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3 <br />' -- - ---- — '- `.• - ��„u.., s?�..; ,�I .� - ----STATE OF CALIFORNIA - _-- --- --- Do Not F:11 In - <br /> ORIGINAL THE RESOURCES AGENCY NO 111888 <br /> Fila Witt,DWR DEPARTMENT OF WATER RESOURCES <br /> WATER WELL DRILLERS REPORT state Well No <br /> 7 5- 08 W <br /> I w F-oth i� 16 a , 7 Q o <br /> (1) OWNER- (11) WELL LOG. <br /> Name _De-.jL-Auch Total depth 125 it Depth of completed will 10 ft <br /> Address Formation Dnrrrbe by color rberarfer asze o/material and afrnrturr <br /> — f' '. Top Snil f[ <br /> (2) LOCATION OF WELL' <br /> CountyjoqQii-in Owner a number of any <br /> Township Range and Section — <br /> Distance from cines roads railroads etc <br /> 98 <br /> r + <br /> (3) TYPE OF WORK (check): <br /> New Well 1] Deepening F] Reconditioning ❑ Destroying 0 <br /> It destructao»,describe matereal and procedure rn item 11 <br /> (4) PROPOSED USE (check) (S) EQUIPMENT <br /> Domestic ® Industrial ❑ Municipal ❑ Rotary <br /> frrigatton ❑ Test Well ❑ Other ❑ Cable <br /> Other ❑ <br /> 1 (b) CASING INSTALLED <br /> 6TEELx OTHER If gravel packed <br /> SINGLE 2] DOUBLE <br />' Gage Diameter <br /> Froin 10 <br /> or ooff From To <br /> ft It Dtam Wall Bore ft ft <br /> 0 0 6-5/8 12 11 70 1 0 <br /> Ssat of shoe ur well ring Size of travel <br /> Deacnbe santWelded - <br /> (7) PERFORATIONS OR SCREEN <br /> Type of pertorauon or name of rcreen <br /> Perf Rows <br /> From To per per Size <br /> l[ it row ft an x to <br /> ft <br /> 1 <br />' (8) CONSTRUCTION <br /> Wa+a surface samtary seal provided? Yes No 0 To what depth 501, <br /> Wert any setata sealed against poiluttana Yes❑ No❑ If yes note depth of strata <br /> From ft to f2 <br /> Bram ft to It Work started -22 19 Completed l4 <br /> Method of sealing j3pntnnite WELL DRILLERS STATEMENT <br /> (9) WATER LEVELS- Tbu well was drilled render any )urrsdreiron and thtt report is trite to the best <br /> I of my knowledge and belief <br /> Depth at which wamc was bra found if known ft <br /> �tandang level before perforaung of knaswn ft NAME Heanings Bros. Drilling <br /> (Perron firm or corpotataon) (Typed or prrsrtrd) <br /> btanda ng level after perforating and developing ft <br />' (1 U) WELL TESTS Address ?,:M W, Rimble <br /> W_ra pump test made3 Yer [] No [f ya by whom? <br /> I gal/man with ft drawdown after <br /> (Wer! ! <br /> tempt ratvre of water Was a ehemual aulysu made? Yes ElNo r') <br /> Was elertnc log made of well? Yes ❑ Na If yea attach capyLacense No Qn '1 —1�ated —1 0-22 19-7-5�.__.....�� � <br /> SKETCH LOCATION OF WELL ON REVERSE SIDE <br />' OWR 188 1 REV 9 eta, 67139 750 e_72 70Mt TRIP vl asp <br />