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WATER WELL DRYLLERS ,REPORT 7 Do Not Pill Ix <br /> to (S.ctlon.7079,7094,yogi,708z;wase lede)- ' NO 4 2 2 6 <br /> k1TAL TO4 THE RESOURCES AGENCY OF CALIFORNIA state Well No CSC—r 16 Q <br /> Sp. 7080 DEPARTMENT OF WATER RESOURCES other welt No <br /> - (1 1) WELL LOG: Contznned from 44225 <br /> Total depth it Depth of completed well fc <br />.�..`..Ad Formation Describe by color rho--ter dor at material and ff~t+re <br /> = it to fc <br /> (2) LOCATION OF WELL <br /> County Orner s number if any <br />' Ta_.J,lp Ranxt and Sectmo 6195= <br /> Ducaaer from cstser roads railroad: ere _ <br /> 700�7 08 'RI-11 P- -Ieq1Xiqtnnp <br /> (3) TYPE OF WORK (check) <br />' New Well ❑ Deepening ❑ Reconditioning ❑ Destroying ❑ <br /> ff destruction,describe material and procedure in Item 11 <br /> 7A0 Trniglj hliie Clay-- <br /> (4) PROPOSED USE (check). (S) EQUIPMENT <br /> Domestic ❑ Industrial ❑ Municipal ❑ Rotary p <br /> Irrigation ❑ Test Well ❑ Other ❑ Cable ❑ <br /> Other ❑ <br />' (6) CASING INSTALLED- <br /> STEEL OTHER If gravel packed <br /> SINGLE ❑ DOUBLE ❑ <br />' Gage Diameter <br /> From To or of From To <br /> ft it Dlam Wall Bore ft. ft <br /> n 1A M in <br /> Size f shoe or+cell nos S,xc of xr.vel <br /> Dettnbe lomc <br /> (7) PERFORATIONS OR SCREEN <br /> Type of perfora[ion or name of screen M117 -q <br /> From Perf Rows <br />' From To per per Size <br /> to ft it row ft in x in <br /> 11 (t <br /> 2,1 1 [—`7 <br /> 219 5 <br /> i <br /> oa <br />' (8) CONSTRUCTION yCO <br /> Wss a rurface taairarr sal pronded? Yea ❑ No,Q To-hat depth ft Fa C <br /> We-any r[ra[a i*aled aga,nac poll.uo.? Yet No❑ If yet note depth of sr-t. <br />' From L9 ft to 125 fs <br /> From fc w it Work atarced3-20 19 Complema 19 <br /> 69 <br /> Ntthod of, hn WELL DRILLERS STATEMENT <br />' (9) WATER LEVELS. T6ts well was drilled under my jurisdiction and this report is true to the brit of my knowledge and belief <br /> Dep[b at rhteh rarer — fint found ,f 1--ta fc <br /> Scandios ]e►el before Ptrf—tlalr if kaera fr NAME J <br /> 5nadm Ierel afeer ptrfonepe and de.elopmx ft (Penes firm or earporarma) {Ty ed or)rrfeud)' <br /> (10) WELL TESTS Address <br /> W •pica tett made? Yea Vo 'J' If yet by.rhana? f <br /> 2 x+f lmtn raehQ fe drardorn afar bra [SIG'+fED] '4/L <br /> p—LUle of r+eer 'W"a c —CA aualTns aa Yee M No ❑ (Weil DMI-) / LL <br />' 1W...1-mc I m■dr at Well? yea 0 Ne 11 7- .tuch license No.-- 19 1653- nated <br /> SKETCH LOCATION OF WELL ON REVERSE SIDE <br />' DWR 188 i REV 9 GS) 50391 •yo so 405 mom Tlclp Q 0 cap <br />