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— +. CA TION NOT C}gECKA <br /> ' A WATER WELL DRILLERS REPORT no Not aria 1"; <br /> ORIGINAL NiV 70115 ' <br /> File Artptaaf,Duplicate and irlplreate w11B the (sataivaa roc,torr,7078,WaverWaver,Waver teat) <br /> REGIONAL WA1'M POI.I.j7ION State Wd3 Na._ <br /> �— STATE OF CALIFORNIA -P- "t�c <br /> CONTROL 130ARD No ��' <br /> /Cntrrt• M naI^number <br /> �) (11) WELL LOG. �f <br /> Name `(� Tata]drptk ft Depth of emapfetrd scall - fr <br /> Address Farsrarloat Drserlbs by Calos,sbmarsrr,slat a/faalrrlAt.AsId rlrnCtXrf <br /> it to ft <br /> (2) LOCAT O OF )WELT.: r -� <br /> Cottnt� � �t��I�+./�tl Uwoer r aam6er,tL aay— - - _ <br /> Jv A17 <br /> RFU nr Sssaer No `� � J/ <br /> M <br /> lZe ! 74 <br /> - r �- '/ J <br /> a <br /> (3) TYPE OF WORK (check). 70"-s— Z" t � <br /> Newwell Deepettsng © Reeondtnontng Q Abandon © +rte <br /> I}abandonmrnt,describe rnatgrlal amt procedurr in It,.I l f <br /> (4) PROPOSED USE (checA): (5) EQUIPMENT. <br /> ni ` Y <br /> Domestic [ Industrial ❑ Municipal f-1 <br /> Rotary ❑ , Y r "' <br /> Ixngatioll ❑ "]'est Well ❑ Other ❑ Dug Well ❑ 2 { �! G <br /> (6) CASING INSTALLED: If gravel packed <br /> . - ,a <br /> SINGLE N DOUHLS'L-1-1 Got. w... � <br /> or bmmemr Frow <br /> From Hera (r Fromft to it Diem wall /f�,17' Z zy'e-�—- <br /> � r _�— <br /> Type Ind*tae of shot or well rtna ` Ssze of grarelt <br /> Dracnha Jorot <br /> (7) PERFORATIONS: <br /> Type of paforator used <br /> Size of perfane,ona ,a.1eoRsh by is t't <br /> From it to ft N,f per row Rows per it <br /> J 1 t� <br /> (S) CONSTRUCTION. <br /> Was a swfaea sansnry real prov&&O Q Yea 0 No To what depth it <br /> Wart Aoy strata sealed t(aratt pollctwtt} ❑Yea []No If yes,note depth of strata , • A �t <br /> From fr rp It <br /> Method of Sealmg / (/ Cyork started - i9 Campletzd 4 1a /n <br /> WELL DRILLERS S'l'AT8MENT <br /> (9) WATER LEVELS This well uas drdltd under tray]nrudlrtlon acrd this reaoty is trnr to Mr beat of <br /> Depth at which watrr was first found ZeK 42 it my AnmWg and behtf <br /> Seandsas Eesei be(ara prtforatms ft 4!VIS, ,Je yY <br /> a.n,t lore]after parfaranaH ft (p.. 6rm or or M, )9r ar peas 1 <br /> Address <br /> / <br /> (10) WELL TESTS Jf✓"'�k..�`— <br /> Wa a prmp test m+de? ❑ Yes 0 No It yes.by whom? <br /> Yiside [SIGNR9 <br /> gAl/tate,with (r draw down after tthtrrra�A Itis `'i/�j jj�� Wrll Dr,'Lrr <br /> Tempauurt of water W'as a eh.mtr I aaslysts madat 0 Yes No Ltconse No - - -sem s+' D2ted-'7_:__r <br /> WaselserrseloRmadeofwelll ❑Yea (�No '} <br /> /Tt 870ai x 07 7[IN GtlIN Q SPD QwR 186 (RELY 1 94) <br />