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kyr r <br /> 1 <br /> Cool <br /> 01 <br /> ORIGINAL WATER WELL DRILLERS REPORT TDa Not ��Fryryrytil �A�tr1 y <br /> Flle Oflginal,DUN*and Tfiplicata wlth the (sections rami,7077,7071,Water Code) y�o 6 <br /> � <br /> x REGIONAL WATER POLLUTION LY �_� ? 0 <br /> �^' STATE OF CALIFORNIA scarrWell No,___:_ <br /> CONTROL BOARD i+l <br /> asset appropriate n5mber) Other Wel);No. i •• 4,_ <br /> i <br /> OR: A,--w j <br /> (11) WELL LOC7: <br /> we � <br /> r. <br /> Address Formation'Druribt by color,el—ler,size of mdrriai,and strudurs, <br /> y ft.to ft. <br /> k (2) .L TON OF WELL: <br /> OF <br /> County Owner's number,if ny— i <br /> R.P. ,o Srr - • <br /> (3) TYPE OF•WORS (check): <br /> It. <br /> New ball Deepening ❑ Itewttdiciomrtg ❑ Ab2nttvn ❑ <br /> I <br /> 1 f abandonment,describe material and procedure in Item 11. _ _ <br /> (4) PROPOSED USE (check): (5) EQUIPMENT: 12 <br /> Domestic [I Industrial E] Municipal ❑ Rotary ❑ " <br /> IrrigatioTest Well ❑ Other 0 <br /> Irrigation Cable } <br /> I Dug Well [ <br /> (6) CASING INSTALLED: If gravel packed <br /> I <br /> 81 NGLEA DOUBLED <br /> Gap <br /> of Diameter from to <br /> From ft.to it, Diam. Well of Bore ft. ft. } <br /> Type and site of$l,oe ar wcll ri• 'I S[ze of sates: „ �• <br /> i <br /> r <br /> (7) PERPORAnT OX „ <br /> Type of perfeto•aped <br /> r <br /> Size of perforation, Acein. length by YV <br /> in. <br /> From# om fe.rn t. perf.per torr Raw.per ft. <br />� .. V <br /># (s) CONSTRUCTION; f 1 I <br />{ was c Outface sanitary,ed prodded} �Lyu ❑NO To what depth ft. -- i - <br /> were any strata staled assion pollution? ❑Ya Ono lira.note depth of strata „ <br /> I=rOtrl fr.to ft. <br /> Method of Sealing " <br /> 9York rtarted + y S9 , Complemd d 19 <br /> (9) WATER LEVELS: WELL DAILLI R'S STA ENT; i <br /> I !e, rhh well war drlUed under rely jurizdletion acrd obis report is true to the best <br /> Deof <br /> pth at which water was fine found <br /> stay know! gr belie/ <br /> $adios level beforq perfantias ft, e <br /> NAME <br /> s <br /> iaR Dani efw per[ontfas It. <br /> rrsoa fpm, arperation 0 or p ed <br /> Address � � <br /> f (I[}) 'WELL TWTS: <br />`- was$pump me made! []Yea ©No If Tn,by weans? � <br /> Yield, sal./rain,with ft.draw dawn after ]err• �wrl <br /> Temperature of want was■chemical analysis tide? 0 Yes ❑No <br /> 1 <br /> Iloen5erro�___ _ _ Dated—­­_­19 <br /> Was electric lox made of well? 0 Yn Q No <br /> 57025 1-57 OoM QUIN ­0 <br /> 1. � <br />