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y,. 1,u P111ole dlla ulpll[ale With the ,A/1�1LLL�l\J Iv-L:.1'Vn L L)o Ivof 1-111 In <br /> DIVISION OF WATER RESOURCES (Seerioae 7076,7077,7071,W.e.r'C°d.) <br /> P.O.BOY 1079 STATE OF CALIFORNIA—DEPARTMENT OF PUBLIC WORKS State Well No.- —--------- <br /> SACRAMENTO 6,CALIFORNIA `�- <br /> DIVISION OF WATER RESOURCES .� j Other Well <br /> T} DRILLER: (person, firm, or corporation) <br /> //P .Name (s) LOCATION OF WELL: <br /> f ? R WORKS county <br /> Address 646 S-UTH CALIFORNIA STREET K.F-D.or Street No. IF Y� <br /> STOCKTON, CALIFORNIA s`a <br /> OWNER: <br /> Name-Mr. A. K. Albertson <br /> Addres.Rt. 1 Box 2050 <br /> Stockton, Galifornia (9) WELL LOG: <br /> Tont depth of well 160 l]lJ <br /> e0 <br /> Formuioo: Mention rizc of water gravel— <br /> (2) Proposed Use (Check) Equipment C.to T S <br /> Domestic ® Industrial ❑ Rotary 18 " (jlny <br /> Irrigation ❑ Test Well ❑ Cable f <br /> Municipal El Other ❑ DugOthWell El ;: Cl Yellow <br /> BroEcL Sand <br /> (1) CASING: 6 ' lue 1LU <br /> fr. of in ib./ga, using left well (15 5 ,• 84" r Sand <br /> 84 96. Blue C-lar <br /> 6 .. 97. Gr r Sand <br /> " 108" Blue C1aY SandStone <br /> 108 -102. Brown Sand <br /> Type and Size of shoe or well ring 1O 136- Brown Clay <br /> 1136 137• Brown Sand <br /> (4) PERFORATIONS: 137 158•• Brown Cla <br /> .... --!Pe of perforator used 158 160•• Brown Sand <br /> -.-..,J-. Perlon ud fc. to fr. holes per in. .. CD Sl. <br /> ,. .. .. „ .. •• n I <br /> Diameter of perforations •• li ��M1 y <br /> in., Iragth � <br /> (5) WATER LEVELS: <br /> Was electric log made of well? Oyes [] No If yes,attach copy. .. <br /> Depth at Which water was first found ,• tet / <br /> Standing level before perforating <br /> Ic. .. <br /> Standing level after perforating <br /> fr. .. �• � fi=r^+. --_ -.?:' _ <br /> Note your observation of any change in Water level while drilling <br /> k'aa a surface sanitary seal provided? " <br /> (6) WELL PUMPING TEST: <br /> C yacirp Work <br /> — —started Ig <br /> Completed <br /> gal./m ft,draw down <br /> Dale of Report —22_ <br /> 19 <br /> Was wellgra e I packed? WELL DRILLER'S STATEMENT: <br /> Were This well was drilled nndrr ally jxrinlirlion orad this report is !rile to the hes; <br /> any sesta sealed as t pollution? of my knowledge and hrlie/. <br /> '�`-,:_��i :mperu este Was a chemical a alYris made? At[aeh <br /> " Copy [SrcNEo]_ TQ(1[�TQ _AIVSAtiT�allJ. i—& �QTaROLrS — — -- -- <br /> _.>' <br /> If abandoned wu well eappeJ? <br /> -- Wrll Drill" <br /> .i... Irl <br /> By ------------ <br /> (7) TYPE OF WORK (beck): LLr� -------------------- <br /> License No.- pZg Classificarion._ _ <br /> New well � � <br /> RecOndrrianing of well ------. <br /> Deepening existing well ❑ Dated.____ _ X11 s= <br /> 45370 7-11 QOM OU: o SPo <br />