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' ORIGINAL <br /> File Oripinal,Duplicate and Triplicate with the <br /> DIVISION OF WATER REiOlIRC® SHFIET 2 <br /> P-0 BOX 1079 r <br /> SACRAMENTO 3 CALIFORNIA <br /> WATER WL DRILLERS REPORT Do Not Fill �n <br /> _ V State Well No l'f' �F` _t' <br /> ( ee o7s,7077,7078,Water Code) Other Well No <br /> � Region--------- '� — - <br /> �f�; <br /> (7) Perfqfjjji955wcr+df�I1f+ <br /> Type of ertl*AtW uW&Lfi"_fj2, - <br /> --- --- - - --------- ----- -- -- - - ----------- - <br /> Perfora ec''1`�nq_'__ <br /> ---- ---�t roti--------------- ---------ft Hole size---------- --------- ----Na of holes--------- --- - ------------ - <br /> " ------ _ --- ------ <br /> --- --- <br /> - -- ------ -- -- <br /> „ <br /> -- --------- <br /> -- ------- - - - --------- <br /> „ , <br /> ---- --------------------- <br /> ' ---- ---------~ 11 ., ------------- ----------- „ „ --------- — --- -------- <br /> ----- -------------- ---------------- <br /> - ' <br /> -- ------------------- --- ---------------- <br /> „ 11 -- <br /> „ „ „ „ „ *I $I— - - - — <br /> - ----- - -- ---- <br /> „ „ <br /> (8) Water levels (9) Well pumping test- <br /> Depth <br /> est-Depth at which water 55 Date of test _______ _ _By whom <br /> first encountered _____ _ _ __ _ft Depth to water when test started ___ ___ __ _______ ____ ft <br /> Depth to water G P M at beginning of test__ _____ ________ ____ _ ____ ___-- <br /> before perforating ___ ft Drawdown from standing level______ _ __ _ _ ____ __________ __________ft <br /> Depth to water G P M at completion of test______ _______________ ________ ________ ____ ______ <br /> after perforating- ____ ____________-ft Drawdown at completion of test______ ___—_ _____________________ ft <br /> Note any change in water level while drilling Length of time tested _____ _ <br /> - ---- ------ Temperature of water_ - <br /> Was gas present in water? ❑ Yes ❑ No <br /> (10) General <br /> Was well gravel packed? ___________ _ ______ _____ Size of rock__-------____ __ __ -------Thickness of pack <br /> Was a surface sanitary seal provided7___ __ _______ ____ <br /> Were any strata sealed against pollution) ❑ Yes ❑ No If yes, attach detailed description <br /> Strata sealed --------------------- ------------------------------ <br /> ------------- --------- -- --- --- - -------- --- ---- ---- ---- -- ------ -- - <br /> Was analysis made of water? ❑ Yes ❑ No If yes, attach copy <br /> Was electric log made of well? ❑ Yes ❑ No If yes, attach copy T• r <br /> V-- --- ----- t-t--- -1 S Y S <br /> If well abandoned, was it plugged and sealed_- ------ -- ---------- _-_---------___ __--__-- _-- -- _-_—--------- -_____--___-.---- __ Y------- <br /> Method of plugging and sealing - - - -- - ----------------- ---------- ---- —---- ----- <br /> (11) <br /> ---- <br /> (11) Location• North Section No (12) Time of work <br /> _ /�✓ Work started date 7— —� ompleted date 7— -- —50 <br /> Township---;'_-�__1 Lw. --_ Date of this report _ff=2 �5-- --- -------------- --- <br />' Range 'f <br /> Base&Meridian WELL DRILLER'S STATEMENT <br /> I <br /> Show location of well in Sec- This well was drilled under my furssdi,e%on and this <br /> tion,thus (X) report is true to the best of my knowledge and belief <br /> Distances to section lines from .StoCkt -� Armature & Motor Works <br /> well, N o j_(/--ft [SIGNED]__ ----- ---__ _ _ <br /> ---------------------------- - - ------------- <br /> and r W_____ _U_____ft <br /> Show location of nearest By <br /> known well, thus (0) <br /> 1 MILE <br /> Distance to nearest known License No-67g5g __Classiftca onE 57 - <br /> t <br /> well---_ -- _ _ ft ,= Dated _ _ A W./ 19 J-0 <br /> dr <br />