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11 <br />E, <br />L—A <br />STATE OF CALIFORNIA <br />THE RESOURCES AGENCY <br />ORIGINAL _ DEPARTMENT OF WATER RESOURCES <br />fii. with <br />' `►=in�?.c :, LOG <br />Water Cote Sac. 1375,VATER WELL DRILLERS REPORT <br />Do Not Fill In <br />NO 58363 <br />w 3 E --L\ J, <br />state Well No. <br />Other Well No <br />(1) OWNER: Seta 5o aQ u i tJ SUN !'`(; <br />(11) WELL LOG: <br />'P� eL LG w � tz ri- � D �� f <br />Name ® <br />�� ��/^� <br />Total depth `'t 60" ft. Depth of comoleted well Tot fr. <br />Address 17900 7. LTB=Lnt <br />Formation: Dncribe by color, character, riot of enatertd, and tuurture <br />0®s....3 9 70.0 soil ft. <br />Lodi Calif r, <br />(z) OF WELL: <br />3ata... .,;.6 1) ,, <br />ClPan <br />gCla <br />T <br />VO®000®22 '7 fled Clay <br />��LvvOCATTION <br />Lount+�7an Joaquin Owner's number, if any <br />�} <br />Township. Range. and Section y 8Z .Sect <br />22®soo• S Sand bra <br />,1'R. X22. .�s may,,,, <br />Distance from cities. roads, railroads, etc. tib r0'.X®. M:. S D1 where <br />qLt <br />• ®• 6 3 tyle b= <br />Atkins Rd and Harney La intersect <br />5G.... t 's Chit- dark bra cls <br />(3) TYPE OF WORK (check) : <br />as 145 5 S b=, clay <br />1 6tiy s G rr <br />New Well 9 Deepening ❑ Reconditioning ❑ Destroying ❑ <br />1460 2 ft it 168 5 gaildybgla <br />if destruction, describe material and procedure in Item 11. <br />(4) PROPOSED USE (check) : <br />(S) EQUIPMENT: <br />T6132S Red -b=, <br />2 6 c <br />Domestic ❑ Industrial ❑ Municipal ❑ <br />Rotary ❑ <br />Irrigation K] Test Well ❑ Other ❑ <br />Cable Ex <br />ti <br />2 Colo pea gnum, <br />Other ❑ <br />2 3 <br />(6) CASING INSTALLED: <br />2 <br />If gravel packed <br />h <br />±03313 (Wft) <br />� <br />STEEL: OTHER: <br />SINGLE TQ DOUBLE- I❑ <br />1 3 <br />Gage Diameter <br />brt <br />amented Rod= <br />From t'u or of From To <br />ft. it. Diam. Wall Bore £t. ft. <br />0 228 142 <br />11 D1 st <br />48— 368 t> It rc rc <br />3062,,0102 Slacka Q1= <br />iar of .hoe or% Weil rine: g lR Size of gravel: <br />03 <br />r9 <br />9—n be imnt <br />(7) PERFORATIONS OR SCREEN: <br />g <br />Type of pertoralwn ur name of Screen <br />Mk-. ndxbome <br />Perf. Rows <br />es CtJ.v 7 <br />From To per per Size <br />ft. ft. row ft. in. a in. <br />t " S M= sandstwIs <br />t <br />t gp <br />sr X <br />Y. 4a,'Ls <br />3 <br />7 <br />t ..' ti <br />(8) CONSTRUCTION: <br />Wa. a .uriur saniory Seal provided? Yea No ❑ To what depth t Et.t <br />tb <br />Were utv +tuu ,eal<d aeaimt pollution? YesQ No If ves. note depth of strata <br />From ft. to ft. <br />t �' <br />F rum ft. to Et. <br />Wo , completed Arfto <br />Method of eai,ne <br />WELL DRILLER'$ STATEMENT: <br />This well was drilled under my jurisdiction and this report is true to the best <br />9 WATER LEVELS: <br />( ) <br />o% my knotededge and belief. <br />Depth at which water was fine found, if known 1461 ft. <br />NAME <br />itandine Ieye < f r C f ` ft. <br />J .. r .� .. <br />(Person, firm, or corporation (Typed or printed) <br />itandine leve4 after oerforatine and developing fc. <br />Address <br />(10) WELL TESTS: <br />Was pump test made? Yet ❑ No ❑ If yea, by whom? <br />with 'ft: drawdown after hra. <br />$tGN£D C <br />_(T771 Drift") <br />Temperature of water Was a chemical analysis made? Yet ❑ No <br />49t A r t 1973 19— <br />Was electric log made of well? Yet ❑ No , If rel, attach copy Lj <br />License \o. DSc <br />SKETCH LOCATION OF WELL ON REVERSE SIDE C�• �� I� —a : a {:'�= 3 1J .7 <br />Pais QCcde Sec. 1x752 <br />OWR 188 t atev. 9.601 Plate O—G 20179-950 9-e6 soda T01" Qo OSP <br />