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DEC 1 2 1966
<br /> ,.
<br /> t`oR yrHqL': WATER WELL DRILLERS REPORT. Do Not Frill In '
<br /> v Filo W DWR {settitma7arf,7a�0,7011,�0�2;water Ced.). -.'.-
<br /> 0
<br /> 449'78 .
<br /> `• THE RESOURCES AGENCY OF CALIFORNIA W M
<br /> DEPARTMENT OF WATER RESOURCES state well NojISE-131
<br /> t 4 W t R- Other well No
<br />' (i) OWNER: }� • DeUXA. Fog-IAS (11) WELL LOG:Name n. !-,ids �r u .
<br /> Q 3 it\13Yn'�A Tota.]depth 12� ft, Depth of eompleud well {t.
<br /> Address a.,%-ay 12 Fortastion: Drrer i6r by rofor,rbrr�rrrr,sire of watrrlsl,asd rtes sestet
<br /> t+�d1�. rc.1],i• ft.to ft.
<br /> (2) LOCATION OF WELL: 0 4o 7 tib Sa idy toP soil
<br /> County 'al= v oa uinOwner' 7 9 3 ay i
<br /> s number,if any 1
<br /> s��S e '1.J Tara.bip,Aaa6e,and Session J �f - 7
<br /> 7 C 9 1J ::and
<br /> Distance from cities,wads,nilroadr•etc.c =11a IL'nc:.1 o:I oz, 16 25 ej 01 gzr
<br /> iS:a'y' i% Fi1G .:Orn on 2523 'iA F-nd
<br /> (3) TYPE OF WORK (check): 23 4
<br /> New Wd! J Deepening ❑ Reconditioning ❑ Destroying ❑ t 4 S G
<br /> If destruction,describe material and procedure in Item 11. �. E;r
<br /> (4) PROPOSED USE (check): (S) EQUIPMENT: 66 t 2 tears
<br />' Domestic ©t Industrial ❑ Mvimicipal ❑ Rotary [t 722 Cl 5 "lay
<br /> Irrigation ❑ Test Well ❑ Other ❑ Cable ❑ :1 112 5 aa-d
<br /> Other ❑ 112 123 3 lay
<br />' (6) CASING INSTALLED: 120 12 ._d
<br /> STEEL: OTHER: If gravel packed
<br /> SINGLE J!]� DOUBLE ❑
<br />' Gage D12meter
<br /> From To or of From To
<br /> ft. ft. Diam. Will Bore ft. ft.
<br /> D 114 o e 1"J9
<br /> Size of shoe or veli ring: Sire of rr.vet:
<br /> Describe joint
<br /> (7) PERFORATIONS OR SCREEN:
<br /> Type of perforation or moor"of screen
<br /> Perf. Rows
<br /> From TO per per Sim
<br /> f t.
<br /> ft. row ft. W.z in.
<br /> r
<br /> (8) CONSTRUCTION:
<br /> Wn a surfsee.aaitary.al pro•ided? Yes ❑ No C� To whst depth USE NL
<br /> Were say.trate sealed asaiost pollution? Yrs❑ No Cl If ye.,note depth of It rata
<br /> From ... ft.to ft.
<br /> LLC` .
<br /> From ft,to ft, - ®ark stared �-u=• 4 is(56 - ,Compretrd rte 6 n9 65 .
<br /> Method of aeslin - - - WELL DRILLER'S STATEMENT: - -.--
<br /> 1
<br /> (9) WATER LEVELS. This well was drilled under my jurisdiction and this report is true to for,best
<br /> of my knaudedge and belief.Depth at shish waur esu Era found,if kaowa 9 ft. r
<br /> Staadios Inrl befom rfontia6, i( knows - - ft. NAME + A's �rl31�1E.Lr1�r-LC• ..
<br /> Sandia t{e (Person,firm,or.corporation)_ (Typed or pri+trd) .
<br /> Irrel rr rfora tiaS sad deeds is - -. � � - ft. .. -
<br /> (10) WELL. TESTS: _ Aaa� 7i23."�ridrea` Ave:
<br /> :. Q
<br /> •imp tacm dr?. Ya U s No ❑ F If m,`b•.^4Item?1ie}.1.r L1 T'X1 B}"'., - �u•�OG1Ct o1'1 '`,�i�i1. `•Ly .�,:,
<br /> �2O'. scsF,%ta7s'with" "fcd`rarda�eafeer' '�'` Tues: s .[$IGNED];s,. .t S' :'.I:•. ;f .
<br /> Crop.
<br /> m cntnrrof-Rater - 1'�`� `1 msde?y-.•Yesi-�z.Na - '`,ire e�Il An[tn +' - c+' •S
<br /> P Was'■elumea gnat - ❑ .- _ "� X .d ..r - ' d .�'
<br /> r � "'AU
<br /> W�sdeeLlo adeaf'.11? Yn
<br /> rsrm ❑ No❑ a I(7ra.attaehco z_ LICCIIfe NO 696135.-3`s - Tf3'r�_ - g---�� t 19 �� .•
<br /> _y, t' i 4 A �^ Y. f - ♦ , tl ti it lj- S k' '�'- .- .r+ --? �
<br /> � t .;{f. �> 'i' " t J�.� ( :cn t s ' �. ='y�'i f -,r ,� �`._ `-_ r �'k l aE`d•x St t� y.-'; 'QC {~s C 'h S
<br /> SKETCti LOCATION OF WELD ON REVERSE SIDE.-
<br /> tiJ• ]>r.y.e a s M."t1., - rex.. zi .s r•. c• ;,y�c t t 3 s I'i
<br /> tx•' ti' y A..- } �'Y"✓•)TM }� 4 + ..yS � '' ? ' a
<br /> I]Wli !98 {R[V •.dp ''� i#�4•' '4!ra: . '.. >a" �f3r' r �y�?�k
<br /> �s� yso t
<br /> -ti jY"'i77'+'.r ' .-.�.•w: `.#?Fi- i'r 4� ; 4 k.'t-e dr �x.,,,��'MC •-e ! ,- - e
<br /> k.r rte � � 'S��;}r� � ���� -�,✓�. rt��'w� t s .�.? ! oa'"����i§r:"ir�ospp
<br /> '4•���f`�C�� �'"'=:?s. �' "' ,>7.�'2-3��=3��-= 4` 7-�.r�'s^�tt.h�F.":��..;. ..:�: t�.Ys°=r`�'�M.l�,:dx'J�� ii�t�R'r'?L�7�`3i' �%•��"�.fi
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