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STATE OF CALIFORNIA Do Not Fill In <br /> r <br /> THE RESOURCES AGENCY N� 89025 <br /> oR10lNAt CONED-2. 1;•1, 1+ LG , EPARTMENT OF WATER RESOURCES <br /> File with "'N-ter COaO LGC. I� State Well No <br /> �,t'�.TER WELL DRILLERS REPORT <br /> I, CiIM Oncer Wd1 N� <br /> (1) OWNER: (11) WELL LOG; <br /> Name Bob Olmo Total depth 106 fa Depth of completed well ft. <br /> Address 2 Mil e o Edt Formations Dricribe by color,ebaraefe,size of nralerTA,dud s?rackrr <br /> Ri on C fc.m ft. <br /> (2) LOCATION OF WELL: 4 <br /> Joaquin <br /> Cnootr San Owneft number,if any <br /> Township,Ran e,and Section 2 F <br /> Miasma Gvm cities,roadr,nilroads.etc i <br /> M ] e R <br /> (3) TYPE OF WORK (check): North side 2&3o sand <br /> New Well$1 Deepening ❑ Reconditioning ❑ Destroying ❑ { <br /> 11 destruction,describe material and prorednre in Item 11. <br /> (4) PROPOSED USE (check): (5) EQUIPMENT: _ <br /> 1 <br /> Domestic ® Industrial ❑ Municipal ❑ Rotary FK1 Clay <br /> Irrigation ❑ Test Well ❑ Other ❑ Cable ❑ <br /> Other ❑ 57-64—ri <br /> (6) CASING INSTALLED: 64-69 Sand <br /> STF-EL-X OTHER; If gravel packed _ She ' <br /> SINGLE® DOUBLEE] salirl <br /> Gage Diameter — 1 <br /> From 10 or of From To Q _ S.%n rli <br /> it. ft. Diam. Wall Bore fr. fr. 3-05 <br /> 01 <br /> .�_ <br /> 100-104 <br /> _ i <br /> Sue of spar or well clasp Sgn <br /> Sire of vei: pea C lay <br /> a)eseribe-int welded <br /> (7) PERFORATIONS OR SCREEN: <br /> T eofpedon <br /> rfcrrornameofscreen slot j <br /> Perf. Rows <br /> From TO per per Size <br /> fr. ft, row ft, in.x in. <br /> 80 88 1/8 X 3It <br /> I <br /> I <br /> (s) CONSTRUCTION: <br /> Was s surface siniracy seal pravided? Yee SSI No❑ To.chit dtpth Q ft. <br /> Fere*ny siesta stated again ollation? Yes C3 No O If n,nota depth of strata <br /> From <br /> it,to ft, <br /> _ I <br /> From ft,to (t. Work started 19 73 ,Completed I9 <br /> Mtthod o '11- Bentonite WELL DRILLERS STATEiiiNT: <br /> (9) WATER LEVELS: Tbit well was drilled under my jurisdiction and this report is$me Io the beat <br /> of lily knowledge and belief. <br /> Depth st which water tins first found,if known fe. <br /> Standing level before peeforstin , if known ft. NAMEHenni .S' ,i <br /> suadlAg level after Perforating and developiA fr. (Person,firm,or corporation) (Type or printrd) <br /> (1 D) WELL TESTS: Address 2 5DO ] <br /> Ulu pump test made} Ya 1-1 No It per,by Whom? destog <br /> sld: stildmin.with ft.drawdown after hes. <br /> (Weil Drl7 rr)/ <br /> Tem utnre of weer Was a chemical aoaiyeis made? Ya 0 No ( y <br /> Was eieetric fog nada of well? Yes [1 No If tin,atnch cvPY License Ivo.-- 1 !63 _Dates+ 19 <br /> d' SKETCH LOCATION OF WELL ON REVERSE;.S[DE <br /> GWR lac tRrv_o.6e?t Tater Cede aSoc, �,j 5� axtrA-aooa_esCON TRIP poasP <br /> i <br /> I <br />