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I; ORIGINAL STATE OF CALIFORNIA Do not fill i, File with DWR THE RESOURCES AGENCY �I DEPARTMENT OF WATER RESOURCES No 206208 ill',, if Intent No _ 249051 _ , WATER WELL DRILLERS REPORT L _rma No or Date OWNER 1ame._..-Net1e Fnnd.nrpor�r� nn Address 230 Industrial Avenue CLt, Ripon CA z,p 953E (2) LOCATION OF WELL ( See instructions) M-1 OA Count} Owner s Well Number Well address if different from above t Township —Range Zd �Sect2ori-2-9— ' Distance frum cities roads railroads fences etc State Well \o Other Lyell \o (12 ) WELL LOG Total deptlL_ 11 Oft Depth art completed well 1 1 2 from ft to f Formateon (Desenbe b% rnlor chaneter nze nr mztenal ) - See Attached – �(9) WELL SEAL. - Was surface sanitary seal prvvrded7 Yes EK No G If yes to depth- 1 5—�t (3) TYPE OF WORD Were strata sealed against pollutions Yes ( No ❑ interva l�__ft, - Method of sealtu Work start 19 Complet �+ lg New Well EX Deepening ❑ WELL DRILLERS STATEMENT Depth of first water If known k "- See Attaehec Map Standing level after well completion _ ft Reconstruction ❑ I(11) WELL TESTS Sicvm— _ . _ - � I Was well test made2 Yes C No If ves by whom �40.a--- ( ell Drrlle Reconditioning ❑ NAM LAYNE-WESTERN CO. INC. r Depth to wafer at start of test __ h At end of test H [i',Sr70� �or�coip4r�ton) ( Typed or printed) �D ge-- - cal/min after hours Water temperature Horizontal Well ❑ C it analysis made° Yes Y � No Q If yes by whom? Ca Ci ty Fontana CA p_ 9 2 3 3 5 f lertnc InG made' Yes ❑ No If yes attach copv to tis report r License No a r; 2 6 0 9 Date of this report 9/9/88 Destruction {'1 (Descnhe 18s (AEV T rel IF ADDITIONAL SPACE IS NEEDED USE NEXT CONSECUTIVELY NUMBERED FORM destruction materials and procedures +n Item 12 ) (4) PROPOSED USE Domestic lmgation ❑ ' Industnaf Cl Test Well ❑ Stock C Municipal ❑ WELL LOCATION SKETCH Other Monitoring] (5) EQUIPMENT (B) GRAVEL PACK Rotary ❑ Reverse ❑ Yes 9 No ❑ Size !t 3 Cable ❑ Air Diameter of bore 9 3-nch Other ❑ Bucket ❑ Packed from 87 to 114 H (; ) CASING INSTALLED (8) PERFORATIONS Steel ❑ Plastic (3 Concrete ❑ Type of perforation or sae of screen From To Dia Cage or From To Slot ft in 1 Wall ft ft s•.ze � 92 4 Sch 4@ 921 lit nln State Well \o Other Lyell \o (12 ) WELL LOG Total deptlL_ 11 Oft Depth art completed well 1 1 2 from ft to f Formateon (Desenbe b% rnlor chaneter nze nr mztenal ) - See Attached – �(9) WELL SEAL. - Was surface sanitary seal prvvrded7 Yes EK No G If yes to depth- 1 5—�t Were strata sealed against pollutions Yes ( No ❑ interva l�__ft, - Method of sealtu Work start 19 Complet �+ lg (14) WATER LEVELS WELL DRILLERS STATEMENT Depth of first water If known k "- Thrr well mar drilled under my turudrerion and this report is true to the best o/ my Standing level after well completion _ ft knowledge and belief I(11) WELL TESTS Sicvm— _ . _ - � I Was well test made2 Yes C No If ves by whom �40.a--- ( ell Drrlle Type of teat Pump ❑ Bailer ❑ Air hft ❑ NAM LAYNE-WESTERN CO. INC. r Depth to wafer at start of test __ h At end of test H [i',Sr70� �or�coip4r�ton) ( Typed or printed) �D ge-- - cal/min after hours Water temperature a Address b I I] V Y tj C it analysis made° Yes Y � No Q If yes by whom? Ca Ci ty Fontana CA p_ 9 2 3 3 5 f lertnc InG made' Yes ❑ No If yes attach copv to tis report r License No a r; 2 6 0 9 Date of this report 9/9/88 18s (AEV T rel IF ADDITIONAL SPACE IS NEEDED USE NEXT CONSECUTIVELY NUMBERED FORM