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rt J <br /> oRiraxNat_ .� <br /> ' File Original,Oupllwle add Tripllute welh The3 <br /> DIVISIOR Of WATE11 IiEi01#R 41 f <br /> • - '� <br /> P a e3ox foga ,,? <br /> SACRAMENTO S.CALIFORNIA <br /> �. <br /> WATER WELL DRILLERS REPORT ���Tot`Fill ,fin <br /> (SrJctzans 7076,Y077i ytl7a,Water Code) Stater Wen No - • - <br /> Other Well NO.Region—(1) Perforationsr <br /> Type of perforator used_.._.__ @ <br /> Perforated ,,,.. fk tom,. --- it Hole sy o.of Boles <br /> Jaf. >l-Y-..�—�•-•�.�__-•-•--.��a is ff — sa fa sr H " Sr n JI <br /> is as n <br /> fa N <br /> as fY Js . )a is H <br /> fa » is�.. .+ ....is JY Ifis 1. ►1 <br /> if-w.;�.. ....�'-aa JJ .a of fY s! <br /> Y} -� Ji v it as Jf i! !Y is <br /> Jf a. Ja <br /> 11 J. fY ,i Yli is <br />' rr --_^T }a isss as aa <br /> i --`..—. ... ..+�.. <br /> 1J 1J ! N N 71 .a !f fy <br />' (8) Water Ievelss (9) Well pumping teat: <br /> Depth at which water Date of teat—_-- Ry whom <br /> first encountered, - £t. Depth to water when test started <br />' Depth to water G P.I L at beguunmg of test_ -- - - <br /> lnefom perforating._...,.._________ ____„ft Drawdown from standing ICVCL._.__-__., fit. <br /> Depth to water G Paid. at completion of test <br /> after perforating___ it Drawdown at comple tion of test______- ..ft. <br />' Note any change m water level while drilling <br /> Length of time tested-- <br /> Temperature of water <br /> Was gas present in water? ❑Yes F)No <br /> (10) General; <br /> Was well gravel picked?— _ Size of rock----_ _Tluckness of pa <br />' Was a surface sanitary seal provided? <br /> Were any strata sealed against pollution? ❑ Yes ❑ No If yes,attach detailed description <br /> Strata seated— <br /> Was <br /> ealed --Was analyses made of water? E] Yes ❑ No If yes, attach copy. <br />' Was electric Iog made of well? ❑ Yes ❑ No If yes,attach copy <br /> If well abandoned,was it plugged and sealed? .._ <br /> Method of plugging and sealing—.... .-._- <br />' (I 1) Location. (12) 'Pince of work- <br /> Neri6 Section No . - 'Work started dar n_Comgleted date_k_— -'1 <br />' Township_ - Bate of this <br /> Iiaa,ge. v <br /> Base&Mendran..._APWQ.L DRIIZ.. W*S STATMMNJ'. <br />' <br /> Show location of well in Sec- This well was drilled tender my purisdrehan emit this <br /> tion,thus (X) report is true to the best of my AnowlWser and belief. <br /> Distances to section Hues from ..7�� <br /> well,N Or rJ_�.� .. .��t. [SICaLV]�DI— �_U_ ..�..� to m_ <br /> and E or W _,f r_ /Veit O.AhjP <br />' Show locareen of nearest By__. -f-r_2.t.• 1 _ <br /> known well, thus (0) License Na_ 67d5qrlae <br />' <br /> I MTI.B <br /> Distance to nearest known '.._ <br /> � fit. <br /> well...._ <br />' D W R Fano Me 246 REGIONAL WATER POLLUTION CON'T'ROL BOARD COPY <br /> xaen ago taw oJuw sfw <br />