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SQUADRUPUCATE STATE OF CALIFORNI DO ?lot fill 111 <br /> Use to With THE RESOURCES AGENCY NOV 171978 <br /> local requirements No. 052157 <br /> DEPARTMENT OF WATER R <br /> Nance of Intend No. 1 51 UIN LOCAL <br /> _ WATER WELL DRILLERS"WNDISTRICIfe well No. <br /> Local Permit No.or Dare Other Well No. <br /> (1) O B & B Farms (12) WELL LOG: Qt. <br /> 1fa Total depth Depth of completed welL_ft. <br /> g• from ft. to R frilation (Describe b color, chameter, size or material) <br /> Address <br /> City' • • Tip - O <br /> Adobe <br /> (2) L0&aI%a;Wj%ELL (See instructions): O <br /> Co Owner's Owner's Well Number <br /> Well address if Tow from above 2 11- <br /> To.vrnship 1 D Range tin <br /> 96 <br /> Distancs�COfe . . Cn, milrvmds, fences,Mr. - - <br /> 3-.-Avxt1vi-11o*d24 28 jri�tle, 'Clay <br /> elay <br /> and <br /> (3) TYPE OF WORK: <br /> New Well Deepening ❑ <br /> Reconstruction ❑ - <br /> Reconditioning ❑ - <br /> Horizontal Well ❑ <br /> Destruction ❑ (Describe - l <br /> destruction materials k <br /> rocYN S..Q <br /> procedures in Item - op <br /> X (4) PROPOSED 4Anr� and brown clay <br /> Domestic - aik6 Seams of gravel <br /> Irrigation browna <br /> Industrial O ❑ - earns of <br /> T`�`s�\,W\ell ) ❑ - <br /> S""^\\ �ti Cik Lila <br /> Mumc,pp.SAA.\\\117 1813 - Sand <br /> WELL LOCATION SKETCH Other ❑ 196 - Brown clay <br /> (5) EQUIPMENT: (6) GAAV ACK: 2 - 12 Send <br /> Antnry ❑II Revere ❑ 6.. <br /> No Siz 21 Brown clay <br /> j Cable ❑ Air ❑ of bore - 0 Broth clay with seams o j <br /> Other ❑ Rocket ❑ - brittle clay <br /> (7) CHASING INSTALLED: (8) PERFORA I ' - Brom Clay <br /> Co a Type of - Brown Cay <br /> titseamsSteel ❑ Plastic ❑ oce0 � <br /> From To Dia. Ga r F TO - ri e clay <br /> ft. ft i W U ft £t. 252 -­272­15r—own clay <br /> 272 - 280 Sand tith seams or brite <br /> Clay <br /> _ 2V2 brown ciay <br /> (9) WELL SEAL: �Zj - ow <br /> n clay w1th seems <br /> "as surface sanitary seal provided? Yes ❑ No-❑ If yes, to depth ft, - o <br /> f brittle clay <br /> Were strata sealed against pollution? Yes ❑ No 3 0 - <br /> 328 Bralwix clay <br /> Method of sealing— <br /> ealin• Work started 19 Completed11 07 70-19 1 <br /> (10) WATER LEVELS: W FULLEM%TAfWJA14e clay <br /> Depth of first water, if known ell ft ThisjCitws drill. 40er nR$YD. tion and this mpart is ince to the best of ny/ <br /> Standing level after well corapletina ft. knou9edge and belief. <br /> (11) WELL TESTS: SIGNED ��j_, <br /> W'as well test made? Yes ❑ No lTS If yes, by whom? Penero wellWhinlin$o IIID <br /> Type of test Pump ❑ Haller ❑ Air lift ❑ NAME <br /> Depth to water at start of tes ft. At end of test R l p ted) <br /> Discharge >al/min aper hours Water temperature <br /> Address 314 , T:dY `a'2Yd8 `BI'ffl8' <br /> G • 31f• �q <br /> Chemical analysis made? Yes ❑ No ❑ If yes, by whom? 8 - <br /> Was electric log made? Yes ❑ No ❑ If yes,attach copy to this report License No. Date of this report <br /> DWR 188 (REV.7-7el IF ADDITIONAL SPACE IS NEEDED. USE NEXT CONSECUTIVELY NUMBERED FORM <br />