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' iAL STATE OF CALIFORNIA Do not flU is <br /> .tflt DWR <br /> THE RESOURCES AGENCY 4?954 <br /> DEPARTMENT OF WATER RESOURCES No. <br />' e of Intent No, WATER WELL DE LERS REPORT State Wen N <br /> '.rmit No or Mute__,l f—57L ri <br /> Other Well No <br /> Gu Cbambe Coat j.�yr�� "� <br /> 140)'OWNER <br /> Nam well <br /> in J . f u`.} WFI,T, LOG. Trial dcpaGG.yL,K. Depth,of completed wai 22D.rt <br /> Add 10366 S♦ Flynn Tde�l for Joe TOSt from ft to ft. Formation (Describe by color character stze or material) <br /> �,� ivermgre CA. 2p 0 0 a <br /> (') LCfi 1%aW vtELL (See instruebons) 14 11 Gravel <br />' Count `i O�vaers Well Number �� 2 Cla <br /> Nell address tf different fmm zbove 25� 27 `� and <br /> T.)%vn5h)p Ran6e-- - ectm40 Ma. <br />' Distance fn)m cities, roads rarlrnads fences etc <br /> 41 60 Cl <br /> 60- 671 V,, Sand <br /> 6 Cla <br /> (3) TWE OF WORK 100 Clav & shale <br /> Vete Wen X Deepening ❑ 1 Clay <br /> Reconstr.ctfon © 1 C1 ay & s ha 1 e <br />' IiecoadrfiOurng ❑ 1 +71. Sand <br /> Ho=cmtal Well ❑ / - shale <br /> Destrucoun. ❑ (Describe <br /> m <br />' destMebou aterials y, <br /> procedures MItem a s i n e <br /> (4) PROPOSED 1887 VAN 1� <br /> Domestic 1k <br /> -� a <br /> Irrrgation�� >� L1C3 <br /> Indostrrnl � ❑ , 11 `-'Cls <br /> T�ct en �•,�` © 215 Gra vel <br /> S � •;:� 2 ";„ Clay & shale <br /> IZ, mu—� �( <br /> WELL LOCATION SKETCH Other <br /> (5) EQUIPMENT (6) GRA PACK <br /> Rotary [ Reverse ❑ fie52C N ill Size — <br /> C tble j✓ Air ❑ r of bore !Y <br /> Other 0 Bucket ❑ \a�from xr� �Q Et- `.'' +' _ <br />' (7) CASING INSTALLED Viti (8 p'PE "k <br /> "ORN$e y • �` — <br /> �hand cut <br /> Steel C] plasti. b\Sa Type of pe �3�tt�a or. a n#scree�/�`� •• <br /> From TO— Dia Qtg T Frain � �) To 'f S�\ <br /> ft f< m Wa11 fL <br /> 0 2 160W 1 22 U <br /> (9) WELL SEAL. <br /> Way surf We' sanitary seal Provided? Yes EX No G If Yes, to dept—ft <br /> Were strata sealed against pollution? Yes ❑ NO ❑ IntervaL_..--------ft <br />' Idethod of sealw W„rk st IS Completed19 <br /> (10) WAFER LEVELS WELL DRILLER'S STATEMENT <br /> Depth of first water, if kris ft 77ur rise ll ruga drilled under mu i uresduatnn and this report is tree to the best of my <br /> Standing level after wen completion --- Well Q camel n I ft knorclsdge arut belief <br />' (1Z) WELL TESTS S Gy ) <br /> Wal weal test made' Yes C Nn 3: If Yes, by whunO (Well Driller <br /> Type oe test Pump ❑ Bailer ❑ Air hft ❑ NAME- nnin s Bros._D_ri)llin Co_. Inc. <br /> Depth to water at start of text ft At end of test _- Fr (Persuq, firm, or corporation) (Typed or printed) <br /> Lhscdt ta <br /> . rn afte ars Water tempera .sddf� P�landa 'ertA_ye. — <br /> I Chermarl analysis made' Yes r— NOX If Yes. by Wbom2 Modesto t:A . � r70 <br /> +A"L tug made? Yes t7 Vo * If yes.attach CWY to this report Lscense �[ri _.. _osis of this repo 1 — <br /> �ll+e lea (Rev 7 76) IF ADDITIONAL SPACE 15 NEEDED. USE NEXT CONSECUTIVELY NUMBERED FORM naxs.xma J."*sw ovwo(Dr oar <br /> i <br />