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+ STATE OF CALIFORNIA Do Not Pill lit <br /> THE RESOURCES AGENCY 7 <br /> . dile with pVll& DEPARTMENT OF WATER RESOURCES 1�2 94713 <br /> WATER WELL DRILLERS REPORT state Well No <br /> f 7 Orher Well Nom gf <br /> (1) OWNER- MANUEL GoNiSt, (11) WELL LOG. <br /> Name MARIE GAMES FARMS. <br /> INC. Total depth 126 ft Drpth of completed well 2 (t <br /> Address '222 TRACY BLVD <br /> D Fe manor Describe by rafar,rbarxter irxr of woferisi and wrnrlarr <br /> TRACY CAI, 0--6 It to Top Sod It <br /> (2) LOCATION OF WELL —2 Clay <br /> County Ox.e s nrmhgT if an 2 San dGr vel <br /> Tuwnrhap Aan a add stctton 28 1 6 Clay <br /> Dss[anee from rsues roads railroads etc Sand <br /> --61 la <br /> (3) TYPE OF WORK (check) 61-71 Sand <br /> New\jell b Deepening ❑ Recondttiontng 0 Destroying [] 71-78Cla <br /> y. <br /> It destrnetron,describem4teriai and procedure in Item II vffo 1 Sand <br /> (4) PROPOSED USE (check) (5) EQUIPMENT- 81-86 Clay <br /> Domestic ] Industrial ❑ Municipal ❑ Rotary Sand <br /> Irrigation ❑ Test Well ❑ Other ❑ Cable ❑ -10 Clay <br /> Other ❑ 0 -- �If- Sand <br /> (6) CASING INSTALLED. <br /> 104-106 Clay <br /> STEEL OTHER II gravel packed QFje,. 14 Sand <br /> SINGLE DOUBLE 0tn3.14-116 <br /> Cl <br /> Gage Diameter 16-121V Gravel <br /> From IQ or of Fror>t To C lay <br /> ft ft Diam Wall Bore ft it <br /> . 0 12 12 10 0 12 <br /> sue of slue or well em Size e(-revel ea <br /> Drscnbe Win[ We e <br /> (7) PERFORATIONS OR SCREEN <br /> T e of perfanuvo or Dame of screen <br /> slot <br /> Perf Rows <br /> FrothTo per per Size <br /> fr it row it to xsn <br /> G M c e 2r 955 4 <br /> (8) CONSTRUCTION <br /> wai a sucfue raanary Teal pmvidrd? Yrs CK No I] To what depth 5Q it <br /> were any rtnu leaf d against pollutiont Yes No© If yes note depth of stnu <br /> Fra- fc to ft <br /> From fr ro ft \Vork irat"d4/28ZV2 Campleted 19 <br /> Hctbodof"Ain Bentenite WELI MLLER'S STATEMENT <br /> (9) WATER LEVELS This well upas drilled tinder my dnrsdretiora and tisk report is true to the best <br /> of my knort fudge and belief <br /> De th at aLteh wars xes first found 4known 1 (r <br /> Srandtnt level before perforating if known it NAME Hennings Bros. Drilling Co. Inc. <br /> Snndtng 1-161 after perforans pad delle m ft (Rcrwn,fitm,oreorporarion) (Typed or printed) <br /> (10) WELL TESTS Address 2500 W. Rumble Rd Modesto Cal, <br /> Was pump rpt made? Yea D No❑ If yea by whom? <br /> tld gal/rain wish (t drawdown after Lis l5[cNEDl <br /> imp-rseur-of wares War a chemical anal sr.mad-t yp I'] No[] rt ( e1 Dr41er)_ '1 <br /> Wet llectrse lag made of wtlll Yet ❑ No❑ If yes attach c6PY License Na 22 Dated. Jill—Te��J,972_ <br /> SKETCH LOCATION OF WELL ON REVZRSE 51DE0 _ LOG <br /> qWR 188 (HEV 9 6o) <br /> TRW <br /> 40 our• <br />