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X4 JUL 2 7 1966 <br /> • ORIGINALS' WATER WELL DRILLERS REPORT Do Not F=II Int <br /> Filo with DWR (Sect,ons 7079,7480,7081,1082,Wator Cod.) NO 44364 <br /> 1040 THE RESOURCES AGENCY OF CALIFORNIA r - <br /> DEPARTMENT OF WATER RESOURCES State Well <br /> Other Well No_ —- — <br /> (1) OWNER: (11) WELL LOG: <br /> Dame Lgnard Johnson Toul depth 200 ft Dcpth of cpm 'tad wolf Is <br /> Address ' <br /> Formation Aernlbe by color,ritaraclC,axe of ta�elrrial,rsd sl/s<rfYre <br /> s <br /> Sjocktans Californiaf'--A 15 tog. An i Ife <br /> (2) LOCA ON OF WELL: <br /> coupry Owner s number If aml, 70 76 gravel- <br /> TownshIp Raate,and seetlpn d 76 120 -sand clay <br /> Dutaaee frooa dries r.adr nil,oa t pec 120 170 brown <br /> nlay-- <br /> 170 <br /> (3) TYPE OF WORK (check)• in 180 brown aiay <br /> New Well$] Deepeutng Q Reeondstsobing ❑ Dmtroymg [j ISO <br /> 190 sandy elay- <br /> It dratrurtlon,deser7he7m4terral and romd-are An li m 11 190 200 saes <br /> (4) PROPOSED USE (check): (5) EQUIPMENT: <br /> Domestic KI Industnal ❑ Municipal ❑ Rotary ❑ <br /> Irrlgatton ❑ Test Well ❑ Other ❑ Carie ❑ <br /> Other <br /> (6) CASING INSTALLED: <br /> STrrzL CVrHER If gravel paged <br /> elrscLi±p neual.e p <br /> Gage Diameter <br /> From To or of From To <br /> it ft Diam Wall Bore ft. ft <br /> O <br /> Sup of sfwa ar will nags Sae of garei <br /> Desartbs]otos t <br /> y <br /> (7) PERFORATIONS OR SCREEN: 61 <br /> Type of perfotadon at name of,erun <br /> perf Mows <br /> From TO gee per SIZ4 <br /> ft ft row ft m %]a <br /> (s) CONSTRUCTION: <br /> W..a t.NCR 121miry sal pmvxded! Yv❑ No 0 To what depth ft <br /> Wen any utata waled against mllntspoT Yu No Q if yet,note dtprh of oats <br /> F"m fc.to it r� <br /> From ft to ft Work snrted 20 2 <br /> t ,CAnlptetDd I9 66 <br /> Methad of snllpg WELL DRILLER'$ STA"ITIdE14T <br /> (9) WATER LEVELS- This weld was drilled under my farisdietiou and this report is true to the best <br /> pp of my knowdedgeand belief f <br /> Depth ae which water was best found,If kao-wa Q6 ft + <br /> Standing level beforo perfaanng if known Ir NAME Domestic <br /> staft4bg iesel after perforating and dmd y! it IFe+'lmst dem,or eorporatipa) (Typed or printed) <br /> (10) WELL TESTS: Address <br /> mmh�snp tett msd.? Yes 0 No 0 ify. by whom? <br /> 0WORW xAf/min with fa drawdown after firs smr=] /Writ Anfltri <br /> 7-1stwater Was a ehetnieal anal sv model Yo© No ❑ _ <br /> made of welEl Yea No Cl If Ya atuch cop I teense 130- J �``{ —Dat <br /> SKETCH LOCATION OF WELL ON REVEn5rm SIDE <br /> DWR 188 (RSV 0 att) sewn-eeo to as wom'rRsh©A OSA <br />