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t - L <br /> ORIGINAL — STATE OF CALIFORNIA Do not fill in <br /> THE RESOURCES AGENCY No. 154224 <br /> 9 with DWS DEPARTMENT OF WATER RESOURCES <br /> *of Intent No _ _ WATER WELL DRILLERS REPORT State well No <br /> Permit No of D-,te owner got permit other well <br /> (1) OWNER hurno J .V. B 1uI t i 1e r y I�,t (12) WELL LOG Total depth— it Depth of completed welLt9�tt <br /> Addros 107 I't 23 W . Larch Rd• from ft to it. Formation (Describe by color, character, srze or materfnl) <br /> city Tracv, Ca _- 9 37F 0 - 4 Top Soil <br /> (2) LOCATION OF WELL (see instructions) 4 <br /> 40 Clay_ <br /> County Ownels Well Number <br /> Well nzddress if dzfforent from aho 4 — 62 �? <br /> Towship ^ <br /> Range_ Sectza 62 J /7 1 Sand NNI'J� <br /> Distance(rein cities toads,railroads,fences,etc 6 I West of 71 - 84 C1 <br /> 84 - 86 F I r*NXa d <br /> rth side 86 - 15 Cla <br /> 154 - 156 ,,Fine Sand <br /> (3) TYPE OF WORK 156A17-0 eTa <br /> ?0w Well 93 Deapemng ❑ 17LN82 Sand & Gravel <br /> lleennstntaltaa ❑ 182 - 4:9.0 Clay <br /> Reconditioning Q — <br /> llorizontal Ltrc31 ❑ — <br /> Destruction❑ (Describe <br /> destruction m'tarlRIs d <br /> procedures In Item 1- -' 3 <br /> (4) PROPOSE}]bA <br /> Domestic � <br /> Irrigation l ❑ ` ^2 <br /> Industnal � El <br /> -- <br /> Stoc — 1 <br /> Munrezpa � — � ,s <br /> ZVFI L LOCATION SKETCH Other �r 0 v <br /> (5) EQtlzPYfENT (8) GIt;AV ACAz S9'r — <br /> }}(( � y t <br /> Itota" IIX Reverse ❑ 1 No Size <br /> Cnhle 0 Air F ^[I <br /> [ 17 er of ba <br /> Other ❑ Bucket ❑ pCiled+iro ll' h <br /> (7) CASING zNSTAI.I,ED�` A (81 'PERFORr aATI <br /> StLe) 0 Plnstte Ex Col', iolP Type of pen or n of scree'tr <br /> From Tor Dia Cage- r Fro;t To NM <br /> ft ft +"� in Wall ft ft A sib <br /> v <br /> w <br /> (9) 1VELL 5EALr �,{ <br /> Was surface s�mlary seal provided? Yes I9 No p If yes, to deptlr_____5-a—ft <br /> Were stratisealed a aznst pollution? Yes ❑ NoCIInterval ft <br /> Method of seallny Es e n t o n l t e Worts started- I9 Completed 19 <br /> (10) WATER LEVEES: WELL. DRILLER'S STATEMENT <br /> Depth of Hrst wator if know R Thls well zeas drilled under my lurtsdlctfon and this repert is true to the of my <br /> Standing level after well complett E knotutedge azlt!r f ^ <br /> (11) WELL TESTS SIc.PJ3 o �L +" <br /> Wis well test mades Yes Li No 0 If yes, by whom? (Well Dnuer) <br /> Type of test pump Cl Barter© Air 1f(t❑ NAME H E N N I N G S B R O S DRILLING CO. , INC . <br /> Depth to water at it-id of test It At end of tevt_ rt (I' 0 0 eta qn' (Typal or printed) <br /> tx t&,.r Addr 3525 � �� Y . <br /> Dr arg�,.�;alImre after" „!+orris Water tem rq [ <br /> F f;ty r . MOD <br /> al analysts made? Ye ❑ No if yes, by whom? I --' �(�1t q {� <br /> W electnc log made? Yes 0 No If yes, attach copy to thz report License No'. 2+7+081 3 Date of this repo I--9-4}-s}. <br /> DWR I88 (REV 7 76) IF ADDITIONAL SPACE IS NEEDED USE NEXT CONf?ECUTIVELY NUMBERED FORM <br /> N <br />