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LGIN' AL STATE OF CALIFORNIA Do not Il sn <br /> � <br /> le with DWR THE RESOURCES AGENCY <br /> DEPARTMENT OF WATER RESOURCES NO. 053739 <br /> trattnt \o " ATER WELL DRILLERS REPORT ,tile %%c11 ,r, <br /> t'c rinit No or Dtte. I Q 6901�f Q <br /> Oilier %%ill \„ rp C-- <br /> N- BSc � '��J— <br /> l ) OWER \ e Nelson Ready Mix Concrete (12) WELL LOG Total depaz7-a—ft Depth of cmuplcted %ell�tl <br /> Iddress P.O . B oY 545 from ft to ft Fnmeatirrn (T)esc riha b+ (VIIur Lhiraeter size nr urat,_n r1 <br /> Ripon, a. Zip Tftscil <br /> U LOCATION OF WELL (s,, nstrm tions; - 20 Clay <br /> Count% San Qagtiln-,., ouner% \%ell \umher 29 Blue clav <br /> e11 address if different from above 2 �1 Blue "-sand <br /> reship RanLe Sectsn 1 - L'2 Blue ay <br /> n <br /> tst,tn c fn m cities rn-ids nilrr�ads fences etc. =0r� 7a V ' Dr 52 - 66 BIue 5c n <br /> trinkton 6b - 126 B 3.ue c a y <br /> 2t - I oarse sand <br /> 1 ;IT - 1 hue clay <br /> 3) TYPE OF WORK 5 7 5u, a n <br />' <br /> Nem %%ell X Deepemnc a ���, Blue C ay <br /> firt�,nsimtUnn u � t J �.� <br /> Blue cla <br /> Re+r,ndtti,uriu - <br />' I H„nzunial 'A el, = 1 / _ Sa <br /> rld <br /> Desinrctnn TJescnhe Blue clay <br /> 202 <br /> destructtnn mitenals and 200pnKedures to Item 12) 202 - 214 Sand <br />' t 4� PROPOSED USE 21 Li. - 221 ti's Le c la v <br /> Drrmestic c 221 _ 26� Sand <br /> Irrevation ❑ 26 270 Clay <br /> Industrial (� - <br /> Test %%ell ❑ - <br /> Stitch ❑ - <br /> Municipal ❑ - <br /> 1S ELL LOCATION &h ETCH Other ❑ - <br /> 1 EQLIP%IENT (6) GRAVEL PACK W000-Land - <br /> Rutan, 0 Re%erse les (X No ❑ Srze #11 sand - <br /> hleIt - <br /> 1,:„ Air © altsmeter n4 box ry <br /> .ter 0 Bucket Packed - <br /> ) CASING INSTALLED - {y) PERFORATIONS - <br /> louvered <br /> Steel] plastic ❑ Concrete 0 T,pe of perfnrabon or size of screen <br /> From To -_ Dia Gage-or From To -slat - <br /> & It In Wall fn\� ft \ s>xe <br /> 0 270 10 16 - 198 270 lbx2421 - <br /> k9) "'ELL SEAL <br /> ti�s <br /> ��surfice sanitir, +c31 prr,%ided' 1es No ^ If Les to depth____-5-0ft, stritz sealed iF.zrnst pollution' les ❑ \n = Interval -.ttthod statin %% l. startc I9 Cuirq,rrtrLi 15 <br /> t 10) N'1 ATER LEI ELS 1%ELL DRILLERS STATE\IE\T <br /> nUptof hist ulcer if l,no,trt ft Thr+ moll mar drilled under IM/ rrrrr,deefurri nn i, rc}ie,rf r+ fust to Mc hr f of inir <br /> dhrn( leLtl after ILI] Onipletto It Annu,44e and bels f <br />( 1) WELL TESTS L <br />\%as %ell h,! mrclr 1a+ \n i If Lcs h+ whnm?Eennln s {11e11 Duller) <br /> Fe of tr+t lunrp ::iBtiler 0 Air lift E) \A\fE He in s Bros . DrillingCo. rnc. <br /> th to eater It <br /> stirt of te'l 1t At end of test ft (Person frrn ,r anrperrllwn) {T%ped ,r printedl <br /> 1'jMe 11 Fs40 i al mite efter ,hour, M ater temperlture Address 3 525 _Peland a l e n ve . O <br /> ,,r anilvsi, m-tdrA It, L \e If +es bs %hnnia Cit., C Ztp -- <br /> � <br /> elettnc 1111. m ulr? }e, � \o If +es attach copy to this report License No Date of this repo 7 <br /> sa tBe tftev 7 7451 IF ADDITIONAL SPACE IS NEEDED USE NEXT CONSECUTIVELY NUMBERED FORM <br />