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L)EG 2 7 i9g9 <br /> ORIGINAL WATER. WELL DRILLERS REPORT Do Not Fill Its <br /> File with DWR (seetfoas•7079,9890,7991,7992,water code) O <br /> THE RESOURCES AGENCY OF CALIFORNIA WA No 4 � � <br /> DEPARTMENT OF WATER RESOURCESIt <br /> r ? then Well No. <br /> (1) OWNER: (11) WELL LOG: <br /> Name r. 'rota)depth 9 1 A ft. Depth of completed well it. <br /> Address ilery LAnR Formation: Describe by color,ebaraceer,size of material,and arvesure <br /> _k1013, Lallf. Et.to Ec. <br /> (2) LOCATION OF WELL:1. © 3 .9 011 <br /> c---,y San Joaquin Owner's numhar.if any 3 <br /> Towashi .Range,and seetion rJg(; 3 1N ME 96 115 Send & areveJ <br /> Dutaace from cities,roads,railroads,etc, South Ea$t Corn <br /> CYA--ProRerty 168 . 170 Sand <br /> (3) TYPE OF WORK (check): 170 241Clav <br /> New Well IN Deepening Q Reconditioning 0 Destroying Q 241 248 <br /> If destruction,describe material and procedure in Item 11. 248 --261 Clam <br /> (4) PROPOSED USE (check): (F) EQUIPMENT: 261' 273 sarl� <br /> Domestic ❑ Industrial ❑ Municipal ❑ Rotary ❑ 273 36n Clay <br /> Irrigation ® Test Well❑ Other❑ Cable IR 360 1 n a hard pan <br /> Other <br /> (6) CASING LNSTALLED: <br /> STEEL: OTHER, If gravel packed <br /> SINGLE 29 DOUBLE p <br /> Gage Diameter 426 502 C1W1 - <br /> From To or of From To <br /> ft. ft. Diam. Walt ]Bore it. ft. --pan 518 <br /> ® 2771 16 0 <br /> 412 I.4 219 <br /> 3 4 8 <br /> Size of shoe or well rings 5 Z 8 Size of travel: <br /> Describe'int Welded <br /> (7) PERFORATIONS OR SCREEN: <br /> s, <br /> Type of perforation or name of screen <br /> Pelf. Rows <br /> From To per per Size <br /> ft, ft. row ft. in,x in. <br /> 168 270 8 2 <br /> 241 248 8 ' 11 <br /> 255 275 8 ``' • <br /> 308 328 7 It Ir • <br /> 392 41 <br /> (8) CONS'T'RUCTION: MR OfFICIA1 I ISE 01U <br /> Was a surface sanitary seal provided? Yes Q No To what depth ft. <br /> Were an strata seated against pollution? Ya❑ No ja if yes,note depth of strata <br /> From it.to ft. <br /> From it.m it. Work started ,Completed 1968 <br /> Method of soallaq WELL DRILLEWS STATEMENT: <br /> 9 WATER LEVELS: This well was drilled under my jurisdfcliots and Ibis report is true to the best <br /> ( ) of my knowledge and belief. <br /> Depth at which water was Brat found,if known ft. <br /> StandinS level before rforatin , If known ft. NAME Clark <br /> Standinglevel after perforatingand develo' ft. ( arson, ,oe corporal on qps or fisted) <br /> (10) WELL TESTS: Address 2424 East Charter Way <br /> use made? Yes 0 No 19 If yes,by whom? Stor-kton Calif 95206 <br /> gal./min.with I.J. it.diawd wa afar hrs. (SIGMD] de <br /> "181Yamparature of water Was a ellemlcal analysil made? Yes❑ No � <br /> Was electric log nude of well? Ya No X) If yes,attach co License No 76602, Dated_ r.at 12 , 19--U <br /> SKETCH LOCATION OF WELL ON REVERSE SIDE <br /> DWR 106 1RIV.9.83) 66aai-a6o 1e-69 SON'title 0 A 06P <br />