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MAR 4 1968 <br /> .,,NAL WATER WELL DRILLERS REPORT .Do Not Fill Ile <br /> .lgs Origin:9,oaplitale a-,d Triplicate with tha lstttiartt 70749.ion.,707a,Qrater cmarl <br /> N© 74577 <br /> REGIONAL WATER POLLUTION I 1 <br /> STATE OF CALIFORNIA <br /> CONTROL BOARD Ido c sm <br /> Other Othell N- <br /> (tairre rttrajriztt. trfrrl _ � --'---��----- ---. <br /> i <br /> OWNER: (11) WELL LOG; <br /> L <br /> Dame Ch s SeV--our T-1 death ft. Denh of completed-11 261 ft <br /> Address _C)x 91 Formation: Drs"tbe co.'or,rbarutrr,tin of ssetr.tzl,0.4 strut.rr. <br /> Q ft.to ft.too soil to T br cl <br /> 6 36 br cl to sand; br el <br /> (2) LOCATION OF WELL: 36 14 br S c! a- rk <br /> Canary S'_'l Jci'^ain C)+oer'.nrmbsr.ii ab.-- 1-, 5 75 'L}r cl to sandy cl y <br /> It.F.L.or s:rert No. rs�4rf' * •'-r C^adale `d 75 30 br c! to 1 Dr` cl <br /> �' ,Ta _--Arson -d ft or 95 c, Ca11 S <br /> 83 90 br cl,pink C1 c- soft cl:br Cl <br /> ; O oq 3nft c Sand---- Cl <br /> r;-7re 27-, I SEI, % In 0 hI 'n--red cl <br /> (3) TYPE OF WORK (check): _114 l �Q hr TS <br /> N'cw well r Deepening [3 Reconditioning Abandon 0150 1 1, r7s—n qrr <br /> if a s tdorrmertt,drscribe maferial and procedure irr ltrm 11. 154 n9 r),,- C•] <br /> (4) PROPOSED USE (check): (5) EQUIPMENT: l <br /> Domestic (n Industrial ❑ Municipal ❑ Rotary ❑ T <br /> Irrigation F-1Testa eII E] C?ther ElCable [ ° ;: o <br /> Dug Well ❑ I Q ?- <br /> (b) CASING INSTALLED: If gravel packed 1 4S 16R ..- --ink '----cl -- <br /> ^ ?� <br /> SINGLE .1 O c & <br /> DOUBLE Gabe ' <br /> p ry az fhacteeet from ra �l.S e�%n e24+s� n+�'- <br /> From Q ft.to 136 ft 8 Diana. l0 Wt U of Bore ft. ft. ry y� nl ft L 4 <br /> 2 252 <br /> 253 26.1 <br /> Ttpa:ad a.ze of shoe or-all rtn; 5/3 S b Size of srarel: .. .. <br /> Dwt riibe -- <br /> (7) PERFORATIONS: - <br /> 7.pe of perforator aced - <br /> Size of perforasioot - <br /> FroTn ._ ft- Perf.per to- Rr-.Fir it. <br /> (8) CONSTRUCTION: – — <br /> Was.aorf.0 sanitary seal pro•idedl ❑ Yea 0 No To.6v dere. ft. <br /> Were any ttraaa sealed a6unat pollattoo? 0 Yea Cj- No If ym,note depth of.testa <br /> From tr. o <br /> Method of Scaling <br /> ft. <br /> Work started ;,)59 Compieee�_' 19 �� <br /> (9) WATER LEVELS: 'WELL DRILLER'S STATEMENT: <br /> pp 7'bis well was drilled under my jurisdiction and ibis "port is true to the pert rtf <br /> • <br /> "t-; at-b'.h spur-as first f0and 83 ft- my knowledge and belief. <br /> stanctat it'd before pezi.ra�a4 85 ft. \TAIM E i-urviance Tillers <br /> itaa iteral zft-parferati_t; ft, ti'.r wn,6rm.<.t caret t:r,v ,21Ge1 or prtetedi <br /> Address 0 BOX 6I4 <br /> (I o) WELL TESTS:LL tai nQ'en r l ; r <br /> Wan a a..eep tett mad,' ` Y- -t- No If yes,by-boa? -- <br /> -it. ft-dra eo-. afte heal [SIGNED].Y..-_ -.-- d-.�_ __ �rt±.�.=�" —CL�� .--Q <br /> Y.riG: R'z•`•/r+�- - ' r t�tQ�l. Trff Driller <br /> Traoeraeun cf tater �'aa a c6ts.-lean:eai.ns mads i 7",a ;J �a 17308 <br /> G Liunse Na.._...�-.... --- -- —�. Dated--- <br /> Wu else:;it Lys made of-dl? 0 Yea [3 No <br /> ¢7025 6-37 ecw auiw Q rno OWR 138 t REV-3-34) <br />