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ORIGINAL WATER WELL DRILLERS REPORT Do Not Fall In <br /> Fife Original,Duplicate and Triplicate with the j <br /> u <br /> DIVISION OF WATER RESOURCES (seenna rays,7077,sora,Wsiter cod.) <br /> State Well No <br /> is o BOX 1078 STATE OF CALIFORNIA--DEPARTMENT OF PUBLIC WORKS <br /> SACRAMENTO 8 CALIFORNIA DIVISION OF WATER RESOURCES Other Well No '— <br /> Region <br /> (I) DRILLER• (person, firm, or corporation) (S) LOCATION OF WELL. i — <br /> Name Stoc.,ton Armature a Motor rorks County <br /> Address 646 South California Street R F D or Street No <br /> ' vtoexton, California <br /> OWNER- <br /> Name Pir, Robert Bell <br /> Address 3409 Section Ave. (9) WELL LOG <br /> StocEton, ",alifornia Total depth of well 120 <br /> ' Formation: Mention size of water gravel— <br /> (2) Proposed Use (Check) Equipment t7 ft to 4 ft Top Soil <br /> Domestic J3 Industrial ❑ Rotary 18 Yellow Glay <br /> ' Irrigation E] Test Well El Dug <br /> 2 Yellow Sand <br /> Dug Well ❑ X27._-- - �8 Brown Clay <br /> Municipal ❑ Other ❑ Other ❑ 58 68 _ Brown Send <br /> 1 (3) CASING 68 x.09 Brown, ClM log 120 Brovm Sand Gravel <br /> 72 _-ft of 6 in 14 lb/ga casing left in well - <br /> Type and sae of shoe or well ring ,. <br /> (4) PERFORATIONS. <br /> s , <br /> Type of perforator used <br /> ' Perforated ft to fr holes per <br /> Diameter of perforations in, length in <br /> (5) WATER LEVELS <br /> Was electric log made of well? ❑ Yes ❑ No If yes,attach copy <br /> ' Depth at which water was first found ft <br /> Standing level before perforating fc <br /> Standing level after perforating ft \r <br /> ' Note your observation of any change in water level while drilling �� hrTt <br /> U v a surface sanitary seal provided? t y <br /> s i „ <br /> (6) WELL PUMPING TEST: Work started 5-619 52 Completedox' 5-6-719 c Capacity gal/min ft draw down Date of Report June si9 <br /> . WELL DRILLER'S STATEMENT ^ <br /> Vas well gravel packed? This well was drilled under my luradii tion and thn report is true to the be <br /> ' Vert any strata sealed against pollutions of fray knowledge and belief <br /> Attach C�sss►►iifr}�(� rr�(7t tT� q�T' �i' Qr ! r� r� �! <br /> Temperature Vat a chemical analysis made? copy [$YGHL�] _$T0C1f TCN AR,,A 1,10-1 0P OFKS — — — <br /> Well DnUn --— <br /> If abandoned was well capped? A— <br /> (7) TYPE OF WORK (check)- License No 6783_Q. Classification C-57 <br /> New well Reconditioning of well ❑ <br /> Dated <br />