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• �'�`1 0I11GINAL WATER WELL DRII.LERS REPORT ' Do Not Ptl[Xtt <br /> file original,Duppeale and Triplicate with the (Sections 7016,7o» 1�,7ore,Vsrvir Cede) ? 6438 5' <br /> REGIONAL WATER POLLU ON �� j Sura Well No ZWK7 <br /> r STATE OF CALIFORNIA �7 <br /> CONTROL BOARD N /� ) Orher Well Na_._... _ _ T <br /> ere oppreprrsre Number) fI <br /> OWNER: (11) WELL LOG: <br /> Narrle 'forst depth fe Depth of emoplst.d w+ll ft <br /> Address Z2 F.tmauoUl Derrnbe by color,clwdrfers rizr at orsterldl,and rtrNefNrr <br /> it to ft <br /> I'YQ -54A <br /> (2) LO TIO OF WET L: 450 <br /> [oIIUtr a'a number sf dr.y�­ <br /> R It ors a r�> <br /> OV <br /> (3) TYPE OF WORK (cbeeA). <br /> Nevrwell ❑ Dtepeamgx Recondtaotnns ❑ Abandon 0 " <br /> if abandanenenf,deecsrb►waterfal died proerdtdre In Item I I <br /> (4) PROPOSED USE (cbeeA):~ (S) EQUIPMENT: <br /> Domestic Industrial [I Municipal [] Rotary 13 <br /> Irrigation;�,Test Well E] Other 0 Cable <br /> Dug Well 0 <br /> (6) CASING INSTALLED: If gravel packed , <br /> SINOL,Ex DOUBLE i] Gas* <br /> t,C Drametrr le,am ro <br /> From I je m jq it Mom Wale oiam fs it <br /> • <br /> Typa and site of tl well ring Air of aravel , <br /> Describe lent , <br /> (7) PERFORATIONS. <br /> 7rpa of V-1twasor Used <br /> size of midtatinor m.Ieusth,by to <br /> From '..ft m it Prrf per ter Row,per it <br /> n fGIAL..A' . s <br /> (a) CONSTRUCTION: <br /> Was a tUtface gtntary teal prmefedl 0 Yet 0 No To what deptk it -- — — �--- -- - -- - -- '—' <br /> Were any meta staled itguntt pollution? 1]Yo ❑No If ya,nom depth of snata , , <br /> From it to it <br /> Method of Sealing —3:9. L <br /> (9) WATER LEVELS: 'WELL l3li.ILI.l3R'S STATEMIE`1T � <br /> Tbfs well was drilled render my)srisdfrf en and ibis repay!u true to site best of <br /> Depth ae Which water was first found lr MY hLon�dge belief <br /> S adtUs level"re perforation It NA <br /> ^— ^ <br /> 5Ux le+el akar perferatwRT f (pccso rm or et c <br /> geratsowS0 <br /> r nn Jl <br /> 10) <br /> Address WELL TEST'S. <br /> Wet i pump rest staid.? Q Yee {] No if 70.by whops? <br /> Y,cldt hind/tarn with it dre.r down ztnr Jigs - <br /> I�rl! r1 er <br /> Temperataell of water Wm a ekemlurl analyns model 0 Yaa O Not <br /> Ltcente _� Dated ,_._—.,.,_,.—._.._.r <br /> CG,u dcrtnr lox tUade of wtA! Q Yra ❑No <br /> e700 e-a7 1106!011114,&apo <br />