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- Fri y... <br /> ORIGINAL <br /> STAT9 OF cAMFORNIA �+ Do not fill in <br /> THE RESOURCES AGENCY .� + <br /> File with DWR MPARTMFENT OF WATEM RESOURCES � No. 47979 <br /> -- Notice of intent No. WATER 'WELL DRII,LERS REPORT Siata Well No. <br /> T�f <br /> � <br /> ocat Permit No.ar Date 717-505W s <br /> Other WellIeg , <br /> L <br /> (1 WNER�t hnmo� (12) WELL LOG, Total depth_220it,I]epth of completed.vel)212 ft. <br /> Addrra�s_1Q.7!00 N N. Ripon-Rd. from it. to ft. Formation (Describe by calor, character, size or material) <br /> i <br /> City Ukka 7ip <br /> 2 clay <br /> (2) LOCATION OF WELL (See instructions): 2l ^ ' Sand <br /> Caunty��7..-JOgin Owners Well Ntt-uber Sand <br /> 32 ay <br /> Well address if different from above <br /> Township Aanfi -� Sectio 4 <br /> Oiatanco fto-n cltiea,madfences,etc. l��s,7ailroedl' �3 W S ttO S t+ E - 10 C F <br /> Ripon. 104 - 108 Sand <br /> 106 - Cla <br /> Sand <br /> (3) 'TYPE OF WORXt -May <br /> i <br /> New Well r,1[' DocpmtinS ❑ Sand <br /> REena7tmction ❑ 169 - Cila <br /> I <br /> Reconditioning Q 2 and ` <br /> Horizontal Well Q - 95 0u a <br /> Destruction l7 (Describe 209 S <br /> destruction matennls , <br /> procedt+ra to Item - ajj,.> i <br /> (4) PROPOSED F� <br /> 11 <br /> Domestic <br /> frrtgatio - <br /> Industrial 0 <br /> tW ell (] <br /> St - <br /> Munici <br /> WELL LOCATION SKETCH Other <br /> (5) EQUIP'NEN'Tt (a) GRA PACK- <br /> JX - <br /> Rotary > Reverse ❑ No 51z <br /> Cahiep Air 0 ter of bare = <br /> Other ❑ Bucket p xl. 1 <br /> (7) CASING INSTALLED] (fi ERFORA St eu - <br /> Steel❑ Plastic Type of pe o e of scree - <br /> From T Dia. Flo To - <br /> EL f in. Wa11 £ ft. si <br /> 2 .160W. 19m, 3fT N - I <br /> (9) WELL SEAL: - <br /> 0 <br /> Wm sorfato sanitary seal provided? Yrs No I] It yes, to dop ft. <br /> Were strata sealed ngmimt poltutfoa? Yes ❑ No 0 Intarval�_.-.�-�t - <br /> Method of sealfni' $8 Work started 7�' "` 1I3 Cnmple 9 <br /> (10) WATER LEVELS% WELL DRILLER'S STATEMENT: <br /> Depth of first water, if lmown This well teas drilled wider my iarisdfeffon and thfs report is %nee to the best o/ my <br /> Standing level after .veli coraletio knowledge UP4,bdifel. <br /> (11) WELL TESTS: SIGNED <br /> Was welt test made? Yes Ei No:n If yes, by whom? ( e11DrBi r <br /> Type of test Pump Q Bailer 0 Air lift p NAMEHe Ings Bros. Rxrhling Co. Inc. <br /> Depth to water nt start of leat�ft. At end of tat Ft ( Iltsn or orpo tion {Typed or printed) i <br /> Address 35258 :'andaf av r <br /> Discharge---gal/min after„ hours Water temperate Q e S O, CA <br /> Chemical analysis made? Yes p No 1N If yes, by whom? City <br /> 1' made? Yes❑ No If yet,attach copy to ibis report Lfeerue No to of this report <br /> ; GJ�=rv( <br /> t �•7er 1E AdD1TIONAE SPACE IS NElrp>~a. USE NEXT <br /> GON5ECUTIVI~LY NUMBERED FORM <br /> Aeatd9sa]_7asoM av�nGhnsp <br /> i <br />