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7 <br /> OltIGINAL WATER WELL DRILLERS REPORT Do Not Fill In <br /> Filo with DWR � ($.cite.&707.4,7080,7o81,7062,'W.t.r Cod.) No 44225 2 2 5 <br /> ` <br /> 4. A'© 9THE RESOURCES SOURCES AGENCY OF CALIFORNIA 4 <br /> �F� 4a state Well No-1 hG F_t - C? <br /> Q= <br /> $000 DEPARTMENT OF WATER RESOURCES <br /> Gc V CV6a Other Well No <br /> :jgld <br />' (I) OWNER (t I} WELL LOG ¢ <br /> Name �'� m ibreboard Cooration Tmd dep,l ft Depth of comp].tcd w It SO it <br /> Address P. 0. Box 780 Farmxnon Dererrbe byufor cb.rarlrr s,_c of -Tine.! sed rlr.cl.re <br /> �:Locktnn, Cali-f- r201 0- r6 it to AdobE soil ft <br /> (z) LOCATION OF WELL• 6- 32 Brnwn P1 aTT <br /> Gouncy San joa u• Owner s number if any —1 <br /> 119 Rl-ne al ay <br />' Town.h,p Range anec <br /> d Sewn G — <br /> D'etaaee from uvea roads railroads ace <br />' (3) TYPE OF WORK (check). <br /> New Wei IXZ Deepening Q Reconditioning © Destroying <br /> f f destruction,describe material and procedure an Item I 1 <br /> (4) PROPOSED USE (check)• (S) EQUIPMENT _° <br /> Domestic F1 <br /> Industrial U Municipal CI Rotary El <br /> Irrigation ❑ Test Well ❑ Other ❑ Cable <br /> Other ❑ <br /> (6) CASING INSTALLED: 28 _� <br /> STEEL OTHER <br /> If gravel packed 29 <br /> SINGLE © DOUBLE <br />' Gage Diameter - <br /> 314 Sand <br /> From To or of From To <br /> ft ft Diann wall Bore ft: it 316316 <br /> (Tray <br /> Size of shoeor well rsnq Ssxe of Rrayd <br /> z <br /> Describe imnc <br /> (7) PERFORATIONS OR SCREEN 365= <br /> P111= <br /> Type of 9erfo mon or rtamr of tureen 374-3P2- <br /> t fi <br /> Perf Rows 182-38)From To per per Size — <br /> ft fc row ft to xtrt ry_I <br /> 0-2_-_,1j20 Y t <br />' tPI-,jp r <br /> _} T R <br /> I L7 9-5 <br /> a <br /> (8) CONSTRUCTION 6Qh `� <br /> was a surf.ce sanitary sal p­.did Yes ❑ No Cl To what dep,h ft — <br /> Were.ny>tt.n snkd.Rams,pol]u[,ons Yes ❑ No.0 [f ran note depth of strata 1 <br />' From it to it 't <br /> Fro <br /> it to f, work started t9 cotapleted l9 <br /> �fr,hod at sea[,nq WELL DRILLERS ST),TE\QENT <br />' Tbls well Iva$ drilled under my Iuresdletron and tors report IS true to the best <br /> (9) WA'T'ER LEVELS- of my kno-tviedge and belief Tatar <br /> i_OG <br /> Depch ac wh,uh wxtu was fits[ Eound ,f knew- fr Batar Cod8 <br /> , 7C)Fjjj <br /> Stan4-ir level before perfa-tsaR Jknown f, NAME d�C <br /> (Aersae firm or corporsvonJ (I'yprd or yrsntrd) <br />' Standmn level sftsr perforactnq and de+ela tux Ft <br /> (10) WELL TESTS- Address <br /> omp tact tnadeT Yn ❑ No ❑ IF 7p by wlwml <br /> 1t sa];mon with fr drawdown afar hra. [SIGNED] <br /> (Weij D+NIn) <br /> Tcmperacvre of waver Nu.e6.wa,ol smiyw m�? 7a ❑ Ho ❑ — - <br /> mar eleecrm to made of wdli Yes ❑ s�To Q I[yes &inch copy License No aced f t4 <br /> SKETCH LOCATION OF WELL ON REVERSE SIDE - <br />' $east e.o to of eou TIUT 0 A car <br /> DWR 183 ts[aV 0 ant <br />