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a , <br /> 72-5 <br /> STATE OF CALIFORNIA )Do Not Fill In <br /> THE RE5OUf?CES AGENCY O 7 0 3 3 5 <br /> ORIGINAL DEPARTMENT OF WATER RESOURCES i .. <br /> File with Q 1.J —, . <br /> 5J • LnrSrace Well Na <br /> ��1W��TER WELL DRILLERS REPORT <br /> Other Well Ni S J� <br /> (1) OWNER (11) WELL LOG <br /> Name STANDARD OIL CO. Tont depth it Deprh of completed wdl it <br /> Address 615 Ce • Farmat[on Drrrr'br 6y rotor r6aracter raze of materiel,-9-1,trsrlerr <br /> CALIF. 0- fr to Fie ft <br /> (2) LOCATION OF WELL• 5-20 Qlay <br /> Ce.nty San Joaquin IF - Owner s npmbpr tf a.y 20-.22 Sand Fine <br /> Tortntbtp R'n c,and$cctton 22— 2 Clay <br /> orxa.te <br /> from etnn roads railroad, etcFreeVay ey $2—�Rt and Fine <br /> T'Ra Ir Cali forniA T'3 54-68 - clay <br /> (3) TYPE OF WORK (check)- A-r j%vK -zo5 lar ?br3'-L, 68-715 Sand Fair <br /> New Well VVtoctt GC1rtE ry <br /> Deepening Reconditioning ❑ Destroying Clay <br /> 11 destricettos,describe material and procedurrin lEtas I t 84 Sand Fair <br /> (4) PROPOSED USE (check): (S) EQUIPMENT: 87-123 Clay <br /> Domestic K) Industrial ❑ Municipal ❑ Rotary ® Sand & Gravel <br /> Irrigation ❑ Test Well❑ Other❑ Cable ❑ 6 Cl <br /> Ocher ❑ <br /> (6) CASING INSTALLED <br /> STEEL OTHER If gravel packed <br /> SINGLE LX DOUBLE ❑ <br /> Gage Diameter <br /> From 10 or of From To <br /> fr ft Diam Wall Bore ft fr <br /> 0 1 16 12 10 0 131 <br /> Sr]e of shoe pr weal nng Sue of Irrarel ea <br /> 17e'cr.be tush[ Welded <br /> (7) PERFORATIONS OR SCREEN: <br /> Type of per(ontion or name of screen <br /> PCrf Rows <br /> From To per per Size <br /> ft <br /> ft row ft, In x to <br /> X231.31 3SIX1/6" <br /> (8) CONSTRUCTION <br /> WAs a mrs.ee lanetary and provided? Ye No l7 To what de,h 5Q f, <br /> Were any s,ssta sealed against pollution? Yes Q No EK If yes note depth of strata <br /> F,om ft to ft <br /> Frum <br /> it to fe Werk rtartnd 2 Completed 19 <br /> Ntthod of,alms Cernnnt WELL DRILI ER'S STATCMENT <br /> (9) WATER LEVELS- This well was drilled uxder my fsrtsdtdron and this report is title fr., the best <br /> of lily knolalydge and belief <br /> Depth it which water was fins found if k"wn fe <br /> Standing Irvtl bafpre prf."C'ns ,f know. It NAME Hennings Bros. Drilling Co. , Inc <br /> (Paton firm er edrporatson) (Typed or printed) <br /> Stmdtng level�f[cr prrforatm and develo mg ft <br /> (10) WELL TESTS qtr Address 2500 W. Rumble Rd. <br /> v pnmp test made? Yea Ll N.0 If p,by whom? IRO�e S o sl Ca ._, <br /> td gal train arch it drawdown after hes [SIGNED] <br /> Temptratere of water Wes a chemseal...Iyer'made? Yca C] Nor f rR rlllTrr) n <br /> Was el[ ...c log male of well) Yes ❑ No� If yet attach cagy License No— 1 ] �-?>= <br /> . •2 Dated-�s1_�n r 29— <br /> $KETCH LOCATION OF WELL, ON REVERSE SIDE <br /> DWR 188 iREV 9 go) 25179 9:59 0 43 10M TpIP 6.OSP <br /> � r <br />