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y <br /> ORM3INAL, WA'T'ER WELL DRILLERS REPORT t CLA71101)bXIAT jr,1VOIKE0 ' <br /> File Oftglael,Duplicate and Triplicate with Ike (Seetroaa 7076,7077,7o74.Witter,Code) �� 10992 <br /> REGIONAL WA'T'ER )QLLrj ON <br /> STATE OF CALIFORNIASeatcWel[Na4_ _ _ <br /> CONTROL HOARD No r � p <br /> (later!aPkaprlale na�rb,r) Otbee��I H !!U <br /> r ) OR: (11) WELL LOG: ' <br /> Name f <br /> Total depth t Depth of completed wall it <br /> Addreg / �r Formatioot Deser)br by rotor,ch"Ort,r,Afar of teat 61,"d ttsawrare a <br /> • L�.ts.A .,� , rr <br /> K <br /> (2 FION OF WELLS <br /> f <br /> i t r•J I te,hom6er,if any-- e <br /> #4s�r/ �r / <br /> moi/ t1✓1 �/ f t <br /> (3) TYPi OF WORK (check)s 7 ��, �• it,�' s e.- <br /> 04-01' <br /> ,' —06,, � /fr�� <br /> Newweli Deepem aj; ❑ Recaadauotuog 0 Abandon ❑ ✓ <br /> If abandonmefit,descrrbe material and procedure mfirm 11 _ <br /> - <br /> (4) PROPOSED USE (ebeck)• (5) EQUIPMENT: / /r ►fr <br /> Domestia b/Industnal ❑ Municipal [] Rotary 9 ► r/ � � <br /> Irrigauon ❑ Test Well ❑ Other D Cable <br /> Dug Well <br /> (6) CASP;G INS'T'ALLED: If gravel packed <br /> !MNIGLi3 VDougLF-L7 Ga J <br /> pHDiameter from io ,y '� <br /> IlrOm/11t fob it Dtam kali oEHare � <br /> � r <br /> It <br /> a� a <br /> Ile it J <br /> Type and neo Vi&lm or wag ring Sias of gravart �I ' <br /> Dnedht jurat � �r ,�r <br /> (7) PERFORATI NS: <br /> Type of pertaearor wed <br /> Size of parrfQM622 6?J iu 1.0h 6 to. <br /> ]~r(7ai1ft m ft Pali par ror+ _ Row.pee ft <br /> (8) CONSTRUC'T'ION: <br /> Was f surface sanitary stel provided? 4R"Vaa 0 No To what dapth ft <br /> were any strata salad 9gaime pollution? (9"Ifn 0 No It yea,$lora depth of setata , <br /> From 41 is to ft « <br /> Method of Seahn � n7 g 00 9• ;14- completed <br /> g ��+� /i -� morkrtaetad„6 s � <br /> JT <br /> (9) 'PATER LEVEX.S: WT3LL LER'S S'TATEMEN'T <br /> This well was d rillad under my furl. ieelon tam{this reporf res true to the bra/of <br /> er <br /> Depth at which watau first found ft my knatui ge and belle <br /> St.udtpg ler.?Infos•perfor.:iag f N G 1 i� >'�M>,�, �s �3 1 t 44 4A <br /> .ding lewd after perforating it (�exson, or corporavan) 1r,70d or prtatrad) <br /> Address � � ' <br /> (10) WELL TESTS: , 5 l d • f, <br /> was a pump tett made? ©Yee 0 If yes,by wham? '*"" ""�^�""� �' rO spr <br /> Yield SA/010 with +'ty""`•"~ ft draw down after <br /> pasture of water .�. w Well Dr)? <br /> s <br /> Tem ,.,,, ,�.u..a.-chemtal analyna mads] 0 Yet (�Nu lacen.t ND�eAre_''P�j� T}ated_ FIN <br /> Was electric log made of w6lr? E]Yer t3sro 0456119 3 as tapr QuIH(^ aro DWR FIN No 246(RGV 3 boy <br />