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8 <br /> ORIGINAL STATE OF CALIFORNIA Do not fill In <br /> THE RESOURCES AGENCY <br /> Flue with DWR DEPARTMENT OF WATER RESOURCES No. 085499 <br /> of Intent No WATER WELL DRILLERS REPORT <br /> riDate <br /> Stitt «ell .�Otl�l o4i`-!o !o <br /> a Penit No or Dat CONTINUED Other Well No—LhJo6E10 <br /> ( I) OWNER ,eine and Products (12) WELL LOG Tot,l depth ft Depth of completed well ft <br /> Addre.r from ft to ft Formation (Des"ihe by tz)Iris ch iricter size or matenal) <br />(City zip — <br /> (2) LOCATION OF WELL (See Instruchorta) e clay <br /> County Owners W ell `umbo. Alff 424 cnagqLe blue Sand <br />' yell address if d,flerent from above 437 San \blue clay <br /> Township Range Sectio 437 443 bl-c : rQ� ll e sand <br /> Distance form cities mads milmadi fences etc 443' 446 \,�PLarse blue sand <br />' 44G 455 blue clay <br /> 455- '466 1 fz,�a blue_ sari <br /> 461488\ brittle blue clay <br /> (3) TYPE OF WORK 46 476 �,� med blue sari <br /> New Well Q Deepening ❑ 495 s dy blue clay <br /> Reconstruction ❑ 495 498 IRE sand an C ay <br /> Recondxt,oning 0498 525 Ia �� Lae C ay <br /> Horizontal Well ❑ — 52!j __��Ppped driiiing <br /> Destruction ❑ (Describe — �• �' `�1 <br /> destruction materials -10 <br /> Procedures is Item <br /> (4) PROPOSED <br /> Domestic <br /> Irrigation>,' 1 V �� ❑ �� `� `�� <br /> Industrial \�� } ❑ — <br /> Stud\ <br /> Municip33 —/,�-,\ `f <br /> WELL LOCATION SKETCH �, ti Other i ❑ —�L <br /> 5) EQvipmENT (B) GRAV�L',PACK <br /> Rutar, 0 Reverse Q les,© No ❑ Size S`�,�• *, <br /> ,ble 1:1 Aireter of <br /> ClEvac bore <br /> ther Q Bucket om <br /> f71 CASING INSTALLED `^� (R)\PERFORAi $ <br /> reel ❑ Plastic ❑ Cn ire e Type of perlii�a or'4'z e iif acre n, — <br /> From To Dta Gage.or F,Q .i To / lot\ — <br /> ft ft m WaII ft ft sizes' - <br /> (9) WELL SEAL - <br />[A. <br /> surf tie sanitary seal provided' I es d \o E:1If ves to depthftere strata sealed against pollution) Yes ❑ No Q Interval ft <br /> Meth.xl of seahn, Work start 19 Completed-19— <br /> IO} «ATEA LEVELS WELL DRILLERS ST�TEIENT <br /> epth of first crater tf kaou ft This cell u." dulled under mq rurrsdiction and thm rerinrr is true to the best of my <br /> tandiag level after well completion_— _ ft ka %ledge and helief <br /> (11) WELL TESTS SIG\ED SCHRACK-METO ENMEMSES.W. <br /> Was well tr r rn de, Yes 1 %da ❑ (R vee by whonst F9_1 SIN smkbw 3" <br /> vpe of test Pump E_ sailer 0 Air lift ❑ %_kME <br /> g% SSW <br />�epth to µater at start of test ft At end of test, R (Person firmer n jm* f r printed) <br /> QaI/mm alter hours N4ater_temeergtt�re Address— <br /> analysis made, Yrs ,❑ \J ❑ If Yes by wh—n7 t City Zip <br /> a ri me Tutt mrda7 Yes 0 No U If yes ranch copy to Ibis'epos!_ Lwanse No <br /> ate uE Ibis report <br /> DWR 186 1REv 1 76) IF ADDITIONAL SPACE IS NEEDED USE NEXT CONSECUTIVELY NUMBERED FORM ' <br />