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QUADRUPLICATE
<br /> Use to comply sigh SYATE OF CAU PC NKIA DO not fill in
<br /> locul requircvrent5 THE RESOURCES AGENCY No ^
<br /> A Irl C q
<br /> DEPARTMENT OF WATER RESOURCES ',V" .l
<br /> NVAIER WELL DRILLERS REPORT o,al N••.__ —
<br /> Lxxlu:r..._ ... Zw41�i11
<br /> 11
<br /> IOWNER: ,.1.l,—$illShtCket (1_) WELL LOG-
<br /> T,.Laa«nn._;�.7$n.lr«r,ln.a..,,rnl«In1 110Q,78—u. i
<br /> - 2 inn sni 1 -'
<br /> :2.),,LOCATION OF WELL (Slr iustmetimis,: 4 rl�rPAQ,�YAw 1
<br /> 4
<br /> S�gJO.aauin mn,«r.a',.n.;nxn•.___-- �4 saved
<br /> «n«aa,,,.a nuan,•rn rn•rn„n.x,. -- ------__ 14 - 16 -sof It
<br /> ........ S -----n:,nvr1 In _ ,,,ir•n—_21_ _ 36 - 20 _mellow clay
<br /> oomm. In, riti,,,nnxL, r:rnnrxa.,n•na,.,.rr. yi1C_Y[eSy_-- ° - �0 9,aliyvTl -y
<br /> f• tt nP sod inthrnn i1nlr• r 40 -
<br /> 1 n_ -.th (. 7 T n th rnn i,3 n i •m.r 60 - 6 __sandy ciao_
<br /> 66 -- 80 and
<br /> (3) TYPE OF WORE: 80 - 96 sUft Clay _
<br /> X D«,:laux. ❑ 96 - 102_ sand
<br /> ❑ 102_-116 brc-:;n clay —
<br /> ,ar•.nJn�:�x�"` ❑ iA.6-=128 rnnrse_-Y.n uC— I
<br /> __ - - -- _= u•r.i.:rma •.e«0 ❑ 126 736 ssxad_g-r�
<br /> ' Ih.wre•m p ,:,«.rri1 - 13R clay
<br /> (4) PRO)'OSED DSL: 174 - 17A _gxey rte.
<br /> I
<br /> 0 176 17A _gxAW__%h41e
<br /> IV 17R - 11110 - -- 1
<br /> .;nxx
<br /> cl 206 - 2abu.tt +v clAy
<br /> \L.niciP:A ❑
<br /> I
<br /> I WELL LOCATION SKETCH <nha•r ❑
<br /> P:Vu1Pn1E%T, lot GRAVEL PACK: C1LlyL--
<br /> R«.ena ❑ Ya+C, \ I si.«—_——_ 260 - Z � clay
<br /> 9q
<br /> Crntr `
<br /> At, ❑ Dixnw•ta.,l L:nd.__.--.---- 412 - 2 15
<br /> unr•, U mr«Y«I ❑ •.real en:rn------- _-JL 278
<br /> I9r CASING INSTALLED: 19) PERFORATIONS:
<br /> ❑:_rl� P!nLL:❑ CnnrrHe C T1, It Perfr�utinn:n w "1.ne«n
<br /> �— rr0 Ier w St•z1 ..rxa i <t�11PA
<br /> I°rnnl l 7o Die. CNcc or From l'n Slot -- � -
<br /> ft. I It. io. \\`•ti: ft. R. we -ou ti is well A;uL_L_d1.uo!—
<br /> 0 52 0 _ orr remowirreible
<br /> - - vinj•,_ni tL.,._SCiLL_or
<br /> i _casing,
<br /> (0) WELL SEAL:
<br /> ' lea. .udn...aNlnrc .,.1 Om„d J• Y«•�l N•� -.. tl u.. e.Janlh__.__II. - -_ I
<br /> \t •tr.c, 11 r wIYI r. 1« ( �.. � II I _—_ II. 1
<br /> 4 N 1 •.1 1 �— -_ - _ - J t\..1 I rt W_d i� iv�2 •_'Jaa� lrs_Iv
<br /> 1101 NATER LEVELS: I \CI I I DRILLF.IVS STATEMENT xu
<br /> O M •.r nn, n,r,- J illI --. - - 0 I,L. t 1 ,r, nn.
<br /> ,,,.II ,.,r,,,l.l, x_ I Irl,, n xm ,. rrn, n, rh, M:•r nl , ,
<br /> 111) 1WEL1, TEST,: J -- — _
<br /> I1..: Au 6, I \..._,1: .b 4T'ii�-�y��♦�•� —��
<br /> ,.. . . - L YRFAr.M,nG•R 4�4':I VI4�YlZlllrllr" ••►Wc. u
<br /> n:..ax,r. _. ..,r , .,: .,1.. ._. __ ,,,,:., •.,..r r..:::......:.._ _ -.i1454-Is.-4.tlne-rIYt-Y+' �
<br /> • ,1:.,,,:,.,1 .,n.,n.,. •,.«b.. l.. ., l 11 ,.... h, „h..n.• __ - _ - it-----111 x 11:. ,.
<br /> ""?536I '
<br /> )_l,a,.x., � _11�1'-- -_—_,n„ 7-
<br /> „wn IF ADDITIONAL"PACE IS NEEDED. USE NEXT CONSECUTIVELY NUMBERED FORM - -.e,.u.•n '-•
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