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' STATE OF CALIFORNIA Do Not Fill In <br /> THE RESOURCES AGENCY O 9 3 4 7 <br /> ORIGINAL DEPARTMENT OF WATER RESOURCES i `N <br /> File with DWR Iy Ml .. 1 <br /> WATER WELL DRILLERS REPORT Stale Well No <br /> Other Wel]No_ 74-10+0 W <br /> OWNER. (l 1) WELL LOG: <br /> ame R i Fa e Total depth ft Depth of completed welli- fr <br /> AddressJanktoj3ehorres—wn Describe by rolor cberarlrr,size of wairrul rad sacarlare <br /> ft mTop Sailfe <br /> (2) LOCATION OF WELL _ <br /> L,Du n+q <br /> San Joaquin eiwnrr s number of any <br /> T—n.hsp it.,Re and seettun <br /> Uouncc from ,t— roads nllraads nc <br /> I <br /> _ <br /> (3) TYPE OF WORK (check) 3 -60 Sand grnyel <br /> f(4wWell 11 Deepcnsng ❑ Recondmoning ❑ Destroying E3dertruchorn,describe Mal,real and procedure it;ltem I1 _ <br /> f Ing <br /> ) PROPOSED USE (check) (f) EQUIPMENT <br /> 108-115 Hard clay- <br /> Domstic :o Industrial ❑ Municipal ❑ Rotary <br /> Irrigation ❑ Test Well ❑ Other ❑ Cable ❑ I 1�—1 <br /> Other ❑ 141 -143 qh@le Ar clay <br /> (6) CASING INSTALLED <br /> STEEL[ OTHER If gravel packed 1 51-1 57 qAnd <br />'SINGLE DOUBLE ❑ _ <br /> Gage Diameter 174-195 Sand <br /> From 1 u or of From To <br /> 1It it Diam IV21i Bore ft ft <br /> 0 in 1 150 196-- <br /> pear slave�r all nn1, Svs of. .d <br /> nbe m1 t <br /> (7) PERFORATIONS OR SCREEN <br />'Typr of name Of screen <br /> perf Rows <br /> ][')III To per per Size <br /> fr ft row ft in x in <br /> — - Q61 i Z8 x II <br /> (8) CONSTRUCTION !' ' - IIAL <br />'4Va a uria•r unira ry xal protidcJl V i10 N- 0 To what depth ft <br /> sh's rr sni etre a alyd aRa—t pullu+mns Ya ❑ Nn ❑ If yrs ..It depth of sera.. <br /> prom <br /> it to A <br /> it Io it Work started -10 19 Completed 19 <br /> urrhnd tel ,rallnR WFLL DRILLFR S STATEMENT <br /> (9) WATER LEVELS This well uai drrllyd under my putuduhar and this report a true to the best <br /> of my knowledge and belief <br />'Depth at'which wager was first found if known it <br /> Standing l.vcl befure perforating sf known ft NAME Hennings- Bros• Drilling Co. Inc • <br /> Stand+og lnel afi- prrforanni, srd deselopmg 21 ft (Person firm or rorporatum) (T)prd or prrafrd) <br /> (10) WELL TESTS Address 2500 W.' <br /> Humble Rd"aa pump 1-1 nudes Yes ❑ -No If yes by whom? u Calif. O <br /> aid Ral Imgi.with ft drawdorn after hn [$ICNEO] onle ( 7 <br /> crani rr of watrr V4 as a chcroseai analysis made Yes ❑ No 29081-1 <br /> (Well Drill, <br /> elrcenc log nude of•ills Yra ❑ Ao If Yes attach coPY License I�O. L�.1.1.._._-�DAttd— — 1 O^w <br /> 19-74 <br /> SKETCH LOCATION OF WELL ON REVERSE SIDE CONFIDENTIAL LOG <br /> Water Code Sec. 13752 <br /> DWR 186 IREV 0 69) 2011!950 9 69 ODM TRIP AD OSP <br />