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STATE OF CALIFORNIA Do Not Fill In <br /> THE RESOURCES AGENCY NO 89025 <br /> ORIGINAL DEPARTMENT OF WATER RESOURCES <br /> File with DWR <br /> WATER WELL DRILLERS REPORT state Weil No _ <br /> W►'1 Other well Na, <br /> (1) OWNER (It) WELL LOG: <br /> Narne Bob 0JMo Total depth 106 G1 ft Depth of completed well it <br /> ss 2Addre — Mil gee Rd Formation Drsrnbe b)color rbararler sr_r of material and stryrlurr <br /> Ripon Ce l if N <br /> (2) LOCATION OF WELL <br /> i aunt San Joa uaTn owner,,number, ,f anv _ on -I <br /> Tuwnshtp Range and Secnon 2S r' Q C <br /> D,siance frum cities roads railroads eri:14 1 _ ^ p <br /> (3) TYPE OF WORK (check) 'V art h side <br /> New Well Z] Deepening ❑ Reconditioning ❑ Destroying ❑ _ r' air <br />' f/destruction,describe material and procedure to Item I 1 _ <br /> (4) PROPOSED USE (check) (S) EQUIPMENT 3o—-5Z nd <br /> Domestic ® Industrial ❑ Municipal [j Rotary ® _ C" <br />' Irrigation [] Test Well ❑ Other ❑ Cable ❑ _ C <br /> Other ❑ "lay <br /> (6) CASING INSTALLED <br /> STEEL X OTHER If gravel packed <br /> SINGLE ® DOUBLE ❑ 7c)—,88 �.. <br /> Gage Diameter <br /> Froin 1 u or of From To <br />' ft II Diam Wali Bore ft ft _Q C <br /> 1Q _ n <br /> r <br /> 00-104 r <br /> ot Slrr of gravel mea 104-106 Sand <br /> Dessr,be I -gelded <br />' (7) PERFORATIONS OR SCREEN <br /> Type of perturattun or name of screen slot <br /> Per£ Rows <br /> Froin To per per Size <br />' f[ ft row fr in x in <br /> 1 /8 x cr <br /> (8) CONSTRUCTION <br />' Was surtact s nstary—1 provided) Yes M No ❑ To what depth O ft <br /> Wert ins irua seated aRasnsr pulluslon) Yes Q No ❑ If its note depth of straw <br /> trrom ft to ft <br /> Crum ft to ft Work stirred 7--24 19 '7Completed 19 <br /> 4lethod tit e.hrig Bentonite WFLL DRILLERS STATEMENT <br /> (9) WATER LEVELS Thrs well was drilled tinder my jurisdiction and this report is true to the best <br /> of my knowledge and belief <br />' Depth a[ which water was first found Ll known R <br /> ltandsnK ,evil befure perforating If known ft NAMFFTenna n S Bros . Drilling <br /> bra nd,nq level after perforating and des dopinr: ft <br /> 2 (Person firm or corpnrauon) (Tiprd or prrtrtrd) <br /> (10) WELL TESTS Address 2500 yj Ramble ,id. <br />' Was pump its,made) Yes ❑ Nom If ves by whom) Mod ` 5 <br /> eld gal /min with ft drawdown after his [SIGNED] J j , QlA ( r <br /> Crmpetature of water �Y a chem cal analyns madea Yes ❑ No Qg <br /> (W,11 Drrflr, <br /> War e,ectr,c lag made of hell) Yes ❑ No [K If ves atoch Copy License 10 1 '4 (;322 Dated— 2-24 l9r � <br /> SKETCH LOCATION OF WELL ON REVERSE SIDE <br /> DWR 188 IREV 9 681 14 <br /> 23119 9309 6850M TPIP <br /> Ab OSP <br />