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- <br /> ORIGINAL WATER WELL DRILLERS REPORT Do Not FiIi In } <br /> FileDdglnaf,Duplffa}f)and Irlpthate with 1kn (Seet(6011 7076,7077,7079,amts:code) �© 37247 � <br /> REGIONAL WATER POLL'UT'ION <br /> CONTROL BOARD No.-, STATE OF CALIFORNIA State well No.,__.- <br /> (lrrtrrl appr9prtset number) i� j6 w. i <br /> Other'Well <br /> I3 <br /> ( ) WELL LOG: <br /> Name Y d r7 �r loaf depth �� ft.-Depth of completed well <br /> .r �� .,�t,� - <br /> Address „/', et Forruweiont Dnn18r by color,rbnerlq,ylu aJ melerirt,reed fir ustrrr, j <br /> it.to <br /> +f' :F 1 <br /> (2) I�rOCII N aOF WEI,te s f�,� <br /> ConntrtAl:l�Jt� rj rr .�f.f'f.f 1r'�.ON46t'rAu Ger.if y- '� y EJ <br /> .:: <br /> or Strte <br /> 4. <br /> ems... �' :f t' <br /> (3) TYPE OF WORD (check): �1, :�� <br /> Newbeil Deepening ❑ Re<onditioning ❑ Abandon ❑ �,t F <br /> tfabdndonntrni,describewateriaiandProcedureinRem11. „ 11 <br /> (4) PROPOSED USE (chec:A): (S) EQUIPMENT: <br />' Domestic ❑ Industrial ❑ Municipal ❑ RotaryCae <br /> ❑ <br /> Irrigation Test Well ❑ Other 13Dug1 Well <br /> (6) CASING INSTALLED: If gravel packed <br /> AlNeLi;.4 DOUBLE O, <br /> ore Aiameter from to '• <br /> From fe.to ft. Dl M. wall of Borg it. ft. <br /> .. <br /> Type Sud rise of.huger trail�nai''�� .i � Size of yn�elt ., <br /> Dturlba join; «= 4 5 o r' •' •• <br /> (7) PERFORATIONS: <br /> Type of lx rforsto-need _ <br /> .. .. <br /> size of petfotatiSms- _- in.,Imgth,by _ In. .. <br /> Frons fr.to ft. reef,per row Row per it. .. <br /> (s) CONSTRUCTION: � TMor ftti5 { <br /> wn a mefaee sanitary teal provided) [At Yet ©No To what depth <br /> ware any strata raged a;aiaet Pollution? ❑Yes ©No If ya,note depth of Strata ,. .. <br /> Fwm fr.to ft. •' <br /> } <br /> ,I <br /> Method of Sealing ,i,_ work uarpd 19 Camp Wed 4�1 • t9T� <br /> (9) WATER LEVELS: WELL DAfILLER'S STATEMENT1 -" <br /> n ► TbJt well wai drilled under tray farisdlcifon and Shit report is irzfa to the berl oI <br /> Depth at wbtch,rater wu fine found -fir y�+a f /!` fe. ifty'krfowied and .11 <br /> Standing lend before perforating --- 2 - ft. NAME le,.S 1 rPt ftx <br /> railing lore[after perforating " •`ft. T�% cow er norfigi ) (Typrd or brinhd) <br /> Address \ Sf1 •' i.' '{ <br /> (I b) WELL TESTS: <br /> Va.a pump me mtdc? 0 Yet 0 No If Tat,b7 wbdm? <br /> [SIeN>=D] f p ,+`t z r K^7 :.mss .•. <br /> Yield: gal./thio.with fr.draw dower atter hot. s <br /> Temperature of wares War a chemical acaly.it ranch) ©Yea ©No License lea—., 9a IZAted r _.. �.ti .5 I9- <br /> - Was electric log made of well? 0 7a 0 No 25609 a 54 Sam aVit+Q spo DWR PORN NO.24a(AEV.9.v tM1 <br />