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llz� •_ <br /> ORIGINAL WATER WELL DRILLERS REPORT Do Not F:U In <br /> File with DWR (Section 7079,7080,7051,70$2,Watar coda) NAT <br /> THE RESOURCES AGENCY OF CALIFORNIA l�ll 44380 <br /> DEPARTMENT OF WATER RESOURCES srn[e Well No <br /> ' Other Well No <br /> (1) OWNER (11) WELL LOG: r <br /> Name N, Toeal d th 28P fr Depth of completed well 2r P fc <br /> ' ck �vo �s � 4- p <br /> Address 25-60 'all rz Ilia Formation Des"sbe by color,rharseter,ssm of Rssterrsl,aid zimctssre <br /> Califgrnia 0 it to 5 To oil ft <br /> (2) LOCATION OF WELL- G 62 Sandv Cly <br /> cnuaty3an Jopcuin - Owner snumber <br /> if any 62 62 Sand & -ravel <br /> � Li <br /> Township Range and Section 21--60 Hall t 6 2 Saady Clay <br /> Distance from cities road, ntlroads etc Stockton Calif q2 1 2Q Erown Cls <br /> ' 12F 11--r "andv Clev <br /> (3) TYPE OF WORK (check): 11^6 190 Sand ?, Gr9yel <br /> New Well E Deepening ❑ Reconditioning ❑ Destroying ❑ 190 2F'0 Elue glav <br /> I f dtstruttron,describe tnatertal and procedure to l tem 11 2E Q 2eF Sand2 v e 1 <br /> (4) PROPOSED USE (check): (S) EQUIPMENT. <br /> Domestic 01"Industrral ❑ Municipal ❑ Rotary ❑ <br /> Irrigation ® Test Well ❑ Other ❑ Cable 12 <br /> ' (6) CASING INSTALLED Other 1:1 <br /> STEEL OTHER If gravel packed <br /> ' 81NGLEJ] DOUBLE ❑ <br /> Gage Diameter <br /> From To or of From To <br /> it ft Dram Wall Bore it. f[ <br /> 10q- 6 SZ19 12 <br /> ' site of shot or well ring / !X �- Size of R­.1L <br /> Describe lain[ 4 <br /> (7) PERFORATIONS OR SCREEN- <br /> Type of perforation or name of screen No Tie <br /> Perf Rows <br /> From To per per Size <br /> it it row it to x un <br /> (8) CONSTRUCTION. ' 1 T 11.1711 <br /> ' Was a surface sanitary seal provided Yes 0 N To what depth $ <br /> Were any strata sealed against pallutson? Yes❑ No CX If yes,note depth of stilt& <br /> From ft to ft <br /> From ft to ft Work scartedC7, ,Completed lr !9 <br /> ' Method of mling WELL DRILLER'S STATEMENT — _ <br /> 9 WATER LEVELS: Tbts well war drilled under my lurtsdteison and [bit reQort is true to the best <br /> ( ) of my knowledge and belief <br /> Depth at which water was first found, if known ft <br /> ' Standing level before perforating if known ft NAME d en v <br /> Standlevel after perfontlnR in <br /> and developg {r (penoo ficin,or earporattoa) (Typed or prsaled) <br /> 00) WELL TESTS Address C7 v <br /> votop test made? Yes " No If yet by whom[ <br /> ' !.t Rat 1,71,1 with ft drawdown after hrt [SIGUSE°] <br /> / (Wei!DrrAer) <br /> Temperature of Water Was a chemical analyna made? Yes ❑ No ❑ <br /> Was electele log made Of ine131 Yes C] No If yes attach copy LiCenSe No-11445r- <br /> SKETCH <br /> o- 1445r- <br /> SKETCH LOCATION OF WELL ON REVERSE SIDE <br /> SWR 188 (REV 9 63) 76791 950 10 67 e0M TRIP A OSP <br />