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'� •� , STATE OF CALIFORNIA <br /> Of/046 ' <br /> ORIGINAL THE RESOURCES AGENCY <br /> Dry not fill in <br /> File with DWR DEPARTMENT OF WATER RESOURCES <br /> WATER WELL DRILLERS REPORT N0. 3 1,-) 4 3 2 <br /> ce of Intent No. 23Fi556 State Well No. <br /> .Deal Permit No. or Date D�i�"�J Other Well No. M!+)2 <br /> (I) OWNER: Name (12) WELL LOC. Total depth 60 ft. Completed depth 60 ft. <br /> Address from ft.1 to 60 ft. Formation(Describe by color, character,size or nueterial) <br /> City zIP95853-4 <br /> (2) LOCATION OF WELL (See instructions): — <br /> County SM %1=dn„ •,,,,__ Owners Well Number NW — See BXe HDle Log <br /> ' Well address if different from bove1448 N El U=hF'1Vd SI30C)Ct]Oift CA — <br /> Township Range 6E Section 2 <br /> Distance from cities, roads, railroads, fences,etc. hwmdmtely 99' SOf RA-1-11= Um aryi <br /> e _ /`. <br /> (3) TYPE OF WORK: — <br /> New Well ® Deepening ❑ \ <br /> See F'1t =es 1 r 2, arid 3 Reconstruction ❑ �� <br /> Reconditioning ❑ v ij <br /> — i <br /> Horizontal Well ❑ t�^ �• <br /> Destruction ❑ (Describe <br /> destruction materials and pro- <br /> cedures in Item 12) <br /> (4) PROPOSED US _ <br /> Domestic <br /> Irrigation C �� <br /> Industrial ❑ ��_�\rJ �,'• i <br /> Test Well © <br /> O er Miord well <br /> ' WELL LOCATION SKETCH Ile) �� `.7 — WME Tdr. 45111897 snipaIndsM the uk <br /> (5) EQUIPMENT: GRAV `S2 CK <br /> `F1 r <br /> Rotary � Reverse ❑ �] No Size \ <br /> Cable C Air u met of Dore <br /> Other ❑ Buck e a ed rrom <br /> v V, !�J MICJhTo <br /> '(7) CASING INSTALLED: (&) PEFfFOiiATICNS: _ <br /> \\ n hnllcw <br /> Steel El Plastic (3 ❑ Typ�of fora>on or size o�,C_-01" stem <br /> From Di Gage or IA Nit <br /> ft. f Wall tom\ size <br /> 0 30 Sch 40 30 0.01" — <br /> J" - <br /> '(9) WELL SEAL: T <br /> Was surface sanitary seal provided? Yes ® No ❑ If yes,to depth ft. <br /> Were strata sealed against pollution? Yes ® No ❑ Interval '—25' ft. — <br /> Method of sealing 1-23251 -q'-29' bEMtr-nit Palrk started 12 4 1959 Completed 12 I g89 <br /> ,(IO) WATER LEVELS: WELL DRILLER'S STATEMENT: <br /> Depth of first water,if known 50' _ ft. <br /> This well was drilled un ruI jar' q n i report is frac to 11rr <br /> Standing level after well completion 5 -f �___. <br /> —1f- 7 ft. best of my knowledge heli <br /> (1 I) WELL TESTS: Signed 41 <br /> Vas well test made? Yes ElNo ® If yes,by whom? rl] er <br /> f test Pump ❑ Bailer ❑ Air lift ❑ NAME %%Der) <br /> to water at start of test ft. At end of test ft. (PC firm,or corporation)(Typed or printed) <br /> E. B931ter Street <br /> Disc arge—gal/min after hours Water temperature Address 3L <br /> 'Chemical analysis made? Yes ® No ❑ If yes,by whom? City iebWland- CM z1P <br /> Was electric log made Yes ❑ No ® if yes,attach copy to this report License No. _ 513857 Dute of this report 12/29/89 <br /> awR 1t1${REV. 12-$BI IF ADDITIONAL SPACE IS NEEDED, USE NEXT CONSECUTIVELY NUMBERED FORM <br /> � <br /> ne ve.755 <br />