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OR{GlhlAi <br /> ,1 pile OifginafDaA1+s+kand Triplicate with the -- SI-[E 2 <br /> �r DIVISIOU W WITR �BMa3 <br /> B0 BOX 1070 <br /> ACAAM8NTOT0 s,CALIFORNIA (, <br /> WATER WELL DRILLERS REPORT Do No Fill In <br /> 18 <br /> (Sections 7076,7077,7078,Water Cade) State Well No__-- - <br /> Other Well No ! <br /> Region------- - <br /> (7) Perforations: <br /> Type of perforator used--------------------- -- - — --------------—---------------—- - <br /> - - -- ---------- -- - ------ ---- - <br /> Perforated__ _ __ft to____ _ft Hole size ____ _ ___No of holes <br /> -------- - ------ --- ---- ---------- - <br /> „ <br /> - —-- ----------- ------- <br /> -_ <br /> ------------ --- - --- <br /> --------- --- --- <br /> ,. ,. ,. <br /> --- -- — <br /> — ----------- ------------------ -------- — ----- ------------------ ---- <br /> ,. ,. „ ,. <br /> --- ,. <br /> .. ,. <br /> (9) Water levels (9) Well pumping test <br /> Depth at which water 8 Date of test_ ______ __By whore ______ <br /> first encountered _ ___ft Depth to water when test started____ _ _ ------ft <br /> Depth to water G P M at beginning of test <br /> before perforating_ __ ___ --ft Drawdown from standing level _____ ___ __ _ ft <br /> Depth to water G P M at completion of test-- <br /> after perforating ____ ____________ ______---- __-_ft Drawdown at completion of test <br /> • Note any change in water Ievel while dnlhng Length of time tested <br /> --------------- -------- ----- — — Temperature of water _ <br /> Was gas present in water) ❑ Yes ❑ No <br /> (10) General <br /> Was well gravel packed)______ __ ___ ___ Size of rock_ ____ __ Thickness of pack <br /> Was a surface sanitary seal provided) <br /> Were any strata sealed against pollution) ❑ Yes ❑ No If yes, attach detailed description _ <br /> Scrata sealed <br /> Was analysis made of water) ❑ Yes ❑ No If yes, attach copy <br /> Was electric log made of well) ❑ Yes ❑ No If yes, attach copy 7E �, $ <br /> If well abandoned, was it plugged and sealed)________ __ ____ — A L <br /> Method of plugging and sealing _ <br /> (11) Location ARG r, c'X <br /> F�.i. r e' e- S .� (12) Time of work <br /> .vo�x� 8-14-50 8-14-50 <br /> Section No Work started dace 3-2$ .5,Completed date _ <br /> I Township Date of this report__________ <br /> Range — <br /> Base&crichan __ _ WELL DRILLER'S STATEMENT <br /> 1 Show location of well in Sec- This well uas drilled under my jurisdiction and thi, <br /> I i tion, thus (x) report is true to the best of my knowledge am -beltpf <br /> l Distances to section Imes from StoGktj= Armature & Motor Works <br /> well, N or S fr [SIGNED] r <br /> svrrr rr. <br /> and E or W__..--------__ ft �� ,fir _ <br /> Show location of nearest <br /> known well, thus (0) 67850 Class�6c�fron C-37I rN1LE Distance to nearest known <br /> License No <br /> well fc Dated 19x3 <br /> D w R FORM No 245 REGIONAL WATER POLLUTION CONTROL BOARD COPY :1,7x 3 so lGM Qui,!aro <br />