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i /,.J <br /> STATE OF CALIFORNIA Do Not FLIT in <br /> THE RESOURCES AGENCY <br /> 81 <br /> ORIGINAL DEPARTMENT OF WATER RESOURCES �� 09 <br /> File with DWR MATER WELL DRILLERS REPORT W Scae Well''o - <br /> Other Well No <br /> (1) OWNER (11) WELL LOG. <br /> Name CIty of qiori ;T@ t� }r 'Total depth 313,ry ft Depth of comple[td..ell 312 it <br /> Address C1t Hall Formation Drsrrrbe L}color rbaractrr site of material and struclure <br /> R1 on Ca 66 ft ft <br /> (2)-LOCATION OF WELL 0 to 3 sApdy rop soil <br /> County Sul- jgagmin 6wner s tuber If a '��yy 1/1 e <br />' Tuwnshtp Mange ..1..1-and Secrw. OO ZT 20 e <br /> ns ra <br /> Distance from cies roadilroads e—S . turner of Ml eo St• <br /> anSI-lZidge St. 139 42 med grpy sand clay & graY-el— <br /> (3) TYPE OF WORK (check) 42 157 cnxir�e j=ry sand <br />' New Well XJ Deepening ❑ Reconditioning ❑ Destroyinb ❑ <br /> If destruction describe material acrd procedure in Itenr I1 <br /> (4) PROPOSED USE (check) (S) EQUIPMENT <br /> Domcstic ❑ Industrial ❑ Municipal ©� Rotary ] <br /> Irrigation ❑ Test Well F-1Ogler ❑ Cable ❑ <br /> Other ❑ §8 connse grey sand <br /> (6) CASING INSTALLED <br />' STEEL OTHER If gravel packed <br /> 11C) 338 coarse brown --and <br /> SINGLE 2 DOUBLE ❑ <br /> 12� coarse gray qand <br />' Gage Diameter <br /> 12 <br /> From t o or of From To 130 hrittle _=ey clay <br /> ft tt�r� Diam wall Bor�e1 ft ft <br /> 0 12 1611 U 11 12811 <br /> 2 8 11 0 313 133 145 so-ft by-own sand <br /> 5i. coArge brown gand <br /> bsi-of shoe..r well rinse Sae of¢tai el Weu avel <br /> I it� 193 coarse sand k gravel <br /> Describe ialnt welded3.9i ST <br />' (7) PERFORATIONS ORSCREEN-Standard 126+ 265 23� bard bno= clay <br /> er <br /> Type of ps--ri�r name of screen Ful L [60 <br /> Flo <br /> Perf Rows 93S 2h1 coarse grey sam� <br />' Front To per per Size 2iii 266 soft gray clay <br /> ft ft row ft in x in 24t, 268 coarse kgrey sand <br /> FF 78 8 48.0 s in. e x2 F 26S 272 -sciit ey al a* <br /> 27-S 980 soft grey claq <br /> e t <br /> tSper - x 2 3 i3 ennd <br /> 29L 1 112 line�l ft. 283 2 e 1 <br /> (S) CONSTRUCTION 20 Illcoarse grgy sand y <br /> Was urtace sinitary seal provideds Ye No ❑ To whet depth ft oft c st0 ed drill <br /> Were any strata scaled against pollution) Yes ❑ 10❑ If vis n re depth of strata <br /> From ft To 73 ft <br />' [rum ft to ft Work started ?-72 completed 22 _-72 <br /> Ylethod of dealing WELL DRILLER'S STATPUEUI, <br /> (9) WATER LEVELS- This well was drilled unWer rr} �.arrsdr 1w,', tr hes re(;urft`is trite to the best <br /> Depth at which water was Ent found ,F known ft <br /> of my knowledge and belief f 1 1 !r+1 <br />' <br /> Starid[nq level before perforating if known ft NAME es`''ter Goll` See FJf.ri <br /> (Person rm or corporanon 7 r or rinT <br /> Standing level after perforating and deeanptnq f[ W{NTER ABAAAN WELL DRILLING <br /> (10) WELL TESTS Address <br />' Was pump test made) Yes 0 No ❑ If vis by whoma 91 SO Golden State Blvil <br /> rield xal /min with ft drawdown after hes [SIGNED] Selma, California 93662 <br /> Femperawre of water Was a chemical anals its made) Y- ❑ No C] fWe([Driller) <br /> Was eke tyre loq made of wells Yes ❑ No Q If ves arrach copv License No21.1. 79 Dated Apra 1�-- 19-7Z <br /> SKETCH LOCATION OF WELL ON REVERSE SIDE <br />' DWR 188 I REV 9 Gal 13 25[]4 9'o 9"'5"m YRIP Qn csP <br />