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ORIGINAL WATER WELL DRILLERS REPORT Do Not F=Fl In <br /> Fife with DYWR (motions 7079,7080,7091,7082,VaUC Gnde) N O — 43054 <br /> `Z <br /> LAG THE RESOURCES AGENCY OF CALIFORNIA w— r <br /> Sege DEPARTMENT OF WATER RESOURCES ^ <br /> .l�rf� . State Well Na"t�q',Q/__�-`� - .... (_ " <br /> �!`1�lter Dode Other Well No <br /> (1) OWNER: (11) WELL LOG: <br /> Namer <br /> Total depth ")L'-(' ft Depth of completed well 'Ll.i (r <br /> as <br /> Address = V Cff�'-- ca Drs e r 3 Formsuon Describe by color ebararter,rise o/material,sad 1#arlsre <br /> J.J V-�'t--ri f t_ C 4' <br /> (2) LOCATION OF WELL: ^--- --1 3 rr' <br /> Coant7 3�=_- J ^u .L- Owns number if as <br /> Township Ranse endSe[tsaa rr� <br /> Y ^'yer.,7n �-� ^r' r'f - 'i- <br /> D.,....from Hare mads rulroads etc A ''TM'' �r "' �' ^I^ L+.—,�,^——— i�O (�a a" �' <br /> -,— tract - , reL +'--ra 7 <br /> (3) TYPE OF WORK (check): (, , fp-,:t jai- a=c2 P - t ! 217 , <br /> New Well [i Deepening ❑ Reconditioning ❑ Destroying ❑ P -- —n G <br /> If destruction,desersbe+natertal and procedure to Item 11 --—--— "^ 112 <br /> (4) PROPOSED USE (check). (S) EQUIPMENT. 11 -' 28- <br /> Domestic [:I Industrial ❑ Municipal ❑ Rotary ❑ <br /> Irngatlon ❑ Test Well ❑ Other ❑ Cable Z ____I 'y`� 7;L <br /> Other ❑ <br /> (6) CASING INSTALLED: I <br /> STEEL OTHER If gravel packed 1r• <br /> SINGLE DOUBLE ❑ „ 12 — 7 r '0 3i of <br /> ^ " - —^ 'r <br /> Gage Diameter .,,, T <br /> From To or of From To — - G 3 r'' 'a- r r+! a <br /> ft <br /> it Dram Wall Bore ft. it 1 G _—_— r d 1, 'r" ' n h tr•" <br /> Size of shoe or well ring C,Tn":. Slze of gravel C fiT + <br /> Describe Point 1 1 '! r+"Yi 7 7 I t t - ' a r7 '"`=7 7 L1..: <br /> (7) PERFORATIONS OR SCREEN: v <br /> Type of perforation or name of screen (' -1 <br /> Perf Rows <br /> From To per per Size <br /> ft <br /> it row it in z in <br /> t <br /> (8) CONSTRUCTION: T� _ <br /> u i V <br /> Was a surface saamrT seal Provided? Yes-0 No ❑ To what depth ft ue see- <br /> Were any strata staled against pollunond Yes❑ No❑ If yes,note depth of strata <br /> From it to ft <br /> From ft to ft <br /> Work start ��, tar 19 F,';a Campl <br /> Method of sealing "t a a - r ie l r c J 'c k rZ WELL DRILLER'S STATEMENT <br /> 9 WATER LEVELS: Thu well was drilled under my luriskrims; and tbes report is true t,0 rest <br /> ( ) of my knowledge and belief ��rf <br /> Depth at which water was first Fouad, if known Lj - r - Z =ft -' l <br /> Standing lend before Perforatingif known "- - �+ - ^' t a a— NAME - `�'� Y A �- �--�— �- <br /> Standing Level after foratta and developingft (Patios,ficin,or corporation) (Typed or printed) <br /> 0) WELL TESTS: Address "� 1C - <br /> I�umptest made} Yes - 4_ — •t ^� - —r"; <br /> 1 ❑ No If yes 67 whom} <br /> gel Irma with (t drawdown after hes <br /> Temperature of watts Was s chems[el Raalrau made? Yes ❑ No ET 10� ( nklerl <br /> Was elretnc to meds of r <br /> n <br /> g wellT Yes ❑ No l(yea attach eoD7 LAC Na...c��O�r T]3t —�� , 19�.a <br /> SKETCH LOCATION OF WELL ON REVERSE SIDE <br /> DeDDI_DDp$0 as DOM 7RIr 0A oil <br />