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VRKtI VAL �w <br /> File Od{ ml,Du,ilicate and Triplicate with the $x T 2 -1 <br /> DI'i1.Box WATER RESOURCES <br /> r.o.eox +o`7a <br /> SACRAMENTO 6.CALIFORNIA <br /> WATER WELL DRILLERS REPORT Do N t Fill <br /> State Well No._.._---------_.__--..--- <br /> (sections 7076,7077,7078,Water Code) Other Well No.._._._____.--.-_-..-_-_. <br /> Region...'.--------------.._.._.___--' <br /> (7) Perforations: <br /> Typeof perforator used—_.._ _.-.. ------.._-------------------------------------------------------------------------------------- <br /> Perforated._-------.— _—ft. to___.__—___._—___.____fit. Hole size------- of holes.-_.—__-....------_ <br /> > <br /> (9) Water levels: (9) Well pumping test: <br /> Depth at which water Date of <br /> first encountered_—...._----- li.---_..__—..ft. Depth to water when test started._.____-__--.—----------------—_fc. <br /> Depth to water G.P.M. at beginning of test________—.._._—-----_--_---___..__.__ <br /> before perforating—____-------------------------_ft. Drawdown from standing <br /> Depth to water G.P.M. at completion of <br /> after perforating_.__....__—.________._____..___ft. Drawdown at completion of test- <br /> Note any change in water level while drilling Length of time tested-------______._—______ <br /> ` -------..—....-----------------.----_--. Temperature of <br /> Was gas present in water? ❑ Yes ❑ No <br /> (10) General: <br /> Was well gravel picked?.—_---------------------------Size of rock._._—.-------_.--------.--------------.Thickness of pack-----------_- <br /> Was <br /> ack._---.---_..._—__-Was a surface sanitary seal provided?.--------.---------------------------__----------------------------- - ---- ------------ <br /> Were any strata sealed against pollution? C] Yes [I No If yes, attach detailed description. <br /> Stratasealed.------------------- ------------ - - -------------`--------..........------------------- ------------------------------- <br /> Was analysis made of water? ❑ Yes ❑ No If yes, attach copy. <br /> Was electric log made of well? ❑ Yes [] No If yes,attach copy. <br /> If well abandoned,was it plugged and sealed?—_--_.—_�- ---__-------------[!Jt{-��1 -` -�—---------- <br /> Method of plugging and sealing--.—------_-------------- - Ar -vi-iNML — <br /> (11) Location: (12) Time of work: <br /> North5 <br /> Section No.--'L_.__-__.,._.___ Work started date_..5_-__"7- <br /> _... 1Comple[ed date.__5'29_51 <br /> Townshi r---- ____._._ Date of this report— -21-51-- <br /> P- --- - ----- <br /> Range_.._ _ �_?i_L•.______.. <br /> Base&Meridian--.LIZ'._. _ WELL DRILLER'S STATEMENT: <br /> Show location of well in Sec- This well was drilled under my jurisdiction and this <br /> tion,thus (X) report is true to the best of my knowledge;W belief. <br /> Distances to section lines from <br /> well, N or S__-----_---------ft. [SIGNED]__Stoekton Armature & motorWorks <br /> and E or V----------------- , <br /> ft. - ro'0 nno.. <br /> , <br /> ! ( Show location of nearest By.:%x--._--LI:____! -10-ts.t- -'-!--_------ <br /> Eknown well, thus (0) 678 p C-57 <br /> License No...___._._5.._..._Class'0705Q... —� <br /> 1 MILE Distance to nearest known <br /> well--------- ----------ft. Dated..... ...... <br /> O.W.R.FORM No. 246 REGIONAL WATER POLLUTION CONTROL BOARD COPY a>+n,-so mx omx cro <br />