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�■] n s �„ 1� , � �d�:J 1i�ii `> Is'�1p7� <br /> 3AAA <br /> CRIGINAt N WATER WELL DRILLERS REPORT Do Not FBI In <br /> Filo villb DW;t Seestons 7079,7aao,7031,Toa:,Vokor cad.} <br /> ` N? 47707 <br /> THE RESOURCES AGENCY OF CALIFORNIA -9 '1 i1 F-'-A to.. <br /> DEPARTMENT OF WATER RESOURCES stn Weis Na <br /> �? �b u�tu <br /> { <br /> (1) OWNER:Johnson (1 I) WELL LOG- <br /> Name Leo u ohnson Toni depth ft Desch of cemplaad�11 ft <br /> Address Rt I r3ox 155 F3rafuaao L Deserebe by calor,thorecere,silo o/tucier/e1,lord itrwlorr <br /> StacktoiCalif. 0 p t -kft <br /> (2) LOCATION OF WELL: <br /> coaety Owner r number If nay r <br /> Townrh.p ftangt ends.... <br /> Mitaace from caiea mads raitmads ecce 3001 S l:h Hwy #26 r <br /> 1 107 110 i <br /> (3) TYPE OF WORK (check) <br /> New Well [5t Deepening 0 ReCondrtiontng (] Destroying [1 SS <br /> If destruction,describe w alerial and procvdarr rte Itew.I1 <br /> (4) PROPOSED USE (Check). (S) EQUIPMENT: 'k <br /> Domestic ® Indnstr=1 Q MumQpal ❑ Rotary ❑ <br /> Irrigation ❑ Test Well ❑ Other ❑ Cable <br /> Other <br /> (6) CASING INSTALLED. <br /> sTI:ELt OTHER If gravel packed <br /> SINGLE® DOU13LIZ[] <br /> Gage Dlametcr <br /> From To or Of Prem i o <br /> ft fr. Dtam 'wall Bore fa ft <br /> 4 <br /> Sat of shot or well ren r p,76 <br /> Describe 12.nc Weld <br /> (7) PERFORATIONS OR SCREEN: <br /> Typtotpaloro2t n or come of sereen <br /> reff ROWS i <br /> From leo per per Siu <br /> it ft row fc in x in <br /> (B) CONSTRUCTION•ce aa ,y! („ ! <br /> Nhr a surface rnl provided? Yes 0 Pio To ghat depth ft %i i S N1 X <br /> W-rr any unto sealed A.,vac pueluema? Ycs❑ No if yet note depth,of atraca t <br /> From It co fe <br /> Frown it to ft Work started 7z2o&6 t9 s2mFlat4d I9 <br /> Method of sealrog WELL DR&ER'S STATEMENT <br /> (9) WATER LEVELS: of <br /> rendl was drilled undsr rrsy jurlldreigm and I/=report is tate IQ the best <br /> which avatar was Lsst fonnd,if known ft °f my krtotujedge and brlref <br /> Depth x <br /> Sanding !rid before fondn If known fe NAME <br /> Snad,ng lard After erfanue and dartla in {q ( anon, row,or rosporahoa) (Typed or AYINUd) <br /> (I o) WELL 'PESTS: Addrels P 0 Box 64 <br /> p tett wide? Yes Q No if yea by whom? Zsj.I1dgn Ca 2 <br /> Ra]/min +rich fr drawd"n after hr. [$ICN[6n] r <br /> (grrl!DrlllrrJ <br /> Tem erasure of water Was a ehsmacal aasly,,.made? Yes❑ No fJ / <br /> Waa!]saltie log an:de aF wells Yea (] Nn [] If ya,attach co Y License No ~ ate .6�fb Gry <br /> - , l9- <br /> SKETCH LOCATION OF WELL.ON REVERSE:SIDK <br /> DWR 188 iRey g 65? 9*431 970 r0 63 5014 7711P Q Q CSA <br />