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ORIGIN L sTA7EQFCALIVOANIA Do not fill in <br /> t`I► THE RESOURCES AGENCY /� <br /> *11,3 with aWR OF-PARTMENT OF WATER RESOURCES No, r 4"1 <br /> 77 <br /> Intent No 218835 WATER WELL DRULLERS REPORT state Welt No <br /> ^ mit No or Dat Other Nall No <br /> OWNER5 ` <br /> C Nnm+t McCormick & Baxter 12� ) WELL LOG Tota]depth-28..�,..^Et Depth of completed well 2-- E} <br /> Adaresa CH2M Hill 2200 Powell St. 8th Floor from ft to ft Formation (Describe by color, character, size or matertnl) <br /> City 94608 01- 18' clay <br /> 1$'= 23' sand <br /> 2) L AT CON Cly' WELL (See instructions) 231- 35' sand cLa <br /> County fl oaquln p _OW..e, %VeilI3Umbar <br /> Well address if different from abava 12 4 w, asi 11 {I St , Stockton 351— 401 blue c 1 a <br /> 2ovvnsbip >Zartgr Seatro Q - 60 San y C aye 1 <br /> Destzuce from cities,roods railroads,fences,ett sa some c ay <br /> 64'- s ars <br /> san ay <br /> n <br /> (3) TYPE OF WOAK t <br /> t3eiv Well (% Deepening ❑ <br /> i ay <br /> Reconstruction <br /> 1] <br /> uv) <br /> ` - <br /> I Etecoadftianinl: [} 1� _ <br /> Horizontal Well <br /> Destnictfon El (Desoribe <br /> clesttuctlan matenals a [ <br /> procedures in Item I it - C <br /> It <br /> (4) PROPOSED�V - <br /> w <br /> I)ornestic ��,,�, Gl <br /> Gravel Pack \k <br /> Natural Gravel 265' to 260' InauStri,1 � ❑ _v <br /> -,rley Sand 8x16 260' to 2'40' 'r §t�we11 o v, <br /> „f Sand 0 #30 240' to 237' sty. - <br /> 'viunicipnl� <br /> WELL LOCATION SKETCHK",—, Other 4 <br /> (S) PQ1AlFkfSNT1 (fl) GRA,V <br /> Rolnry Reverse ❑ No Size <br /> Uible 0 Air � D at rr of lsoro�l " f <br /> Other ❑ Bucket ❑ c'1'f om t� <br /> (7) CASING INSTALL1317 r (8) ERP'ORATCC3kS, �� <br /> l � � <br /> Steel [k Plastic ❑ Corfe�r 0 � Type of perfl?Y� or le aE screen <br /> I <br /> Frpsn To . Ata Gzrbe-oFr `� <br /> £t ft in Wall ft >` ito <br /> It <br /> +2 24 44 k It <br /> Jo son S r- n 4"d1 . 245 .040 ` <br /> B a Pol t o Casti rom 65��`c3 2 7' <br /> (9) WELL SEALt <br /> FV as surface sanitary seal provided? Yet 16 No ED If yes to depth-Ea7--it <br /> Neto strata sealed a a,nst lutron? Y f� No [� Intervnl�#C - - <br /> MetTtad of seahn41mPE �` cement Work starter? IA Cornplet 19 <br /> (10) 'WATER LEVELSe WELL DRILLEVS STATEMENT <br /> E Depth of first water, If know t This tuelf was drilled under mf turfsdfarfon and this report is true to the beet of mit <br /> Standing level after wea completio } knawiedge and balfe <br /> (11) WF-LL TESTS <br /> Was well test made) Yes ❑ No 0 If yes, by whom_ {Well Driller) <br /> A ' ,x: 5 GPM 1 � 'est kJ iia' o� letl�rii '�rtxr",ng MJohnson Drilling Co. <br /> ..- <br /> 11 ep to water at start 9TVest At en at et (Parson, 8rai ar corporation) (Typed or printed) <br /> Address 23 $9 E C A <br /> �DI o gal/min alter hours Water temperatures 93V5�h <br /> ' G,}, Reedle Ca, zip_ <br /> alysit mase? Yts ❑ No ❑ If Yes, by whoar? 24,5802 9-30-85 <br /> alectdo log mpdo? Yea M No ❑ If yea attach copy to this repart License]No ata of thea report <br /> I7WR IBt3 (REV 7 79t) IF ADDITIONAL. SPACE IS NEEDED USE NEXT CONSF-CUTIVE LY NUM13ERF-0 FORM <br />