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<br /> DUPUCATE STATE OF CALIFOR-.'A
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<br /> I Driller's Copy THE RESOURCES AGENCY
<br /> DEPARTMENT OF WATER RESOURCES N-/. 3701 n
<br /> .'< . , i••�: _-- — W ITER WELL DRILLERS REPORT ht.,tr R'en.'•..
<br /> L-i i - -1 Net.nr DatrtWo_ /y -f� Other Well N,. -�-
<br /> -RUftfS--ifa t917—.— -- «'ELL LOG: Tolaldrpth_364__ft JJrpth•d,•nrprted -el=-ft.
<br /> 1 .A..- _---- (r r• (t. F,lmati•n (De.,riLr h, ,•1•,r. that.,-er. .r o.L• i
<br /> �•... - -lMOd12r5� —�+l Ca�t�TT t'1k--�'r 9 5 3 2(}- -�- 20 4y_t
<br /> 1 ' LO(ATION OF WELL ,\r,•:r,:ntrti„nc t: h--�8--_--26----+aroPan A some
<br /> A•
<br /> t —�-o.nerS Well Number- &J �7�itrly- !al l' gravel
<br /> t' ..:x:_rn•1i'idrrent fnnn nboa•e.__—__ ,— eZ7 as r I no gravel
<br /> 'nff
<br /> 40 Eine sand- smal_hravel
<br /> 1:.,u•.-(r^tltiee,mad,,r:nlroads.frns•:s.r.: - O- Clay-sand L n..�.,e -
<br /> ! Clay-sand -
<br /> - 85 C1aYlL maria sand
<br /> 100 103' (3) TS'PE OF WORK: �.�
<br /> 0-1,•ninC❑ 103 --•110 qp-
<br /> I 11"rizontal Well 0 14
<br /> 8 Clay & sarid
<br /> Dustmttum - (llescnhe
<br /> destntctu n m0trnal; and R-•Sandy
<br /> pncedvr, in hem IZ) -47G .-' .e Bron
<br /> sandy clay
<br /> i (4) PROPOSED USE: - ♦oc r•,.,
<br /> D••mrstir ❑ t1
<br /> Irricannn -TB5 T-
<br /> 1r -rd-, gray clay
<br /> oF clay
<br /> Tr84-- Coats_ _ _-j
<br /> 1 Indlutrul '. ❑ - � --traces
<br /> 7 197 Test Will ❑ •V`f"-Brown--SrafTd}a--C-l'd
<br /> Q 904
<br /> 21 ow-, shale
<br /> t ` \fonisiprl Q ,�pe 7 T�r cla,
<br /> WELL ELL LOCATION SKETCH O thrr ❑ 1'4 233 Ill,-ck `dnd-gr4ii--4-
<br /> EVL-IPA4:\T: i ,6, CRAYIZ PAC-Y:
<br /> Rotten M Iievr r<r ❑' Tey i r ��8 Size,_ 211►t _ 244 Coarse sand -- .
<br /> Gbit Air ❑t rib oseeer rA 6're. Rem•. 7 7 L Brown shale
<br /> 'f'9N}I'�>3�Sy
<br /> rh`.e•r ❑ R.�eket Paged,irttm_-a_M-_3,E t. ,.
<br /> " SPFROSON : SM1e coarse sand
<br /> C_LSLNG LNSTAr Fig�
<br /> 275 ---
<br /> \cr.i L; 302
<br /> Plastic❑ Cwncrrte❑ T.y•., perfmzuL,n Of r'+'{:Oft1f£!t` -
<br /> Fnx:n To Dia. OaLC or From. To Slot'. 103 - ay
<br /> ft ft: ir. \1'x11 ft fL s;zc 1 4--44vm Sa –
<br /> ll4 $— sawlst --eoarsL sand
<br /> 25 -3.31 Coarse sand
<br /> 19: tt rr f SEAL. 342 317 $andstona nd_
<br /> Waa saAacr unitary teal p-ided? Yc _ \'.•X If Yes, to depth'—1_ft-
<br /> 7_ 36() gn)WA shale
<br /> %herr ata'. +led acainet p•dlub,m? Yes Nn Intrml____Jt. -
<br /> NrSrd •.I vahn�_ _ -_ Wnrk s4rtrJ� 19___ Completed_ _1J—_
<br /> "}. NATER LEVELS: 1t•ELL DRILLER'S STATEMENT:
<br /> t Urptb a irsr Fater• if knnwn- --ft- This w-Z. ,d under my iurudirtinn and this report is true tr ,he Lest n)m„
<br /> trs-e after well completion, ---_ -__ft. k^rnc ` ahen,�
<br /> 11 t V#iLL TESTS: SJc.ri� IF (I}
<br /> %%,a. •_' tot d' Y” D Nn '- if 'es. whom?_--- 1 -ell Unllrrr
<br /> Type a tier Pump u f Bailer CA,r bft 0 NAME-__ {�-
<br /> Dep•S r. water at start of test h At end nt trtt�__h °JGtt7 ., • ri»ratF rType�ur pnntrdr
<br /> lir,ti.•.+r[r ->;al/rain IIfef F,:• 1 Carer temPeINtLLJe__ Address-- a7bct-:
<br /> ---''�-
<br /> ' Qfa+tica: a=J,sss made? Yes ❑ NIn.(x if..i, hY whom? _ cityWoo4Ta-',�
<br /> µ1e eh.-tie r_ made? le, ❑ !i� !f a ;, atl.ch sopY to this mp,,r: Licesnr Nr,__.___ -Daft of this
<br /> to .►cv r.761 :F ADorrIONAL SPACE IS NEEDED. USE NEXT CONSECUTIVELY NUMBERED FORM uns eso r.n so.•cv.n(TI-I-
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