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GWool" <br /> P /. STATE OF LIFORIY7:VexDo Not Fill In <br /> E"� <br /> 09101NA-Ir1ti%�. THE RESOURCES AGENd'Y 0 149803 <br /> File with DWR t ;;f D PARTMENT OF WATER RESOURCES N <br /> =" WATER WELL DRILLERS REPORLT state well No <br /> ��514 W <br /> c <br /> OWNER (11) WELL LOG <br /> Name EI .W Ramsey Total depth155 It Depth of completed well 60It <br /> Address 824 51 Portal Dnrrrbr bicolor rhuartrr sur of wralenef aad rtlrrn— <br /> M tea Calif. 0 rt <br /> [t to <br /> (2) LOCATION OF WELL 18-27 MAY <br /> Countr San Joaquin 0--it-6—f— <br /> Township Rrngr and T2S R A5-58 T31 11 <br /> Ussunce from dues roads —1—ds tic k Airport 1 =j <br /> outh of Hwy -' <br /> (3) TYPE OF WORK (check) 4 <br /> New Well X Deepening ❑ Reconditioning ❑ Destroying ❑ <br /> If destruction,describe material and procedure to Item 11 <br /> (4) PROPOSED USE (check) (S) EQUIPMENT <br /> Domestic ® Industrial ❑ Municipal ❑ Rotary 12 <br /> Irrigation ❑ Test Well [l Other ❑ Cable ❑ <br /> Other ❑ <br /> (6) CASING INSTALLED <br /> STEEL X OTHER If gravel packed <br /> SINGLE CX DOUBLE F] � <br /> Gage Diameter <br /> From I uor of From To <br /> ft It DEam V1 all Bore ft ft <br /> 6 -5 <br /> t <br /> t ¢hoe s.r will—r S—of Rrarel ea <br /> etcnbr Isnns welded <br /> (7) PERFORATIONS OR SCREEN <br /> Type of perWr,it—u me of screen slot <br /> Perf Rows <br /> From To per per Size <br /> fE ft row ft in x In <br /> 11 <br /> (8) CONSTRUCTION <br /> W-a>.rlaee wale.rt,seri provided? Y-M No El To what depth ft <br /> '4 cre—) >trna sealed agains,polluvnar Ye C, N. i 1 If r note depth of strata <br /> From fr eo ft <br /> From ft to fT N'or4 started 12-11 19 '75compieied 19 <br /> t4eeiru.f of aealrnR WELL DRILLERS STATEMENT <br /> (9) WATER LEVELS This well was drilled tinder my purnsdnrtion and tbrt report it true to the best <br /> of m- <br /> ,knowledge and belief <br /> Depth at which wa,er was first [pond if koowu- ft y <br /> %t—dinq Iet,l b.fure Perfor—ng if knnwas r t 1 (, NAME Hennings Bros, Dri lCo. . I <br /> I - (Perron firm or eorporonon) (T)yid or yrssrrd) <br /> )ta ndsn level alter perforanp .„d dereloptnlE ft <br /> (10) WELL TESTS Address 2500 <br /> Was pump tele made? Yet ❑ No If yes by whom? <br /> i <br /> �d sallmsn sh i }(" r d dawnafmr hr. [SIGTTEp� <br /> peneure of waur Vltaa a ehe—eal analysis made? Yes E3 No 2,90,81a- <br /> elec tnGQ ']c I'm made of well? Yes (�] No 1f yes attach caPY License No J� L-- Date , 19-7-6 <br /> SKETCH LOCATION OF WELL ON REVERSE SIDE <br /> DWR 108 [REV 9 6131 0 72 coat Tri[r t T osp <br />