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-ARIZE WELL DRILLING CC 7- <br /> vVater Well Drillers Report za�a Z/-7 <br /> Order No 3 71 <br /> 0NER: (11) WELL LOG. <br /> N ' c r 5+G C k•L O n 43 Total depth tj t f it Depth of completed well J ] ft_ <br /> Address Formation Dezeribe by calor, character size at material and structure <br /> 5'OC'C%3n -al ft to 3 ft Gil _ <br /> 3 9� Clav & hard_ pan <br /> (2) LOCATION OF WELL 36 97 Sand - <br /> County S a n ,;„8 q,.�i n Owner s number If any— 97 " 123 " C 1 a V <br /> R F 0 or Street No 108 11 1 -- 5 a n d <br /> Ta_ffen,, Par •: 114 Clay <br /> Hammer Lame F- 'nfeSzarn s'ac1T'zc R 120 I33 -= 5and 8 ar=vel <br /> 132 `3lav <br /> 195 202 Sand aea -'=oval <br />(3) TYPE OF WORK (check) 2 S 2 2 2 c " r 1 c <br /> New well M Deepening ❑ Reconditioning Abandon ❑ 2 L{, 229 Send <br /> 1f abandonment describe material ano proceaure In Item 11 2�_O 222 ,1 a V <br />(4) PROPOSED USE (cheCK) (5) EQUI°MENT 232 237 — ��17 Ci <br /> Domestic [j Industrial ❑ IVluniclpal Gt Rotary Z] 237 - " 271 ' �:1Ey <br /> Irrigation ❑ Test Well Q Other ❑ Cable ❑ 27a 267- " S <br /> a^a <br /> 2�2 ,�, .. <br />(6) CASING INSTALLED 23 C1aV <br /> If gravel packed 2 9 2' __,2=-0,7 Se n t <br /> single ❑ Double ❑ Gage 2 9 71. <br /> C l=V <br /> Or Diameter from to – — <br /> From ft to ft Diem Wall of bare ft 9 272 — Sand <br /> NI0ne 37; .. 380 I=1a,J —. .,---- <br /> 38 ' 3322 - 5ar1d <br /> ,. .. <br /> 3E2 4l 2 C 2!V .–...... <br /> 112 —r--a1a <br /> Weil Shoe sizeof ravel g `1 A 7^ +1 1 E_ -42^r' <br /> Slza LI e I _ '9 7 1 �pa n <br /> Describe Joint <br />(7) PERFORATIONS <br /> Type of oerforatior used �f n <br /> 317e of perforations In length by in <br />'rom ft to ft Pert per row Rows per ft " <br />:8) CONSTRUCTION <br /> To what <br /> Vas a surface sanitary seal provided? Yes Na depth ft " <br /> Vera any strata sealed agonist pollution? ❑Yes © Na If yes note depth of strata " <br /> rom It to ft <br /> Work started 1-- 7 'g 7.L CcimoIetad i 7' 3 1 9 (i <br />/lethod of Sealing WELL DRILLERS STATEMENT <br /> Thio lived was drilled under my }urisdlc•1cn and 'his repo-t la 'rua 'o the bes' <br />$) WATER LEVEL <br /> of my knowledge and belief <br /> ft <br /> NAME 1 rk1LLD LQ Ca . <br /> 10) WELL TEST By - — <br /> late ped G P M Address %,i C .+ – <br /> } <br /> ra, n ft (PERSON FIRM OR Co R PMRA013N. {TYPED OR PRINTEDi <br />)tat elft ft +�,Cli:1 Lf1, C a 1 �. •.. 221 <br /> old of well GPM /K <br /> 3 (Signed) <br /> Imperature of water Chemical analysis WELL DRILLER <br /> as electric log made of well? ❑Yes ❑No License No Dated_ Feb •• _^ 19 7 1 <br />