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'ORIGINAL WATER WELL DRILLERS RE RT Do Not Fell In <br /> V <br />' File'with DWR (Sect.eaa 7070,roan,7051,7092,Water code) W M 4'718 8 <br /> THE RESOURCES AGENCY OF CALIFORNIA <br /> DEPARTMENT OF WATER RESOURCES - State Well No <br /> �,�C57 other well Na O1No E 1"' P <br /> (l) OWNER: (11) WELL LOG <br /> ' Name Go Webster Total depth 160 it Depth of completed well ft <br /> Address 3040 Se Hi-way 99 Formation Describe by color ch"sieser,sw of wasltrsel,assd structure <br /> Stockton 0 it to 3 Adobe Et <br /> ' (2) LOCATION OF WELL 3 36 Brown cls <br /> Coun.y San Joaquin Owner s number .f any 6 39 Brown sand <br /> Township Range and Section 1 1117 E f See. 58 39 8 „ clay <br /> ' D.staneefromcittes roads railroad. ece.`e Ea core Munford rde and 78 107 Sand & Zravel <br /> Hi-way gg frontage rds. 107 161 Brown cls <br /> (3) TYPE OF WORK (check) 161 166 San & fravel <br /> New Well © Deepening ❑ Re"riditsomng ❑ Destroying ❑ 166 Brown cls <br /> if destruction,describe material and procedure in Item I I <br /> (4) PROPOSED USE (check)• (S) EQUIPMENT: <br /> Domestic Q Industrial ❑ MUMClpal ❑ Rotary 91 <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 /> 0 116 6 .10 <br /> �Srze of shoe or veil ring 4 by 2 Size of wravel <br /> Describe point Welded <br /> (7) PERFORATIONS OR SCREEN: <br /> ' Type of perforauon at name of screen None <br /> Perf Roars <br /> From To per per Size <br /> ' ft ft raw it m x m <br /> 1 <br /> (8) CONSTRUCTION <br /> Wa a surface sanitary seal provided? Yes ❑ Nom To what depth it { <br /> Were any strata tealed against pollution? Yes [] No❑ If yes note depth of strata <br /> From it to it' iitr p ��from ft to ft Work st.rtedMSL 1 1968 ,Campiemd May 171 8 <br /> Method of staling WELL DRILLER'S STATEMENT <br /> (9) WATER LEVELS- <br /> This well was drilled under my jurisdiction and ibis report is true to the best <br /> Depth at which water was first found if known <br /> 74 it of my knowledge and belief <br /> ' Standing level before perforating if known it NAME J. A. Thalhamer Co. <br /> Stand-alevel after perforating and develop.. it (Persians firm or corporation) (Typed or primsed) <br /> (10) WELL TESTS Address 7523 Andrea <br /> ' +temp test made? Yes C91 No ❑ If yes by whom? Well driller Stockton <br /> l l0 sal)min with 12 it drawdown after 2 her [SIGNED] <br /> {Spell D,Wer f <br /> emperature of water Wes a chem.cak-111­made? Ycs ❑ No C3 <br /> ar elecenc log made of well? Yes ❑ No pY License No --69686 — T1ated May 14 - —, 19 <br /> ' ❑ 1f yes attach ca _ <br /> SKETCH LOCATION OF WELL ON REVERSE SIDE <br /> ' DWR 1813 (REV 9 E5) 4 y seaei 9so is e5 sola 7Riw Q A OSP <br />