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' OMGIINAL <br /> File 9rfglial,Duplitafe aad Irlpllcafe wflk the ­,i, <br /> bIYISI41 (�RE�bURLET l � Sz�E r z <br /> P 'o raxX 10-Yo <br /> M � r <br /> sACRAtrfRNTC J51.CALIFORNIA f ( ✓. ,+i <br /> ] <br /> WATER WELL DRILLERS REPORT Do Not ARM Inl <br /> (Sections 7076,70779 7078,water Code) State Well No - <br /> Other Well No.._..__...­–_,_.-". _ <br /> (7) Perforationse <br /> Type of perforator <br /> Perfarated— ft to_ <br /> ---- ,! --- ���t. Hole size------No of holes— -- <br /> .. IN .. 11 - <br /> _ )) <br /> AV VP 39 <br /> » 1, „ --- <br /> ■ 11 --_. Y�-.-.. <br /> At <br /> is is a <br /> 1, » _ <br /> ' {&) Water levels, ('3) Well pumping test. <br /> i <br /> Depth at which water Date of test�..� <br /> first encountered ——IL—ft Depth to water when test started <br /> + Depth to water G P M at beginning of test_.,...._.___...,,..... <br /> before perforating_. �_ _ft, Drawdown from standing <br /> Depth to water G.P M at completion of test--- <br /> after perforating—.__ � _ _it Drawdown at completion of test �_ .� .�it <br /> Note any change in water level while dialling length of time tested— <br /> --------- - _._– Temperature of water_. <br /> I Was gas present in water? ❑ Yes ❑No � <br /> (10) General- <br /> Was well gravel packed?_____r_._.„_,_.Size of rock <br /> Was a surface samtary seal provided?— <br /> 'Were <br /> rovided?Were any strata sealed against pollution? ❑ Yes C] No If Yes, attach detailed description. <br /> Strata sealed,..,.___. <br /> Was analysis made of water? ❑ Yes Q No If yes, attach copy �- <br /> Was electric log made of well? [] Yes ❑ No If yes,attach copy. <br /> If well abandoned,was It plugged and <br /> Method of plugging and sealing----- <br /> (11) <br /> ealing_____--(11) I,ocation: (1 Z) Time oi~ work: <br /> North Section Na— __ Work started date�_1$--. �ompleted date 5Q <br /> Townshipp- Date of this report1--99-r-14 <br /> Range__ <br /> Base St Meridian /J --b� WLLL DRILLERS STATEMENT <br /> Show location of well in Sec- Thn well ims drilled under myurssdiction rmd this <br /> tion,thus (X) report is true to the best of+ny knotaedge aitd belief <br /> + Distances to lection Jules from <br /> well, N or S�� ��t [Sicrrrnj� 9�) iSln Armat�ars & dotar lPorka <br /> and E or W —ft. WritD.,ir„ . <br /> Shaw location of nearest By___2A__ _ <br /> known well, thus (0) – —� <br /> ' Distance to nearest known I,tcense No 67850 _. Classificat <br /> I 74l:tL8 <br /> well---- Dated_ <br /> ) <br /> D W R FORM No 2a4 REGIONAL WATER P'OLLU'ITION CONTROL SOA1tD Copy 23072 s-sa saw 4a1N APO <br />