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• STATE OF CALIFORNIA Do Not Fill In <br /> ORIGINAL THE RESOURCES AGENCY <br /> HIS with DWc DEPARTMENT OF WATER RESOURCES N2 115381 <br /> WATER WELL DRILLERS REPORT State Well No. <br /> Ocher Well No 74-336 Irl <br /> (1) OWNER: (11) WELL LOG: <br /> Name Bill Harris To,.]deash 5>04 If. Depth of<omvlend well 904 is. <br /> Address 5151 Almondwood Drive Formauon: Desreibe ,,,in,of mrrrr;rl,end anon-, <br /> I16eant c 09336 ft. <br /> (2) LOCATION OF WELL: Annd <br /> Conntr San Joaquin owner',number.if any -4 <br /> Township.Range,and Seuiun <br /> Distance from cities,roads,railroads en. NOrth Side Of Me110 I <br /> -i mi fanna <br /> (3) TYPE OF WORK (check): 60 — 194 hrown clay <br /> New Wel I 3 Deepening ❑ Reconditioning ❑ Destroying 84 <br /> If destruction,describe material and procedure in Item 11. <br /> (4) PROPOSED USE (check): (S) EQUIPMENT: 108 aw 11P Arinti <br /> Domestic [:�: Industrial ❑ Municipal ❑ Rotary ❑ 11P — <br /> Irrigation ❑ Test Well ❑ Other ❑ Cable ® — 160 santl <br /> Other ❑ 160 - 168 brown n I ay <br /> (6) CASING INSTALLED: 168 — 176 sand <br /> STEEL: OTHER: If gravel packed 176 — 200 brown clay5� <br /> SINGLE �` DOUBLE ❑ <br /> Gage Diameter <br /> From '1'p or of From To <br /> ft. Is. Diary. Wall Bore ft. ft. <br /> 0 1 12 <br /> C 12 12 <br /> pp is <br /> sone of.hoe or well ring: X X 1 2x )C fassel� a anyone <br /> Desaibe,., Buttweldcasing. <br /> (7) PERFORATIONS OR SCREEN: <br /> Trpeof wrfur n u of s <br /> Perf. Rows <br /> From To per per Size <br /> ft. ft. row ft. in.x in. <br /> (s) CONSTRUCTION: <br /> Wes a a since rankuy veil provided? Ye,JZI No ❑ To whir depth 64 ft. <br /> we'r any. e.led agalnu no luno.? Yes❑ No ❑ If yea a depth of st <br /> from G.m fr. <br /> from fr.m fr. Work......d 6-24 1] 4 .ceiso-oni 6-2 19 4 <br /> Mnhod of oiling cementingWELDRILLER'S STATEMENT: <br /> WATER LEVELS: This well was drifted under my jurisdiction and this report is true to the best <br /> (9) of my knmpfedge and belief. <br /> Ueprh at which win, wis firse found,if known 24 ft. <br /> Hording level before perforating. if known I, NAME John Panem <br /> Standing level after perforating and developing fr. (Person,firm,or resporarion) (Typed or prinred) <br /> (10) WELL TESTS: Address 11935 S. Van Allen <br /> Waa pomp rear made? Yea ❑ No ❑ If r<a,by wham? T6 BCa On Calif. 95320 <br /> Yield: wl./m with ft.drawdow aft hes [SIGNED) <br /> Tempenru«of wane Was]chemical anal made? Yes ❑ No ❑ fWrfl Drilleq <br /> yai 'w�JJ <br /> Wa elec c log made of well? Yes ❑ No ❑ If sye. ach cope License No. 1 2724 Diced 7-31 19T4 <br /> SKETCH LOCATION OF WELL ON REVERSE SIDE <br /> DWR 188 tpk Vo 9.601 611]1-]]04)a WM TgI]�T OBI <br />