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ORIGINAL *ATER WELL DRMLERS REPORT Do Not Fill Zu <br /> - <br /> File with DWR f seccfoaa 7ors,,7060,7061s loss,W.t.r cad.) -NV 43085 <br /> ®��-���e%0G15Z THE RESOURCES AGENCY OF CALIFORNIA <br /> S DEPARTMENT WATER RESOURCESNNW <br /> S""Weil G <br /> Arota:Fx Other�clls- <br /> $�ex <br /> (1) OWNER: ( ) WELL LOG: ` <br /> } <br /> Name Walter H. PankgM Total depth 285 it Depth of completed well 2A5 it <br /> Address F----= t Dssetit&by color,chdr"fer size of odierwf,Brad tMiorlow <br /> I ft <br /> (2) LOCATION OF WELL: <br /> JC---1' 5;AnOwen s number of any 4B------ <br /> Township Rana and Sectton 36 nrailroads ^r— <br /> 85 Dry b-�nwrl gand <br /> Distance from cies roads etc `f— <br /> Siltbrnwn clay <br /> ____ n dia <br /> (3) TYPE OF WORK (check): feet 11. Side HySB I I P-- 213 <br /> New Well M Deepeaiag ❑ Reconditioning ❑ Destroying jig— P <br /> If destruction,describe material and procedure in Item I1 132— -- <br /> (4) PROPOSED USE (check): (5) EQUIPMENT. 149----19a Meld br-n t,1 Fiy <br /> Domestic EX Industnal ❑ Mumclpal ❑ Rotary, ❑ <br /> Irrigation ❑ Test Well ❑ Other ❑ Cable -- <br /> Other ❑ --- <br /> (6) CASING INSTALLED: -- <br /> STEEL OTHER If gravel packed <br /> SINGLE]o DOUBLE ❑ NO <br /> Gage Diameter IRS----204 <br /> From To or of From To <br /> ft ft Dum Wall Bore ft f 204——--205pillk- Clay-01 <br /> e% 19 2015-- 18 Brittlo brown Clay <br /> lee at D-r=y 232----255 Brown brittle olay <br /> Sue of shoe or well nag = 5ae of gravel ---2.96 <br /> 258 <br /> Describe loot o <br /> (7) PERFORATIONS OR SCREEN: NOSE <br /> Type of perforation or name of■creew <br /> Perf Rows <br /> From To per per Stu <br /> ft fE row ft to x in <br /> AL <br /> (8) CONSTRUCTION- <br /> Was <br /> ONSTRUCTION•Was a surface sanitary seal provided) Yes No❑ To what depth it r p code <br /> Wcre any,strata sealed artasnsr pollucson? Yes ❑ No If yea note depth of strata <br /> From it to it <br /> From ft to f[ Work.carted 19 ,C.omPl--d 19 <br /> 70 <br /> Method of:calm WELL DRILLER'S STATEMENT <br /> (9) WATER LEVELS: by Claude C o U�00� ('i�. Thu well was drrlJed tinder my jurisdiction and tors report is tree to the best <br /> of my knowledge and belief <br /> Depth at which water was first found, if known 1nA (t <br /> 5candin level be£ .f known it <br /> NAME f <br /> (person,firm,or corporation) (Typed or prraied) <br /> Standing level afte d develop. f -- <br /> P C1, Rnx 2A <br /> 10) WELL TESTS: Address <br /> tan test made? Yea ❑ x.x If ya by whom? <br /> rta[ TO fnrde- <br /> Imin oath ft drawdown after bra StaNED] <br /> Tem ramie of water Was a chemical snslyus made? Yes ❑ No <br /> 7 Mier) <br /> X4:89 F ..I f1 t�hAr <br /> Via aleetne los made of well? Yes ❑ No I(yd a[nch coP7 License NO ..,,,.w. --I)at - � <br /> SKETCH LOCATION OF WELL ON REVERSE SIDE � <br /> I sasstaso to as sow rnI■O p o:a <br />