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^ <br />startet.1"2 7 Completed <br />(9) WELL SEAL. <br />Was surface sanitary seal provided? Yes yj. No 0 If yes, to depth__1-0—_ft <br />Were strata sealed against <br />Method of sealing 3_0" Surface Pipe <br />pollution? Yes 0 No 0 Interval ft. <br />Work 19 <br />( IR) WATER LEVELS: <br />Depth of first water, if known <br />Standing level after well completion_ <br />(1.1.) WELL TESTS: <br />Was well test made? Yes <br />, <br />No 0 If yes, by whom? Hennings <br />Type of test Pump Baiter 0 Air lift 0 <br />Depth to water at start of test_ ft. At end of test 109 ft <br />ft 55 statte <br />WELL DRILLER'S STATEMENT: <br />This well was drilled under rny jurisdiction and t report is titre to the best of my <br />knowledge and be4lef. A I <br />) (9.oedZe • <br />(Well Driller) <br />NAME Hennings Bros. Drilling Co.,Inc. <br />(Person, firm, or corporation) (Typed or printed) <br />3525_ae n (I_ a l_e_A y5 • <br />SIGNED <br />Address <br />ORIGINAL <br />File with DWR <br />STATE OF CALIFORNIA <br />THE RESOURCES AGENCY <br />DEPARTMENT OF WATER RESOURCES <br />WATER WELL DRILLERS REPORT <br /> <br />Do not fill in <br /> <br />No. 071446 <br /> <br />of Intent No <br />Lucid Permit No. or Date 79"1 35()___ <br />State Well No <br />Other Well No /06-6Er?›/147. <br /> <br />( 12 ) WELL LOG: Total dept Lil ft. Depth of completed well+00_ft <br />from ft o ft. Formation (Describe by color, character, size or material) <br />0 ii <br />( 2 ) LOTION OF WELL (See instructions): <br />County_ oan J oaciUlri Owner's Well Number <br />Township__ ,Range Section__ <br />Distance from cities, roads, railroads, fences, etc Thornton Rd.. <br />south of DeVries Rd., enda of road, <br />west side <br />Reconstruction <br />Reconditioning <br />horizontal Well <br />Topsoil <br />4 - 6 Shale & clay <br />6 - 14 Clay,, <br />14 - 16 Sand\:',,,,,, <br />16 - 38 Clay N2,,'-• <br />8 _ 41 (-and <br />- - 51 <br />51 57 SsanV <br />_ 1' CI y <br />126 Z127 <br />o <br />El <br />Cl <br />WELL LOCATION SKETCH <br />3) TYPE OF WORK: <br />New Well X Deepening G <br />Well address if different from above <br />Destruction 0 (Describe <br />p' <br />destruction materials 71 <br />procedures in Item <br />(4) PROPOSED ‘X> <br />Domestic <br />Indristrial <br />Teskweil <br />Stool's:" <br />‘\ MuniciprO <br />Other <br />(5) EQUIPMENT: (6) GRAVIi <br />Rotary CI <br /> Reverse X No <br />Cable 0 <br /> Air ii],DOknejer of bore <br />Other 0 Bucket <br />(834ERFORA41' <br />on or-size of scree <br />To Dia. <br />4o6„ <br />Steel Plastic C <br />(7) CASING INSTALLED: <br />Front <br />ft. <br />qtret <br />Gage..or <br />Wall <br />Type of pe <br />FT\ 'fj To < <br />ft. <br />370 8"0-in <br />210 1,70,,se rp en <br />PACK: <br />Size <br />2 <br />C\14% )--. 0,:73 7 - 42 5:5 \., s s j : 3: - <br />El -1,•\\,)-- 2567,, Clay V.54 ' - 27nnd <br />/r D 32 5 -=.3,7 Sand <br />-4--N 3 5 Clay <br />San <br /> <br />356 <br /> <br />-36'F <br />6 365 <br />3165' 3'0 <br /> <br />ay <br />392 394 sand <br />394 _ 400 Clay & shale <br />Clay <br />Sand <br />Clay <br />Sand <br />, -T/42693 gal/min after hours Water temperature <br /> <br />analysis made? Yes 0 No X If yes, by whom? <br />Wa's 'electric log made? Yes 0 No NI If yes, attach copy to this report <br />DWR 180 (RM.,. 7.761 IF ADDITIONAL SPACE IS NEEDED. USE <br />City Modesto, Ca. Zip 95356 <br />License No. 290813 Date of this repo <br />NEXT CONSECUTIVELY NUMBERED FORM