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Apr-21-00 12 :04P City of Lodi , M5C 209 333 6841 P .04
<br /> +DuazICAU W 21L WELL DRILLERS REPOR'� I)�G Na FIJI XTs
<br /> aaruin fr1s ropy (s.etlo.■707f.70&0,7011,YOU,eraesr coda) .� N(� 43309
<br /> CTHE RESOURCES AGENCY OF CALIFORNIA stamVc1l No
<br /> DEPARTMENT OF WATER RESOURCES other VillWe
<br /> (1) OWNER: (11) WELL LOG:
<br /> Niinc QjTX 1F j T•t.1 J.,,eh f: r,r.h.f enn.virseJ reit
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<br /> Address L=y IIALELFsrmc uoer DrrrrAt k7 ruf•+,rbrrsrkrr,rltr Of•ylrNsf a•J►lrarlarr
<br /> TLQ,
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<br /> (2) LOCATION OF WELL:
<br /> I CarniY
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<br /> �
<br /> r
<br /> r^
<br /> Tern,.
<br /> it R•n.-. .nJ 5..1 nn 3n 2 ,
<br /> �,,.ean5■fr•m[Nor► rood• nr)r•.dr ■re
<br /> r r• r Irnnirl
<br /> 50 „1- 1' r+ter, r ,
<br /> (3) TYPE OF WORK (check): c r
<br /> New We)1 CL, D.cpenms 43 Rocondlttolllns l] Destroying
<br /> it Jrilrurlrrm drsrrlbr,nnlerrsf arrd AW rds-rr M Brill 11
<br /> (4) PROPOSED USE (cheek): (s) EQUIPMENT. 7i 16
<br /> Domenic ❑ Industnal ElMusuclpal Ex Rotary }rev, Q
<br /> Irrigation ❑ Test Wcli ❑ Other E] Cible ❑
<br /> Other 1 cs r c_
<br /> (6) CASING INSTALLED: 2 LIS 6 nluc—c!
<br /> If gravel packed •� -+G - -, 2—STEMS OTHER
<br /> 61rffsLE GgytaLlE ' - ILI
<br /> f'
<br /> Gage Diameter t,
<br /> From To or of From To
<br /> it it Drs/n Wsll Bore Fr+ It il ae� o -,trn1
<br /> C2-r ,CIO O r r-0— 90 � -
<br />' 7 1 J y `1
<br /> 5.r of.hM er rail nn 1/16 301, 369 — -
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<br /> tl..cr.Srr lu,M ��.1 1,f r? f
<br /> (7) PERFORATIONS OR SCREEN- ' 1) `r
<br /> T l rto.u..n•r n.n.e o1 rerun it �' _
<br /> rr +>< r•
<br /> 1-20
<br /> Pcrf Rows ,
<br /> Frons To per per Size , "-•
<br /> fc ft row It a» X.in 162
<br /> IL r ,
<br /> "-•, A t
<br /> �• dal U r 1J a�
<br /> � aV
<br /> 4 • •
<br /> (8) CONSTRUCTION:
<br /> 1-v V• v
<br /> V60 t,urDee unN.rr...1 y.,n.,drJT Yr. a Ko ❑ To r6rt d2ih rl
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<br /> Wr,r.ny aero•..c.l.d .r.""r,oflousn) Yet To❑ 1f a .,np de rh of nr■e. ! b or
<br /> —M ` �
<br /> ft in ilm fs f ff If 1} 11 •^ T
<br /> Ftnm rt ,.+ fe Vark■s.,Ted .C■ttipfrtrd 11
<br /> Cnnrinctar and rement. WELL DRILLuus 5TATLML NT
<br /> rku wrdf was dnited sf„drr rrsy putdrrrtloa end ibis report is trste to the bnt
<br /> (9) WATER LEVELS- o/my kilm4rdge slid Witt
<br /> prrrh .r r�rth r..■r w.. 6.n /—..I J ►nares 1c.
<br /> xr.nJ�nx level 6r{ore petfnnn^r rf knarn
<br /> r, NAME Zr3AYTIE DIZILLING CO.
<br /> .� (Y.esen�,few ae mrporr„oe1 Ir)irl si 7•��rrd}
<br /> S[InJ�ne Ir•rl sfttr Prrfr r.r,n ,nJ Jr..b ,n it Pa O• Box 9713
<br /> (10) WLL.L TESTS: Addr.er
<br /> mac graze 1 , a 1
<br /> nil)Tm m,dtl Yr. i Tsn fl 1r .. L -Yw n>
<br /> �_ sol l,nrn r+rh f► dnrdar..liar hr. StLl'rED t�rll I1r1Un) t iI'y(�2
<br /> Tr,i r+/.rurt of>,'ter W■.a eFem,ul•n►] d,Mali& Yer ❑ he ❑ �s Ss 11 6Q
<br /> r.. C7 N. It r.► ■■uch r• Llcenw No.—�2 �[iU r),e f �i
<br /> -- — -
<br /> SKETCH LOCATION OF�WELL ON REVERSE SIDE
<br /> OWN )Flu rnEV b •SI r• w»t_•■o,e•onow Y...,(DAo►}
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