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' STATE OF CALIFORNIA <br /> ORIGINAL THE RESOURCES AGENCY Do not fill in <br /> File with DWR DEPARTMENT OF WATER RESOURCES <br /> WATER WELL DRILLERS REPORT NO % 5 r -7 <br /> see of Intent No State Nklelf No <br /> Pernik[ NO or D31e �/� Other kkf11 Na <br /> OWNER Name (12) WELL LOG Total depth 5 0 it Comp3rttd depth �8 it <br /> Address from it to it I ormauon lDescribe In color eharaiter size or metertdll <br /> (ltl Lathrop , California zip9 33o Q _ 2 Soil <br /> (2) LOCATION OF WELL (See instructions) 2 - 8 clay � <br /> ('n,tnI, San joaouin O.+ner.1tie11 Number 8 - to Sand <br /> %%ell address if different from ahose 10 - 12 Blue Clay <br /> To.s nshtp Range Section 12 — 25 Sand & Gravel <br /> I)st-Incefr m cities roads railrnads fences etc 2 _ 4 <` la <br /> of- mendes DR 3ry 4 - 47 & Gravel <br /> 4 - o c <br /> NV <br /> (3) TYPE OF WORK — <br /> Neu Well ® Deepening ❑ Cement Plu tli,6 bottom. <br /> Reconstruction Q <br /> Reconditioning ❑ <br /> \� Horizontal Well ❑ — <br /> \ v 1 <br /> Destruction ❑ (Describe <br /> destruction materials and pro <br /> cedures in Item 12) <br /> (4) PROPOSED USES , <br /> Domestic \ , _ - <br /> Irngatl(n — <br /> Industrial �l <br /> \ } ❑ ! ! - -/ <br /> Test Well ❑ <br /> Municip�[ ❑ <br /> Other <br /> WELL LOCATION SI.ETCH 1D;� rtbe) <br /> (5) EQUIPMENT jb} GRAVELPA,�CK i^ <br /> Rotary Reverse ❑ Nv YJ h Sizet 2 i� <br /> Cable �i� v ' <br /> /�1 <br /> ❑ Air ❑ meter of bore Cs f� ` <br /> Other ElBuck w efrom y ` t� 48 1 <br /> (7) CASING INSTALLED (8) PER,.-_0 lATIONtS — <br /> steel f$ Plastic <br /> ❑ n e Ty ofl. I\rayon or size o _ <br /> From D Gage or � - Tb C (/5 of - <br /> ft f Wall size <br /> 65Y8 #12. <br /> (9) WELL SEAL - <br /> WassurfacesanitarysealprovideW Yesjo No ❑ Ifses to depth 4() ft <br /> Were strata sealed against pollutionP Yes ❑ No ❑ Inter.al It <br /> Method of sealing Work start( cl_ C orrlpleted <br /> (10} WATER LEVELS WELL D <br /> WLER S S AT 1. T <br /> Depth of first water ,f known it <br /> m2ndmglevel after well complet,on 7Itta t fr rP s d fqn ) r sd ton u d i its f is a to tilt <br /> it txst o my r edSign(d 11 <br /> 'rao-welltestmadO ]es ❑ No ❑ If yto L) whoop° ellDri ei- <br /> �oftest Pump ❑ E3a�lcr ❑ ArrhEl ❑ NAMEClark & Equipment Co. , Inc . <br /> th to water at start of lest R At rod of tell (EO (Pr f pa or cnr raunn)(Typed or prrnlr d) <br /> rge Bal/mm after loom Water lemperaLure Addrt ss <br /> kcal analysts made? Yes ❑ No ❑ If yes b)whom C ity S'tOCkton , California zip 9510-5- <br /> u eiectrtc log made 1 e_c ❑ No ❑ fI yrs anach copy!o this report Lternse No Date of I los report <br /> DWR 188 (REV 12-a4St IF ADDITIONAL SPACE 15 NEEDED USE NEXT CONSECUTIVELY NUMBERED FORM 86 96355 <br />