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C ORIGINAL WATER WELL DRILLERS REPORT Do Not Fur Is <br /> Rio with DWR (saeeroa.to»,into,Tons,toss,`pato toad-'F �V�r <br /> ° - 47188 <br /> THE RESOURCES AGENCY OF CALIFORNIA <br /> DEPARTMENT OF WATER RESOURCES state Well ° <br /> 4 Other Well N oiA "I P <br /> (1) OWNER t (11) WELL LOG: <br /> Name tiw Waystar To:al depth 160 ft Depth of Complexed well fc <br /> Address 3040 S. Hi-way 99 Formanoa Detrrlbr by volar rbaract—,tau o1 mslerml .nd strawfure <br /> Stockton 0 ft Adobe ft <br /> (2) LOCATION OF WELL. 3 36 Brown c I a <br /> County San Joaquin Owners number tf 36 Brown sand, <br /> Township Range and Secnua ) 7j+� .Se C• 58is Q t 8 It clay <br /> Dtstaacefrometaea <br /> road, rsalroads ere5• k Cor• Munford rd. avid 8 l0 Sand $e zravel <br /> Al-waY 99 frontage rdso 107 161 Brovn cls <br /> (3) TYPE OF WORK (check)• 161 166 San & gravel <br /> Nee Wcll © Deepening ❑ Reconditxontag © Destroying © 166 <br /> Brown C1a <br /> If destruction,describe rriatenal and procedure in Item 11 <br /> (4) PROPOSED USE (check): (S) EQUIPMENT- <br /> Domestic Q Industrial ❑ Municipal [] Rotary <br /> Irrigation ❑ Test Well ❑ Other ❑ Cable ❑ <br /> Other ❑ <br /> (6) CASING INSTALLED: <br /> STEEL OTHER If gravel packed <br /> SINGLE" DOUBLE <br /> Gage Diameter <br /> From To or of From To <br /> ft ft Diam Wall Bore ft. ft <br /> 0-0- <br /> 116 6 •l0 <br /> Size of shoe or dell ring 3 by 2 1 Size of gravel <br /> Dennbe Joint Welded <br /> (7) PERFORATIONS OR SCREEN. <br /> Type of perforAt.an or name of screen bons <br /> Per Rows <br /> From To per per Size <br /> f it row ft m xin <br /> (8) CONSTRUCTION. <br /> Meas a sarfaee sanirsry sql provsded7 Yes ❑ Nose To whax depth ft i ; - J � <br /> Were any strata sealed agvaac poll-uons Yes [I No C] if yes note depth of strata <br /> From ft to ft t�� p tr �p <br /> From ft to ft V7ark started)4& 1 1968 Com?steel l+Ia ts68 <br /> Hethod of s I-x WELL DRILLER'S STATEMENT <br /> (9) WATER LEVELS- Tbrs well was drilled under ray )arisdtetlon and tbu report a !rile to the best <br /> Depth at which water w:,first fgond akaowo f-7 of my knowledge and belief� fr L, <br /> �tsnd,aq level before rfortung if known fc NAabIE J. A. its halh=er Co. <br /> Sandia level after rf—two: and devela sa it (Perwn firm orcorporarsaa) (Typed orprssssed) <br /> 40 0) WELL TESTS. Address 7 Andrea <br /> pump test made? Yes CP 'Zo [1 If Yes by whom? well driller 'St 0ektOn <br /> 110 gal/min with 12 ft ds..do-n after 2 hn _ <br /> S[anlEa <br /> Temperature of water Was a chemical Analysis made? Yes C Na ❑ {I�r!Driller} v <br /> W--elecrrtc log made of wells Yes C No Q If yet attach top? Leense N 6 06 -Map 14 19 <br /> SKETCH LOCATION OF WELL ON REVERSE SIDE <br />