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S: <br /> ORIGINAL STATE OF CALIFORNIA i Do not fits zn <br /> THE RESOURCES AGENCY <br /> File with aW� DEPARTMENT OF WATER RESOURCES No. 21468 <br /> Yotiee of Intent No. ry )) WATER WELL DRILLERS REPORT <br /> larnl Permit No.or Date_ ! 'H'. State Well NO. r _ <br /> Other Well <br /> (1 WNER: Nonift R. H. Francis (12) WELL LOG: Total depth 128 <br /> 2I. 02 N. Aion Rd. ,ft.Death of comp]eted weq?17 FG <br /> from ft, to . Formatiog iDg1pribe by color, <br /> city ona zip 0-- and r <br /> S — <br /> (2) LOSA TI aOF WFLL (See instructions): 15+� an & s a e <br /> county_ _ _--_9_ gT O%vnei s Well Number 2 <br /> Well address if different from nbove _CJa $ a. e <br /> Township T23 Range R89 Sectla 34--41 an / <br /> Distance from cities, roads,milroade,fences,etc 6 <br /> Pei <br /> 46--60- <br /> 60-70 SML e & o la <br /> 0--- Sand <br /> (3) TYPE OF WORK, \\Clay <br /> New Wall Dt Deepening ❑ 76480. <br /> ryS�i.a.y <br /> ayttl;T7 <br /> d ,y <br /> Reconstruction [) 0-+ & ,7bale f <br /> I;ernadit[oniag p �+•� <br /> Horizontal Well ❑ -110 <br /> Destruetlon L} (Describe a <br /> destxuctioa materials procedures In Item ay $ <br /> 4' {4} PROPOSED ]. — San <br /> Domestic <br /> Irrignti <br /> Industrial [] <br /> t Well ❑ _ � <br /> Munici <br /> WELL LOCATION SKETCH Other ❑ <br /> Z. <br /> (5) EQUIPMENT: (9) GRA kACK- — <br /> Rotary Reverse ❑ No E Siic — <br /> Cable El Air 0 �ter of borr�_ i <br /> Other ❑ Bucket R rom t — k <br /> (7) CASING INSTALLED (8) ERt'ORA 1 Se hand cut - <br /> r <br /> Steel ❑ Plastic C n Typo a[pe n o e of setee <br /> Ftom T Ilia. & r F To I <br /> it. F. >in, WaII £t. s' <br /> 7. 7-16m- 109 1 - <br /> i <br /> (9) WELL,SEAL: <br /> I <br /> >Vas surface sanitary seal provided? Yes X No [] If yes,to depth--50--ft. — 1 <br /> Were strata sealed against pollution? Yes Q No p Intervtilr ft — , <br /> Method of sealin Work starts 8 Complet 9 <br /> (10) WATER LEVELS: WELL DRILLER'S STATEMENT: <br /> Depth of first water, if kuoi,m _ _ t This met?was tlrtlled under my furisdiction and this report k tried to the best at mg <br /> Standini:level after well complutlort __ DELfL knotuledge anti belief, J� ' <br /> (11) WELL TESTS: _ SIGNED_ - _ - e <br /> Was well test:made? Yes El No,X If yes, by whore? if (Wel1 Driller) <br /> Type of test Pump ❑ Bailer❑ Air Sift❑ NAM Hennings Bros, Drilling Co.,, Iris• <br /> Depth to water at start of test--- ft, At end of test__ft ��{P n 11 m�a�pomti T or printed) <br /> Address �2506 W. R.LQ �itiaYP�l <br /> D[scharitt�,�_aa'min rafter._, hours Water tempera City. 1'AQd@StQ Cal�,f♦T 7.f� �. 0 ! <br /> Chemical analysis made. Yes 0 No If yes, by Nehom? q 3 <br /> F` Mc log made? Yea Q Noxi If yes,attach copy-to this report License l\a._ �0 F 3 mate of this raport_ 10-1-76-,._ <br /> n 188 (REV.7.76) IF ADDITIONALSPACE 15 NEEDED. USE NEXT CONSECUTIVELY NUMBERED FORM 43416.9507-16 SUM QUAD(IN osr <br /> i <br /> I� i <br /> i <br />