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aZNo�E3�A' . K51 = D <br /> 354- KP 4 =G <br /> STATE OF CALIFORNIA 35.E K5H Z = <br /> ORIGINAL THE RESOURCES AGENCY Da tat fill in <br /> File with DWR DEPARTMENT OF WATER RESOURCES d <br /> WATER WELL DRILLERS REPORT NO 3 3 6 911 A' <br /> • notice of Intent Na State Well No. <br /> Loral Permit No, or Date Other well No <br /> (1) OWNER Name KEARHEY-KPF (12) WELL LOG 'Total depth 305 ft Coinpleted depth N/A - Ft_ <br /> lddresss 1624 E. Alpine Avenue from ft. to ft Formation(Describe by color character size or material) <br /> City Stoc�Cton, Cal i farm a T ZIP 5 - See information attached <br /> (2) LOCATION OF WELL (See instructions) KSH--2 - Exploration borehole KSH-2, total 3 <br /> County Owners Well NumberKS-1. KD - depth 305 feet <br /> Well address if different from above b - Shallow monitor well KS-1, comR eted <br /> Townsliip2_fia]^tb Range 6 East Section 3 — to 72.7 feet <br /> Distance from cities,roads, railroads, fences,etc. — Deep monitor i KD-1 comp ete to I <br /> See fi ure attached - 220 feet <br /> (3) TYPE !s! 1]eeRK <br /> KD j — <br /> New Well 9!09 rain — <br /> Reconstruction ❑ <br /> Reconditioning ❑ <br /> Horizontal Well <br /> yt�,Ct ❑ <br /> Destruction tp UeHscn"h <br /> destruction materials and pro- <br /> cedures to Item 12 <br /> (4) PROPOSED US _ r ^• J r <br /> Domestic _ <\ <br /> Irrigation <br />•� industrial ❑ <br /> Test Well ❑ !�l •� <br /> v <br /> Munici ❑ \\�.\. . . t n�y <br /> O erf'llfJcr <br /> WELL LOCATION SKETCH ibe dR4 _ 17 77 <br /> (5) EQUIPMENT A GRAV411tACK <br /> Rotary 91 Reverse ❑ NoNFI Size' `\ > /��` C7 .Note: Exploration borehole KSH-2 <br /> Cable ❑ Air ❑ \met ofbore )\ \ ' "` drillea and electric logged <br /> Other ElBuc- � c�tted rom attlq{ ed t \ ` ��•' .'" 3/28-31/89- <br /> XI-1 �'� ' ` f� - Borehole abandoned by pressure-grouiin <br /> (7) CASINGINSTALLED t 1 i f$) P,ERF9"TI M ^ — with neat cement_ Shallow monitor <br /> Steel ❑ Ptasttc ❑ TypFof o�ip�wn oiaau of U <br /> - well KS-1 drilled and completed <br /> From ,"-YDia. NWall <br /> t - 4122/89. <br /> ft. fk 6) \4t-> mfr. \ size -- Deep monitor well KD-1 drilled and <br /> tta ' t` - completed 5/6--7/89. <br /> v <br /> (9) WELL SEAL - <br /> was smfacemnaary seal provided Yes Cc No ❑ If ym todepth attached ft _ <br /> µere strata sealed against pollutionP Yes t_ry No ❑ Lnteeval attached ft _ <br /> Methodofsealing 1ng/trefyie WorkstartedseLs above 14— Lompleted 19 <br /> (10) WATER LEVEL WELL DRILLERS STATEMENT <br /> Depth of first water if known nknown ft Thu <br /> 55 feet it. beat of my knowledge a and beliiFtimis drilled under J J irss[Hctiort and this report is true to the <br /> Standing level after well completion 6f <br /> (11) WELL TESTS <br /> Was well test iitade� Yes �y� NIA Signed �) <br /> ❑ No axil if yes,by whom <br /> .}T,,>eof test Pump�A� Baler ❑ Airjft� NMJE SCIS + ASSOC IA(TES INC. <br /> )epih to water at start of test 1A it At end of test�ft (DOT firm,°��°rata�p)(TV cr�p�ipted) <br /> Discharge ILIA galfminafter .N/A- hours Wt trmpe=atone ilddres5 2222 S. "�"'Sf71R Jl� 's= �FiJ 1 <br /> Chcoivalanal sumadcP Yes } Mesa, ATIZOTtd 852Q2 <br /> Y X1 No ❑ If yes,by whom ar s ssv jit,t, - -- -Mesa,-- ZIP <br /> Was electric log inade Yes 19 No ❑ If yes,attach copy to this report License No ,.N/A Date 4f this reportG - <br /> CWR Ito }REV I2-BC) IF ADDITIONAL SPACE is NEEDED USI;a NEXT CONSE?CUTWELY NUMBERED FORM t16 q�3 <br />