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0 TION (�EQT CH 39-1024 <br /> 141 NAL WATER WELL DRILLERS REPOR� Do �Vot F <br /> File Original,Duplicate and Triplicate with the (sectloa71 <br /> e 70 ,7077,70711,Water code) <br /> DIVISION OF WATER RESOURCES State Vt'eilNa <br /> P.O,ro:1079 STATE OF CALIFORNIA--PBPARTMENT OF PUBLIC WORKS <br /> ` AMRNTO 9.CALFFORRIA DIVISION OF WATER RESOURCES S-,G Other Well N �"} <br /> `. RRegion •—— f'•"` — C�— <br /> ) DRILLER: (person, firm, or corporation) (S) LOCATION OF WELL: <br /> Name STO',,KTON d_FI"ATURE &LIOT0R WORKS -- County, <br /> Address 646 SOTTTH CP.LIFORNIA STFELT R.F.D.or street No. <br /> STOCr,_TON, CALIFOP IA <br /> OWNER: <br /> Name Mrs G. `l John,gon <br /> Address 3210 East Anit'a (9) WELL LOG: <br /> Stockton, California Total depth of well fe <br /> Formation. Mention site of water teaj)— <br /> (Z) Proposed Use (Check) Equipment 0 f=.to .2 f=. f O coil <br /> 2 18 •' Yellow GI <br /> Domestic EB Industrial ❑ Rotaxy_ is .. 36 •• Brown Sand <br /> Cable-p Cl <br /> Irrigation ❑ Test Well ❑ t Dug Well ❑ 36 40 Brown C1 <br /> Municipal ❑ Other ❑ Other ❑ 40 95 Brown Sand <br /> 95 110 Brown Clay <br /> (3) CASING: / 110 120 Brown Sand Gravel <br /> 6 98 ft. of in 14 lb./gc citing left in well <br /> "ype and size of shoe or well ring •• •• •„••--'-- <br /> PERFORATTONS: M <br /> type of Perforator uud <br /> Perforated it. to ft. holes per J � - <br /> .. 1 x <br /> Diameter of perforations in., length <br /> (5) WATER LEVELS: or <br /> Val electric log made of well? [I Yes r No If yet,attach copy. �• � s <br /> Depth at which water was first found 66 <br /> 0 air <br /> �t <br /> standing level before perforating ft. •• - t�f tr � >r 41,Ef4l-c' <br /> standing lerel after Perforating ft. •` '* •• <br /> Y' <br /> Not.your observation of any change in wirer level while drilling - <br /> Vi•as a surface sanitary s+ai provided? ' <br /> (6) WELL PUMPING TEST: Work e�tsr�� w [��10. ~ complet,d <br /> al. coin, ft. draw down Date of R �0 <br /> Capa.ieY L J 19 �. <br /> W'kLL TLtF.R,�s['A��tC\-Y: <br /> wit-ell enrol patked? _ 7'�te'r!r uv&rgrd itrldrr niy r1risdirfiuii and 1Lis report is f '•.. <br /> r>i1l,/o 1,61 Gr, <br /> ..i aaY.arata sealed against pollution? - - of A?y klfpi'lrJgr ![ '� <br /> Me- a .'" r...i .-.,..... _. <br /> iyttpetitort Wig s chsmital coal lrals rntde? t l$,c=rCD1.....STGCt,+1a11� fl¢ <br /> .-...-. .. <br /> If ahesdeaed was well eapped? Wr rllfrs _ .._ <br /> AllBy _..... <br /> (7) TYPE OF WORK (check): License NO._�r - <br /> "ta�r�r . <br /> New welt Reconditioning of wellDated...... <br /> ❑ <br /> ,�..".. .. .- .. -. .. .....................,�__....... 4.......^. <br /> 44370 7.e1 aa!aw`J ono , <br />