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' STATE OF CALIFORNIA <br /> ORIGINAL THE RESOURCES AGENCY Do not fill In <br /> ' File with DWR DEPARTMENT OF WATER RESOURCES <br /> WATER WELL DRILLERS REPORT NO. 313 819 <br /> ic•(•of Intent No. State Well Nu. <br /> ' x:tl 1 ennit Nn. or llate. �j — %: —�i(�' Other Wel] No <br /> I <br /> (1) OWNER; Name I T P (12) WELL LOC: Total depth_JL-ft. Completed depth Iff— ft. <br /> Address from ft. to ft. Formation (Describe by color,character,size or material) <br /> ' City 7.IP , — ' N S <br /> (2) LOCATION OF WELL (See instructions): <br /> County Rt Owners Well Number / — s[i r of <br /> Well address if differen from above 4FDov'^ St'. = I / rr <br /> Townshir p + r0� 1� Range E Section Z <br /> Distance frurn ties, roa s, railroads, fences,etc. — <br /> �`. <br /> Wo <br /> L <br /> (3) TYPE OF WORK: <br /> ' New Well ❑ Deepening ❑ _ <br /> Reconstruction ❑ <br /> Reconditioning ❑ 0 >/ <br /> / — '� <br /> ' ndlN� Horizontal Well ❑ <br /> f Na 1' Destruction ❑ (Describe AE <br /> destruction materials and pro- <br /> cedures in Item 12) . <br /> (4) PROPOSED US V _ f'- <br /> Q VwPoct yytll Domestic \'J <br /> Se�`dt-4A 9-3"A DoIrranon <br /> i <br /> Industrial✓ /1 :, ,� c�, _ �I <br /> Test Wel] \`� ❑ C\ \ !`'., /-� _ <br /> WELL LOCATION SKETCH t(( �rihe) <br /> (5) EQUIPMENT: �6) GRAVEL PACK: <br /> Rotary <br /> �' • <br /> Rotary ❑ Reverse ❑ {� Nei❑ Si I `) �^ <br /> Cable El Air ❑ m�e[x/of bore <br /> Other f "\ <br /> N <br /> ❑ Bucke a ed rom <br /> { <br /> ' (7) CASINC INSTALLED: / (8) PER ATIONS: _ <br /> Steel ❑ Plastic fes' n Ty e j4jo "on w size of Q <br /> From Di . Cage ort <br /> ft. If <br /> siz <br /> Wall t. e — <br /> ' <br /> ' (9) WELL SEAL: <br /> was surface sanitary seal provided? Yes X No ❑ If yes,to depth /- ft. <br /> Were strata sealed against pollution? Yes ❑ No 9 Interval ft. <br /> Method of sealing 1" ^' Work started—? I91L Completed 19 <br /> ' (I0) WATER LEVELS: WELL DRILLERS STATEMENT: <br /> Depth of first water,if known ft. <br /> This well was drilled under my juristlicti and this port is true to the <br /> Standing level after well completion N0 f%)!?— ft. hest of m1 kno dgP A lx�ief <br /> WELL TESTS: r <br /> Signed <br /> Was well test made? Yes ❑ No ❑ If yes,by whom? <br /> of test Pump ❑ Hailer ❑ Airlift ❑ NAME /- <br /> h to water at start of test ft. At end of lest ft. ph '!n (Pers i^rm,nr c(:Pora ' nl( yped hinted) <br /> rChero"icilanalysisinaide? <br /> hrge gal/min after IW)urs Water temperature Address a ?.2 %S2 Li�Qle <br /> Yes ❑ No ❑ If yes.by whom? City �/ b zip 5) '5-0 <br /> Waselrclric Ivry{made Yes El No El if yes,attach copy to this report 11-icet's"No. Y&I-Ar3y Daie r1f thls CClx,rt {F 1 Z��� <br /> pyyR 18B IR£V. 12-H6t IF ADDITIONAL SPACE IS NEEDED, USE NEXT CONSECUTIVELY NUMBERED FORM <br /> ' <br /> 86 96355 <br />