /> Was surface sanitan seal provided" ]es ❑ An C] If Nes to depth-ft so ue C ay <br /> Were strata sealed ngainst pnllutlon" les ❑ 'tin ❑ Intens? -ft <br />' hfethod of seAUTIZ. Work started Cnmplet l979 <br /> (10) WATER LEVELS WELL DRILLERS STATEMENT <br /> Depth of first water, if know ft This uefl was drilled under my iuns��dTire//f��ton Imc to the hest of niif <br /> Standing level after well cnmpletin ft knouledge and beltefrHRACK-PRIGtV EI"�t' . 1``��1A. <br />' -to Blyd <br /> (11) WELL TESTS SSC\ED <br /> Was well test made'j Yes []x \n ❑ If yes bN whom" .)'lm Schraek SeimB, it 6fi2 <br /> spe of test Pump M Bailer ❑ Air lift ❑ NAME a D <br /> tpth to s+nter at t in of test ft At end of test ft <br /> (i'tr�un fire�r�tto at or pnntetl) <br /> Water tem Address <br /> r'---�•qe I;aI/tont after _ hcmrs peracute Zip <br /> pl analysts made Yes ❑ No $I <br /> If les by whom? C`tv 9/7/79 <br /> ws electric loin made" Yes ❑ No 1f Nes attach copv to this report License No 3'463$0 Date ni this report <br />' <br /> NUlrfgERED FORM <br /> DwR lets IREV -7 ,6, IF ADDITIONAL SPACE IS NEEDED USE NEXT CONSECUTIVELY <br />