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06AI1% GF GALIFVeesrsA <br /> TIE RESOURCES AGENCY <br /> ORIGINAL DEPARTMENT OF WATER RESOURCES N2 98907 <br /> N10.11th f,WR <br /> • WATER WELL DRILLERS REPORT State Well No r7 <br /> Other Wdl No C-L-221 W(1) OWNER (It) WELL LOG: <br /> atilt ViSta RP-al :ty Tatal depth 115 Ft Dtpth ,f—rrplered well it <br /> Address 350 W RobinbondFormation Desrrrbe by t ofor rbararfer size of m.rlrrrrl and r0rurlure <br /> ., <br /> 1 ft m It <br /> (2) LOCATION OF WELL Toi2 mall <br />' l.uuner ' Uwntr s number 1f Jny r <br /> Township Range and$tenon clay <br /> Uo[Jn�e frum�tuea euads raslroads e[cl T Cr <br /> r L,,,— T" '7 — T <br /> (3) TYPE OF WORK (check.) of Roth Rd. Shale <br /> New Well Deepen[ng E] ReconditioningC:] Desrroytng E] _� ^ <br /> tl destruction describe rnalrrul and procedure sn Item I! 5 <br /> (4) PROPOSED USE (check)• (S) EQUIPMENT. 62-66 C <br /> Domestic ® Industrial ❑ Municipal ❑ Rotary X1 66-69 cl-ay <br /> Irrigation ❑ Test Well ❑ Other ❑ Cable ❑ _7 <br /> Other ❑ r+T <br /> (6) CASING INSTALLED• <br /> STEEL x OTHER If gravel packed _ <br />' SlNGLE DOUBLE © _ <br /> Gage Diameter — ntjry <br /> Frum I u or of From To 161 Clair & <br /> ft tr Diam Wall Bore ft ft <br /> c) 11 CZ <br /> }a <br /> k("7ze <br /> tit.hut Ur.rd!rtnK Sire os¢ravelwtn t <br /> ) PERFORATIONS OR SCREEN- <br />' Type uk nrrtarr uuu ur name of screen <br /> Perf Rows <br /> I-rum To per per Size <br /> tr ft row ft in R in <br /> r tI <br /> (S) CONSTRUCTION <br /> ltrL J+OrlJce sanitary seal proudeds Ya No ❑ To what depth ft <br /> Wert Jnr tra[J�ealyd JRalnst pollutions Yo❑ No El If Yes note depth of strata <br /> tram ft to ft <br /> tram Fi m ft Work Jr%d — 19 - Cnmpleced 19 <br />' �lnhud tt seJllne e t O t e '%ELL DRILLERS STATEMENT <br /> (4) WATER LEVELS Tbir well uai drilled undar lny jurlsdletfon and tblt report is true to the best <br /> of my knorvledge and btlief <br /> Uepth at whleh water W31 ttrse found et known tt <br /> .ern,iln 1err1' e Ietore pernratntF known tt :\ASIC � 7o Drilling C o• Inc. <br /> (Tenon firm or enrporat[on) (Typed or printed) <br /> etsnd,rs� Int I Jicrr perfursung sad dntlopmg fr <br /> (10) WELL TESTS- Address ?�00W be Rd <br /> rs pump[es[made? Ya ❑ `o 0 If yrs by whams G <br /> A RaI rmtn with ft drawdown after his [SIG-4EU] �' <br /> �mpe ratnre H wJter Vflaa a ehemteal anal rats—del Yes ❑ No L <br /> (Well DrrlLr� <br /> nnry]� <br /> 9Vas�k.tn� luti nude of wcils Yes [:1 N+ It yes txh copy LILU]A '`r0 ��_,-D1[ed — _ 19--f-� <br /> SKETCH LOCATION OF WELL ON REVERSE SIDEF, <br /> - - - <br /> _ <br /> DWR 188 t REV 9 de, 37179 990 A Go 10M TRIP AP OSP <br /> 1 <br />