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_ q .. - <br /> y <br /> ORIGINAL Do not fill in <br /> STATE OF CALIFORNIA �i <br /> THE RESOURCES AGENCY No, 086088 <br /> File with DWdt <br /> � DEPARTMENT OF WATER RESOURCES <br /> e nI Intent No. WATER WELL DRILLERS REPORT <br /> State Well No <br /> Permit hTo,or Dare ¢ Other Well No, 4^' t <br /> LOG <br /> _ o o e we <br /> Add 23650 S• Wilma Aver from ft. to 4 n n <br /> FonnHon (Describe by color, character, size or material) <br /> City -.poo Ca. ip Q - 1 To of <br /> (2) LOCATION OF WELL (See instructions): xa•tt r o-n <br /> C-01—} lhvners Well Number — CI l%. shale <br /> Well address if different from above 2 0 San <br /> Torvndhip - Range—.. ectio <br /> r; Distance from cities,roads,railroads,fences,etc. S• Wilma A8 e. — an <br /> +mile north of W. Ripon Rd. east side - 62 <br /> 2 <br /> le <br /> (3) TYPE OF WORK: 8q 19,qk <br /> New Well X Deepening fl # <br /> Reconstruction ❑ 105 ScIldna1 <br /> Reconditioning ❑ JIX11'6 <br /> Horizontal Well Q — <br /> Destruction C] (Describe I and. <br /> destrucgon mntoriald •t <br /> procedure, In Item 3 Cla i <br /> r <br /> (4) PROPOSED —` ; <br /> Domestic <br /> Industriat (] <br /> WeRt 4 <br /> '�issw� bfuaicip — <br /> WELL LOCATION SKETCH Other 0 } <br /> (5) EQUIPMENT: (a) GRA PACK: <br /> liotary 01 Reverse ❑ No Si <br /> Cnbte 0 Air ©` I er of bore It <br /> Other ❑ Bucket [I k. — <br /> (7) CASINC INSTALLED: (B] ERFORA q S, —i',; t <br /> Steel 0 Plastic YY. Ca c t Type of per r n ar 6 ze of sense. <br /> From To Dia. G r F TO <br /> ft. ft in. Wall f fL < s' — <br /> Q 6 t, 1 <br /> i <br /> (D) WELL SEAL: <br /> 1 <br /> Was surface sanitary seat provided? YesjQ No ❑ If yes,to depths {t. ?� <br /> Were strata sealed slat pollution? Yes O No p Interval._ ft. —e <br /> Method of sen 8 �+ Work sta 19 Completed -- 19 <br /> (10) WATER LEVELS: YVELL DRILLER'S STATEMENT: <br /> Depth of first water, if knoNvrt, fL Thls well was drilled under mg Jurisdiction and the vport is into to the eat of mg <br /> standing leve) after moll cornpletiosr- — —�_Q — fG knowledfle an Seli 0 <br /> (11) WELL TESTS: Stc. <br /> Was Well test mads? Yes p Nojl If yes, by whom? �f�`I�e11�>�Ir1e���• � � � <br /> Type of test Pump ❑ Baker❑ Air lift t' ' V l <br /> NAM <br /> Depth to mater at start of test - Ft• At end of testft C (Person,firm,or corporation} (Typed or printed) <br /> arge l/min after M+urs Water tampemtnr. �„s ,. <br /> v <br /> 1 analysis made? Yes O No U yes, by Whom? City— Mode 81 <br /> tb �L y��c. v `+ p r`+�a�� <br /> eJectrie lag made? Xcs❑ No If Yes.attach copy to this report License No OCl ti L� Stp nJ�Bis r�' i <br /> OWR tae :Rev.7-7er IF ADDITIONAL SPACE IS NEEDED. USE NEXT CONSECUTIVE&N-, i!~ <br /> , <br />