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f <br /> OltICINAL WATER WELL DRILLERS REPORT Do Not F:II Im <br /> File with DWR (Section 7079,7080,7081,7082,Water Code) �' <br /> N• 2814 <br /> THE RESOURCES AGENCY OF CALIFORNIA <br /> DEPARTMENT OF WATER RESOURCES <br /> Other Well No <br /> (1) OWNER (11) WELL LOG- <br /> cic��1��e� d �, <br /> Name z l,— In l _ �l o-war _ 7otil depth fr Depth of completed well r+ fc <br /> Address P,i} 3OX rti'j0 Formation Describe by color character ssec of materiel and slru fore <br /> Newman, alil • <br /> (2) LOCATION OF WELL: 1 <br /> County 1 e`!a'e1 joag4uin Owners number if any f_— - , . 'y (11,q.y <br /> Township Range and Sect[on 600 4 t I e s V of Tnzersta7Le _ <br /> Dena.*from cities roads railroads etc r ryl' r<[.111 ' I '- 3L—L! ' 11 r a ZJ i <br /> cnan-e % 150 '?t. 1- r' of r4ansen Tnter— —14 "1 -,ark arnwn f'-I au <br /> (3) TYPE OF WORK (check) C haat e 21-50-- Sand <br /> New Well Deepening ❑ Reconditioning ❑ Destroying ❑ r 0—5-7 -gray <br /> If destruction,describe material and procedure in Item 1 I ` 14azA 1�zt- r r' l S <br /> (4) PROPOSED USE (check)- (5) EQUIPMENT - <br /> Domestic E] Industrial ® Muruclpal ❑ Rotary [X - f <br /> Irrigation M Test Well ❑ Other ❑ Cahle ❑ 160-1627- <br /> Other ❑ ' 62-10h ,, <br /> (6) CASING INSTALLED 196-198- Sand <br /> STEEL OTHER If gravel packed 199-3()n--' B rpm Clay <br /> SINGLE © DOUBLE <br /> Gage Diameter 5 Pard_ R <br /> From To or of I From To ��rlrr f i av_ �anrl Rrll!'k �'tT`PlallC <br /> ft ft Drain WaI] Bore £c, ft 1 <br /> . 0 _ 0 8 5 l ? 3 '�C; - ndRock <br /> 0 3 and Clay <br /> '31)0-�92 is- ock <br /> Seu of shoe or well-P; Size of xrrvel tt T 1- 't 7 9 2—]c-'o 3Cl a <br /> Describe loin[ 'r�i ' , 9, R 1�c. -'Hock- <br /> (7) <br /> Hock(7) PERFORATIONS OR SCREEN ` G -LJ0 ' Clav <br /> Type of perforouon or name of screen L'J1.1—L0 f'-, Email ~ravel � <br /> Perf Rows L0 —LI-L -- 1,laV <br /> From To per per Size , ! 11 ?av ^ravel <br /> ft ft row ft in x in Ll 0 = riard Uay <br /> 20 3 / ' t -`t 5L)7-te12'Li _mall 'Ira el 1 <br /> 0o - 3o 515-525 = E and "lav <br /> 2 1- i 1a l `'ravel <br /> _` F4 tr o <br /> i <br /> O <br /> (S) CONSTRUCTION: <br /> Was a surface sanaary seal provided s Yes ❑ No ❑ To what depth it <br /> Ware env scram sealcd sgasn.c pollutsan? Yes❑ No C If yes note depth of,trate <br /> From it to it <br /> Froin it to it Work started — i9 Completed — 19 <br /> Method of scaling WELL DRILLERS STATEMENT <br /> (9) WATER LEVELS This well was dulled under my ?unsdictton and this report is true to the best <br /> of my knowledge and brtref <br /> Depth at which waccr ,vas first found sf ka0wn it <br /> Sundsnq level before perforating [f known fs NAME T +ls i( T,� `7 T �,. r. �`j 's'7,'},y'jsT� ^ j <br /> 110 ft (Person 5rm or eorparaeion} (typed or prrn ted? <br /> Scandtn level after perforating: and developing V <br /> WI ) WELL 'PESTSAddrtss'I e v r� <br /> Pump,test modes Yes Ely <br /> No [,] Ifes by whom? r G T <br /> xal/men with it drawdown after his [SIGN£] <br /> (We! nJlcr) <br /> Temperature of water Was a chemical anslyia made? Yes ❑ No 0 <br /> G <br /> Was cltctne]og made of well? Yes © No ❑ If yes attach copy License No_]3 0 51'2 196-9— <br /> SKETCH LOCATION OF WELL. ON REVERSE SIDE <br /> DWR 188 414EV a 65, 46491 950 10 65 4014 rRIr,JAosr <br />