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V ®z N 002e 3 d 4AN 2 LOCATION NOT CHECX91 <br /> Do Not Fill int <br /> OTAG1NAL WATER WELL DRILLERS REPORT Np 101724 <br /> File Qriglflal,Diipllcale and Trlplieale wlih the (Sections 7076,7071,7673,Water Cade, • <br /> REGIONAL VTATSR POLLUTION Slate Well No. 7 <br /> . CONTROL BOARD No._. 5 THE RESOURCES AGENCY OF CALIFORNIA <br /> rt e¢propriete anmbrrJ <br /> t <br /> OWNiER, (II) WELL LOG: 5, <br /> ��" � <br /> Name Ton Jacovzch Total depth 268 it Depth of completed wen 268 fe_ <br /> Address R • 1 B o X 230 Formations Describe by color,cbwrecler rose of mstersal,end rtrartore <br /> fr to if <br /> e 1 0 ' ._,Ys3 -- <br /> (2) LOCATION OF WELL: 3 24 br. t'�on clay <br /> Coaacys an JQ L1in Owner s nuw6cr,If any— 24 26 - s j,trid and- roaXs —' — <br /> A P D ar Stceet Na a <br /> r T _ 44 A-6 _ ror_ks _ <br /> c 46-- _ 64 br-rmn_lay <br /> A4 ASTrn ks - <br /> n <br /> 84- 92 rocks <br /> (3) TYPE OF WORK (Check)-- C,} I4 12 d�3n d gr A VL1 <br /> New well [R Deepening 0 Rceondstiontng © Abandon ❑ 104 '-2$ brown _0-a-Ve-hard <br /> 11 abandonment,describe material and Procedure res Item I1 —128-.:, 1,15 P. sand <br /> (4) PROPOSED USE (check): (S) EQUIPMENT: _ 13 e 1-36 " brown clay -- <br /> Domestic ❑ Industrial ❑ Municipal ❑ Rotary ❑ 136 148 sandstone <br /> Irrigation (N Test Well ❑ Ocher ❑ Cable 148 150 " <br /> Dug Well T 1 r;n '' 16n hroAr] -c-1-ay - <br /> (6) CASING INSTALLED- If gravel packed 1'6n '164 "Un X3 <br /> sIi•IGL6 noua�&❑ Gtw I F;4, - 208—her I,=_C-,B 17 - - --- <br /> ee Diameter from to !. _'� P"1-F; ° t� y��. <br /> From it to fe D.am Wall of Bore it Ft hrj f:t,,leG 1,72 73 vVYI1 <br /> 1�._._.r <br /> P601 PAR czcn d <br /> 0,NEW <br /> Type and atse of$boa or well cing 10-X-6x! Size aF grawtll <br /> Dacrs6e sane But 'geld <br /> (7) PERFORATIONS: <br /> Type of p-1--tor used Fac torli8 <br /> yr� <br /> size of prrfor$nons _ m length 6y-- 2 In �������—� ^�- <br /> rrom ft to f[ Perf er raw Rows per ft FOR <br /> 1 156 164 <br /> '`?C 17 & <br /> (S) CONSTRUCTION. <br /> Was a.soaface sanitary seal provided? Q Yet 0 No To-bat depth ft • 12� v�w <br /> Were any strua ustcd agalnlc pollauoa? Q Yes Q No If yes,note depth of strata „ <br /> From it it, ft " <br /> Method of _ <br /> Stldllrl$ ... 19oe4 decreed 3,,,,8-05 19 Completed _3�1r° 1 � S <br /> (9} 'WATER LEVELS, WELL DRILLERS STATEMENT _ ~ <br /> This well was dulled render my Jumdxhan and this report is true to the belt of <br /> Depth at which wsser was fine fownd ft <br /> Fj my knowledge and b ref <br /> nding level before perforot.ag _ 76 it NAME John Panero and G&v l McLe is ter <br /> Ing Ieve1 after perforanag It ,1 on, rm or�gepy x, (Typed or prlwled) <br /> Address Ti�a.7� �OX t�tr�� <br /> • (10) WELL TESTS S ckton i✓ali e 952 <br /> Was a pump rise made? [)Yes 0 No If ye$,by wltam? <br /> [SIarIEn]� a - <br /> Yields aillmin with it dew down sit. his WeifDrrfi.r ey <br /> Temperature of water Was a chemical analysis made? 0 Yes ❑ No Lteen3d Vi 215-489 _ Datetl......._-.V...—l� <br /> Was alenttse lot made of we111 a Yet d No <br /> ereea 5 43 2%M QUIN©A Gro E3WR 199 (ACV 3 54) <br />