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C C� <br /> STATE OF CALIFORNIA <br /> OitIG1NAl THE RESOURCES AGENCY � Do not fill in <br /> File with DWR DEPARTMENT OF WATER RESOURCES <br /> WATER WELL DRILLERS REPORT N0. 257124 <br /> ice of Intent No. p State Well No. <br /> -Kai Permit No. or Date SO—`7 Q - � Other Well No.651/ <br /> (1) OWNER: G . (12) WELLI LOG: Total depth ft. Completed depth6 ft. <br /> + Address Z S from ft- to I' ft. Formation (Describe by color• character, size or material) i <br /> t.ity Sy{ —fo S� Cry _ ZIP <br /> (2) LOCATION OF WELL (See instructions): — ' <br /> County7�++AN 04!Rut IV Owner's Well Numberc, tO 2-0 �f � � L ud <br /> Well address if different from above 0%S ZC> - Q,4 <br /> Township, jr Range -1 E, Section 2-5 - Cj_t" <br /> Dist ce fF or cities, roads, railroads, fences,etc. <br /> �t Q <br /> (a) TYPE OF WORK: ��^� <br /> 1k New Wel! Deepening ❑ 7 _ - I I'h V� t .�tw v <br /> 13 �u Reconstruction ❑ - 'I <br /> ¢� • Reconditioning ❑ <br /> Horizontal Well ❑ 'I �' ^\ ^ <br /> Destruction ❑ (Describe <br /> destruction materials and pro- <br /> cedures in item 12) ��•) r,� <br /> i (4) PROPOSED US J_II ✓ <br /> iiiPpp <br /> Domestic -'1 <br /> Irrigation <br /> Industrial /�\ ❑ �` i `-Y�^ �, <br /> Test Well \ ❑ r, 1 <br /> WELL LOCATION SKETCH cibe) _•4,��,•i <br /> (5) EQUIPMENT GRAVEL PACK: <br /> (�' •rte-;ice''. ,'�". �+`r <br /> Rotary 4GV Reverse 11Yes E�' Nu <br /> Cable [ \ ► 1{ <br /> ❑ Air ❑ \ eteaof bore <br /> Other ❑ Bucke L__Q �° -C'r.d from <br /> i <br /> (7) CASING INSTALLED: k t \ 1 (8) PERFORATI01`35: <br /> Steel ❑ Plastic V ricrete Type,of Eo vtion or size <br /> From T1 iiill. Gage or <br /> ft. K in.l Wall '\k__., e4t.` :\ '✓size 4 <br /> (9) WELL SEAL: - ! <br /> Was surface sanitary seal provided? Yes v�/ No Llff yrs,to depth ft. <br /> Were strata sealed ag nst pollution? Yes ❑ No ❑ Interval f tl <br /> method of scaling Ct`^` Worl started IP 19 Completed 4 l9 <br /> (10) WATER LEVELS: WELL DRIiLLER':S STATEMENT: <br /> Depth of first water,if known ft. I i 7 <br /> 44 This well d uved my t report is true to the <br /> f++ Standing ievei after well mmpletior . ft. jesE of <br /> m O <br /> L (11) WELL TESTS: � Signed <br /> Was well test made? Yes ❑ No g <br /> If yes.by w}nm? �L i * r r I Tiller} S A <br /> ` •of test Pump ❑ Sailer ❑ Air lift ❑ tiAyfF W F--i.-i C—.- <br /> to water at start of test Ft. 1t end of test F[. i �] �IPerion Firm co ration)ITyped or printed) <br /> t ., hrrxe [{a3/min after hours Ware�,tc_m`peratDu�e Address!L Lt� IV <br /> 5 DS D r �y p <br /> ,Chemicalanalvsis made'? Yes No ❑ If yes,by whoin r"tr► �^V City�� eo ZIP 7 1 a <br /> Was electric log made Yrs ❑ No If ves,attach copy In this report License No. 2n Dake of this report 9 <br /> owR tea(REV. 12-e5l IF ADDITIONAL SPACE IS NEEDED, USE NEXT CONSECUTIVELY NUMSERED FORM 86 9635 <br /> 6 <br /> i � 7 <br />