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ORIGINAL STArtIOFCALIFORNIA DU not frIlITL <br /> File wit �W� THE RESOURCES AGENCY �I <br /> DEPARTMENT OF WATER RESOURCES NO. 153493 <br /> j C of Intent No _,...._..__ WATER WELL DRILLERS REPORT <br /> State Well Na <br /> Permit No.or Datc is <br /> Other Well moo <br /> (1.) OWNER: Namo,Jl.III12 WELT._LQQ:--Total <br /> Addre •U• axfrom ft, to it Formation (Describe by color, character, size or matedal) L <br /> Cih -42536 <br /> (2) L CATION OF WELL — <br /> County (see instructions): <br /> i <br /> Owner's Well Number � <br /> - <br /> Wall address if different from above } <br /> TownshiplL4_ In _ seatia t <br /> —S" --R Cla <br /> Distance from cities,ronds,milmads,fences,etc - 2 SciYl i <br />! 72 - 92 Cl ` F , sand streaks <br /> z - Sanf1l". <br />. f <br /> (3) ME OF WORK: <br /> New Well K Deepening p 3 o �.`7-1�'2 <br /> Reconctntction © 120 -12,15;'% <br /> f <br /> Reconditioning 13 12- <br /> Horizontal Welt 0 'yl ; 13 8 <br /> Destmetion ❑ (1Sesorib* O { <br /> destruction matedak anti <br /> procedures in Item 12r' 1 1 s <br /> (4) PROPOSED �f§W . 1 'y, •4 s ��+�ni '` <br /> Ml <br /> DOerttC 1.J" <br /> I"152 y '. ' [ <br /> 'f � anea. <br /> Ird atfnn C �5 •� ❑ <br /> Industrial ''a L 0 .§` _ �;.�5 Sand�,� i <br /> t �- <br /> Tst6we, <br /> l ❑ "�w:+. 4.•— f1 <br /> x�;i <br /> CF <br /> WELL LOCATION SX18TCH �t,� Other (�, ❑ ,`.�.t# <br /> n <br /> (5) EQUIPMENT. (6) GRAYI LPACK: "i - <br /> RotaryJ Reversefit} CYt's,x N-'1? 51zc � <br /> t' r `� <br /> ❑ Air Q 3'i tk kqr of bore— <br /> Cablew — <br /> Other ❑ Bucket f) IsaFmnr+ M < < < <br /> (7) CASING IN"STALLEDit 4,' (8)fiaFORAIPfb <br /> Steel© Plastic{7 CoAI;!2e( Tn.of pe440 or c of scree <, y From Toe_— Dia. J.'WI Fr �. ;`� To r rt,Sint <br /> ft. ft! df Wall Et f: psi " — p <br /> O UC I <br /> (9) WELL SEAL: 3 <br /> Was surface,sanitary seal pTovidcd? Y030 No ❑ If yes, to depth Rft. - <br /> Were strata scaled against pollution? Yes p No ❑ Interval ft. <br /> Method of realin Work started—_- 19 Completed8 <br /> (10) WATER LEVELS: WELL DRILLERS STATEMENT: <br /> Depth of Brat water, if knows_ _- This well was drilled under mg jurisdicefon and this report it true to the best of my i <br /> Stmillng level after well completion __ ___ k, knowledge and belief. <br /> (11) WELL TESTS: <br /> Was wall lest made? Yes Q No p If yes, by whom? (Well Driller) <br /> Typo of test Pump ❑ Hailer❑ Air lift❑ NA.,viE_0�73er�t ��ra, ���tt f" ._ �1 <br /> Depth to water at start of test—ft. At end of test rt (Persofi 9m�,+olr'corps tl. 40b rAl <br /> Tge gaUmin after hOur] Water tempera Address_ .QQ • .�f�'T--- <br /> analysis made? Yes❑ No ❑ If yes, by whom? City Turlock; `Cti�i�f T- :''I z1P,T 3 i <br /> . Was electric loft made? Yes 0 No 0 If yes,attach copy to this report Licease No ate of this repo <br /> DWR tae inn:v.7•76i IF ADDITIONAL SPACE I8 NEEDED, USE NEXT CONSECUTIVELY NUMBERED FORM � <br /> E <br /> k <br /> i <br />