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ORIGINAL - STATB OF CAMFORNiA Do not fill in <br /> THE RgSOURCES AGENCY <br /> V11ovAthDW11 DEPARTMENT OF WATER RESOURCES NO. OQV47T4 <br /> WATER WELLDRILLERSREPORT` State well N !7v _mlt Na or DatrL Other WdI)Y J �a — <br /> (1) OWNER, Tame Sb (12) WELL LOG Tom da7vtrr ,ft nepth of complekarl wall ft <br /> Addy from it to ft Formngou (DescrZe 1rY Color, Character, Cue or matenal) <br /> DARK BROW STIFF CLAY AVQS <br /> (2) LOCATION OF WELL (Sea instructions) — C4rr MEN STIFF SILTY CLAY <br /> coswsy Owtter's Well Numbs RCa PLAWr 912 VA9KSILT S CLAYEY SILT <br /> Well address if different from abw TANK FARM PORT OF STOCK-rON 14 I.Mt[T Q FF CLAY <br /> 19 <br /> Townshi ^..._. secitio 14 27 DARK GRAY 6 SILTY CLAY <br /> Di:ranee hero eves,toads,tallraads fonem e 27 - 1 FR}tv S TY SAMD <br /> 7 - 41 CL ARSE SAND 6 SMALL R VEL <br /> w/wompmrs <br /> 47 53 911 8 CLAYEY SILT <br /> (3) TYPE OF WORK 53 E SAW 9 SMALL QRAVEL <br /> New Well.& Deepening 0 WAWOVi,DEBRIS <br /> Reconstroelron ❑ 68 - GREE LT 8 CLAYEY SILT <br /> Reconditimurrir ❑ 3 — 9r CUM MOE TO MEDIUM GREENISH <br /> IIIoriz)Atal Were EER ST LTV CLAY <br /> Destrnotion❑ (Describe -FIME TQ IUM SANG <br /> deatructioa matovala <br /> es <br /> procedur �n Item GR M CLAYS <br /> (h) PROPOSED 122 -1 CLEAN C 8 SMALL GRAVEL <br /> 132 9 GRAY "R-CLAYEY SILTS <br /> fmttation�� L \-14t FIN AND <br /> -�1 Industrial ❑ <br /> tiYe1i ❑ ^11.11 If Of LTV SAND <br /> QN\3sv— <br /> StasG CLAYS <br /> Ivitmrta 154 - Y SILTY SANG <br /> WRLL 10CAW10M SmTCII other CATHOPM ❑ 15$ — RAY SAVVY CLAY �tr7 <br /> (5) BQDIPXJXNTt ((f) CRA PAC$. 1 „^1 COA Na <br /> RWAry Ix Reverse ❑ ❑ No Size — 05 GRAY SILTY CAL <br /> Coble Aix o ( er -2 1'7 f" WE TO MEDIUM OAV SAND <br /> Other El Bucket ❑ —222 CLA T <br /> (7) CASING INSThM,ED (tl) OItASy <br /> Steel Ll Plastic 0 Co c Type of p a m of scree <br /> From To Dia r F To <br /> £t E in Wall & — <br /> (9) WELL SEAL <br /> jVa+smiaco sanitary anal pro-Wed" Yes 1_tr Na p If yes,tv deptk 75t ft — <br /> }Vere Strata sealed nanirsst pollatianP Yes iXJ xo ❑ <br /> Method of son %Vtrrk start I9 Cam lets 0 <br /> (10) WATER L$VELS. 'WELL. DAMLER'S STATEMEINT <br /> Depth cf link water, if known_ _ - A Thb well was drilled rnat(er Pmu forWinflors oad that revert it trite W the best of ma <br /> Stnnding)avel alter won eomytedan _ ft krtotaisdga and belief <br /> (11) WELL TESTS, 5yc.t� <br /> Was well tort made? Yea ❑ No,❑ U yea, by whom? (Won DrWer) <br /> Type of teat Pump ❑ Bnilar❑ Air lift❑ NAME. PITCHER WILLING CO. <br /> Depth to water at start of tasr te- At and of test---ft (Pers fl�T nor ca oration) (Typed or printed) <br /> L" *[e--Ca1/men after t.aurr Water tea+petn Arldtas; 751 ALL�JWY S EET_ _ -- <br /> nnalyats madne Yes O Na❑ If Yes,by wbeea? city VALV CITY CA 94414 <br /> ae oleeMo Ion uutdo? Yes❑ No 0 If yes,attach copy to the ort Licame.N 2630°5 ata of tens 6/26/79 <br /> JWWR I90 (tt[v I I*) IF ADDITIONAL SPACE 15 NEEDED USE NEXT CONSECUTIYI±LY NUMBERED FORM <br />